About this trial
Participants with bite difficulties, smile dissatisfaction, and missing mandibular molars was rehabilitated using a fully digital, facially driven workflow. Integration of intraoral, facial, and CBCT data guided esthetic design, occlusion, and implant planning, resulting in precise alignment, functional occlusion, and esthetic restoration with veneers, zirconia crowns, TAD-assisted molar intrusion, and guided implants.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 20-45 years with partial or complete edentulism requiring full-mouth rehabilitation.
Patients with bite dysfunction, malocclusion, or esthetic concerns suitable for digital workflow treatment.
Adequate bone volume for implant placement or candidates for TAD-assisted tooth movement.
Willingness to undergo treatment using a fully digital, facially guided workflow and comply with follow-up visits.
Disqualifiers
Systemic conditions contraindicating implant or surgical procedures (e.g., uncontrolled diabetes, immunosuppression).
Active oral infections or untreated periodontal disease.
Heavy smokers (>10 cigarettes/day) or substance abuse.
History of head and neck radiation therapy or bisphosphonate use.
Trial population
Adult patients aged 20-45 years with partial or complete edentulism, bite dysfunction, or esthetic concerns requiring full-mouth rehabilitation. Participants must be medically fit for implant and minor orthodontic procedures, have adequate bone for implant placement or be candidates for TAD-assisted tooth movement, and be willing to undergo treatment using a fully digital, facially guided workflow. Both male and female patients capable of providing informed consent and complying with follow-up visits are eligible.
Trial design
Case-only
Retrospective
Treatments tested in this trial
Facially Driven, Fully Digital Full-Mouth Rehabilitation with Guided Implant Placement, TAD-Assisted Molar Intrusion, and Restorative Crowns/Veneers
DeviceParticipants will receive full-mouth dental rehabilitation using advanced digital planning. Scans of the teeth, face, and jaw will guide treatment, which may include tooth movement with temporary devices, guided implant placement, and placement of custom veneers and crowns. This approach aims to restore bite function, improve smile esthetics, and ensure accurate, comfortable, and durable results.
Treatment groups
Trial outcomes
Primary outcomes
Implant Stability
Clinical assessment: Absence of implant mobility assessed manually and using opposing instrument pressure. Radiographic assessment: Periapical radiographs using the paralleling technique to evaluate peri-implant bone levels. Success criteria: No progressive peri-implant radiolucency and marginal bone loss ≤ 1.5 mm during the first year, in accordance with Albrektsson et al. success criteria.
Sponsors and contacts
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Menoufia University
Lead sponsor
Mansoura University
Collaborator