Tomás Chavarría Espina

– Introduction: Digital workflow in dentistry was introduced as a tool to help dental professionals achieve results better and faster. In the field of implantology, these technologies have developed enough to allow completely digitally guided surgeries. This translates in faster and more accurate loading protocols and prosthetic outcomes in edentulous patients. In the following case, a completely digital protocol is described to rehabilitate an edentulous patient. – Case description: A 51 years old male patient wants to have a fixed prosthesis after having removable prosthesis during 8 months. Patient was a heavy smoker (> 20 cigarettes per day) before full arch extractions in maxilla and mandible were made because of a periodontitis stage IV grade C. 8 months later, he smokes 3-5 cigarettes per day. After diagnosis phase, a fully digital protocol for a fixed dental prosthesis over 6 implants in maxilla and 6 implants in mandible was decided, with an immediate PMMA provisional loading protocol. – Results: A thorough digital surgical planning was done. In maxilla, 2 muco- supported surgical guides, and in mandible, 1 muco-supported and 2 bone- supported surgical guides were planned. At the moment of surgery, all Straumann BLX implants gained primary stability, and immediate loading could be done. – Discussion: Digital tools in implantology help specialists do a more detailed surgical planning, which translates in a faster and less invasive procedure. Also, this technology allows delivery of a monolithic structure as provisional in less than 24 hours, giving back function and, thus, quality of life to the patient on the very next day of the surgery. – Conclusion: Digital workflow for the rehabilitation of a completely edentulous patient allows a more accurate, precise and faster procedure, with better PROMs from the patient and the surgeon.

– Dentistry (DDS) at Pontificia Universidad Católica de Chile, from 2013 – 2018 (6 years program) – Hospital internship of oral and maxillofacial emergencies at Hospital Sótero del Río, Santiago, Chile, from September of 2019, until April of 2020. – International Master in Oral Surgery (MS) at Universidad Internacional de Cataluña, Barcelona, Spain. Started the full-time program in September of 2020, and finished in July of 2023. – Presenter at national and international congresses – Private practice at Clínica Turó, Santiago, Chile