Clinical Report
Restorative artificial intelligence-driven implant dentistry for immediate implant placement with an interim crown: A clinical report

https://doi.org/10.1016/j.prosdent.2025.07.015Get rights and content

Abstract

Immediate implant placement into the extraction socket based on a restoratively driven approach poses challenges which might compromise the delivery of an immediate interim restoration on the day of surgery. The fabricated digital design of the interim restoration may require modification before delivery and may not maintain the planned form to support the gingival architecture for the future prosthetic volume for the emergence profile. This report demonstrates how to utilize the artificial intelligence (AI)-assisted segmentation of bone and tooth to enhance restoratively driven planning for immediate implant placement with an immediate interim restoration. A fractured maxillary central incisor was extracted after cone beam computed tomography (CBCT) analysis. AI-assisted segmentation from the digital imaging and communications in medicine (DICOM) file was used to separate the tooth segmentation and alveolar bone for the digital implant planning and AI-assisted design of the interim restoration copied from the natural tooth contour, optimizing the emergence profile. Immediate implant placement was completed after minimally traumatic extraction, and the AI-assisted interim restoration was delivered immediately. The AI-assisted workflow enabled predictable implant positioning based on restorative needs, reducing surgical time and optimizing delivery of the interim restoration for improved clinical outcomes. The emergence profile of the anatomic crown copied from the AI-workflow for the interim restoration guided soft tissue healing effectively.

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Section snippets

SUMMARY

The transition from conventional to digital workflows in prosthodontics has reshaped complete arch implant rehabilitation. Traditional protocols require multiple analog steps, including cast fabrication, mounting, and verification, which may compromise efficiency.1 Previous hybrid intraoral–extraoral scanning approaches have provided improvements but still required physical verification steps and cast fabrication.2 Available fully digital protocols often rely on reference screws and multiple

DISCUSSION

The RDC 2.0 workflow is fully digital and eliminates the need for physical casts, mounting procedures, or intraoral conversion immediately after implant placement.15, 16 By digitally articulating intraorally captured data, the restorative workflow becomes simplified and reproducible.17, 18 This approach reduces chair time, accelerates laboratory fabrication, and maintains accuracy in implant position, soft-tissue morphology, and occlusal registration.19 Errors are minimized by reducing the

PATIENT CONSENT

Written informed consent was obtained from the patient for publication of this case and the accompanying images, in accordance with the policies of the Journal and the Declaration of Helsinki.

Intellectual Property

We have complied with the guidelines regarding intellectual property rights, ensuring no publication barriers concerning intellectual property, in accordance with the policies of our respective institutions.

Authorship

All listed contributors qualify as authors according to the International Committee of Medical Journal Editors (ICMJE) guidelines, having made substantial contributions to the manuscript and accepting responsibility for its content's accuracy and integrity.

Communication with the Editorial Office

The Corresponding Author identified on the title page serves as the sole contact for the editorial process, responsible for liaising with the editorial office and xco-authors. The provided email address for correspondence is actively linked to the Corresponding Author's account, prepared to receive messages from the journal's editorial team.

Consent for Publication

With the signatures below, we, the undersigned authors, concur with the statements made herein and approve the manuscript for publication.

Research Ethics

Consent for the publication of any identifying information was obtained from all participants or their legal guardians, adhering to ethical standards.

Acknowledgments

The author gratefully acknowledges the invaluable inspiration and guidance received from mentors and educators who have shaped his professional journey over the years. Special appreciation is extended to Dr Stephen Rosenstiel, whose insightful editorial guidance and mentorship have been instrumental in refining this article and previous publications, significantly enhancing their clarity and scholarly impact. Deepest thanks are also offered to Drs Dennis Tarnow, Giovanni Zucchelli, Michael

References (23)

  • F.L. Vieira et al.

    Intraoral scanning versus conventional methods for complete-arch implant prostheses

    Appl Sci

    (2025)

    • Cited by (0)

    This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
    We hereby affirm that there are no conflicts of interest associated with this manuscript. No financial assistance was received that could have influenced the outcomes of this research, maintaining the research's integrity and impartiality.
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