This technical report describes a newly designed computer-guided workflow employing titanium-reinforced stackable surgical templates for post-extractive implant placement followed by immediate loading. A patient presenting with complete edentulism of the maxilla was rehabilitated using one-piece implants, beginning from an existing removable denture. Three-dimensional digital scans of the denture and both dental arches were performed. Using these datasets, an ideal functional and esthetic prototype was generated and later reproduced as a custom radiographic guide embedded with reference markers. By superimposing STL and DICOM data, a virtual prosthetically driven plan for one-piece implants was achieved.
The stackable guide system consisted of a fixed base framework and several detachable modules. The base portion was stabilized on the bone using anchor pins and remained stationary throughout the entire procedure. The removable components, fastened to the base, facilitated both implant insertion and immediate prosthetic connection. No intraoperative complications occurred; all implants reached a minimum insertion torque of 35 Ncm, allowing for instant prosthetic loading. The presence of a permanent reference base enhanced workflow precision and streamlined the transition between digital design, surgical execution, and final prosthetic delivery.
