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Review
. 2025 May;37(2):261-271.
doi: 10.1016/j.coms.2024.10.002. Epub 2025 Jan 7.

Stackable Guides: Digital Workflows for Full Arch Dental Implant Rehabilitation

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Review

Stackable Guides: Digital Workflows for Full Arch Dental Implant Rehabilitation

Justin Odette et al. Oral Maxillofac Surg Clin North Am. 2025 May.

Abstract

Computer-guided full-arch dental rehabilitation, which is highly technique-sensitive, benefits from advancements in 3-dimensional-printed guides and open-source software. Critical pre-surgical planning includes patient selection, health history evaluations, and detailed imaging like cone beam computed tomography scans. Various surgical guides-freehand, static, dynamic, stackable, and interchangeable-are used based on case complexity, with stackable guides improving workflow efficiency. Post-operative care involves verifying prosthesis occlusion and clear patient instructions, focusing on mitigating complications through thorough planning. Future enhancements in implant planning and guide design are expected with the integration of artificial intelligence into digital workflows.

Keywords: 3-dimensional-printed guides; Computer-guided surgery; Dental prostheses; Full-arch dental rehabilitation; Implant planning; Pre-surgical planning; Stackable guides; Surgical guides.

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Conflict of interest statement

Disclosures The views expressed in this article are those of the author and do not necessarily reflect the official policy or position of the Defense Health Agency, Department of Defense, nor the U.S. Government.

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