Work

Case Report: Use of the Stackable Surgical Guide for Implantation and Immediate Loading with All-on-Four Concept: A Clinical Case Report

Year: 2026

Type: article

Abstract: Introduction Immediate loading of dental implants using a stackable surgical guide represents a meaningful advancement in implant dentistry, as this approach enhances precision while reducing surgical and prosthetic time through the integration of digital planning and three-dimensional printing. Importantly, it supports a more patient-centered pathway by minimizing treatment duration and improving overall comfort and experience. Case report A 57-year-old female patient presented seeking rehabilitation for missing mandibular teeth, with the goal of restoring both function and quality of life. A custom surgical guide was fabricated based on CBCT imaging, facial scanning, and diagnostic cast models. Four implants were placed in the mandible according to the “All-on-Four” Concept. The treatment workflow utilized sequential layers of a stackable surgical guide to accurately guide implant placement, abutment positioning, and immediate prosthesis delivery, ensuring high surgical precision and early functional restoration. After four months, the provisional prosthesis was replaced with a definitive restoration, and the patient was followed for one year, demonstrating stable clinical outcomes. Conclusion Within the limitations of this case, digitally guided implant protocols play a crucial role in enhancing the accuracy and predictability of implant placement, particularly in immediate loading cases. Such approaches not only improve clinical efficiency but also contribute to earlier restoration of oral function, thereby positively impacting patient well-being and daily life. Clinical relevance The use of a stackable surgical guide in conjunction with the “All-on-Four” concept provides additional supporting evidence for a precise, efficient, and patient-centered approach in implant dentistry.

Source: F1000Research

DOI: 10.12688/f1000research.179843.1

Authors: Youssef Alrmeela, Omar Heshmeh, Anas Abdo

Institutions: Damascus University, International University for Science and Technology

Language: English

Topic: Dental Implant Techniques and Outcomes

Subfield: Oral Surgery

Field: Dentistry

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,350