Clinical decision-making for immediate restoration of terminal dentition: determination and transfer of jaw relations

doi:10.7518/hxkq.2025.2025249

Abstract

Abstract:

Immediate implant-supported fixed restoration in edentulous jaws demonstrates a success rate comparable to that of conventional implant restoration. However, this approach still presents a certain degree of technique sensitivity. In the field of immediate implant-supported fixed restoration in dentistry, a repeatable and stable jaw relation is the prerequisite for the design and fabrication of prostheses. It also reduces chairside denture placement and occlusal adjustment time and lowers the risk of occlusion-related complications. For patients with terminal dentition, the precise transfer of jaw relation following full-arch implantation serves as the fundamental basis for implant-supported occlusal reconstruction and functional restoration. This process is also a key research focus and challenge in the area of implant-supported occlusal rehabilitation. This review summarizes the procedures and methods for determining and transferring jaw relation in immediate implant-supported fixed restoration. It aims to serve as a basis for clinical decision making in implant-supported fixed restorations for terminal dentition patients.

Key words: edentulous jaw implant, jaw relation, immediate restoration

CLC Number:

R783.4

Gu Yiping, Yang Shengtao, Yuan Quan. Clinical decision-making for immediate restoration of terminal dentition: determination and transfer of jaw relations[J]. West China Journal of Stomatology, 2025, 43(6): 763-770.

Figures/Tables 6

Fig 1

Fig 2

Fig 3

Fig 4

Fig 5

Fig 6

References 42

[1]	国家卫生和计划生育委员会. 第四次全国口腔健康流行病学调查报告[R]. 北京: 中华口腔医学会, 2017.
	National Health and Family Planning Commission. Thefourth national oral health epidemiological survey report[R]. Beijing: Chinese Stomatological Association, 2017.
[2]	Maló P, de Araújo Nobre M, Lopes A, et al. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: a longitudinal study with 10 to 18 years of follow-up[J]. Clin Implant Dent Relat Res, 2019, 21(4): 565-577.
[3]	Zhang RD, Ge ZY, Lang XR, et al. A CBCT study of changes in temporomandibular joint morphology with immediate implant placement and immediate loaded full-arch fixed dental prostheses[J]. BMC Oral Heal, 2024, 24: 1392.
[4]	Papaspyridakos P, Sinada N, Ntovas P, et al. Zirconia full-arch implant prostheses: survival, complications, and prosthetic space dimensions with 115 edentulous jaws[J]. J Prosthodont, 2025, 34(3): 271-280.
[5]	马博文, 林潇, 耿威. 三维扫描结合CBCT配准技术实现无牙颌全程数字化即刻种植修复的效果评估[J]. 中国口腔种植学杂志, 2023, 28(4): 233-238.
	Ma BW, Lin X, Geng W. The evaluation of immediate full-process digital implant restoration in edentulous arches using a combination of three-dimensional scanning and CBCT registration technology[J]. Chin J Oral Implantol, 2023, 28(4): 233-238.
[6]	孙欣荣, 冯玥, 刘伟才. 多模态数据融合的可视化技术在咬合重建中的应用[J]. 华西口腔医学杂志, 2022, 40(4): 468-475.
	Sun XR, Feng Y, Liu WC. Application of visualization technology of multimode data fusion in occlusal rehabilitation[J]. West China J Stomatol, 2022, 40(4): 468-475.
[7]	Nuytens P, Grande F, Li J, et al. Maxillomandibular relationship and virtual facebow integration in complete-arch intraoral implant scan: a novel clinical technique[J]. J Prosthodont, 2025, 34(5): 545-553.
[8]	Nuytens P, Grande F, D'haese R, et al. Novel complete-arch pillar system (CAPS) to register implant position and maxillomandibular relationship in one single visit[J]. J Dent, 2024, 143: 104885.
[9]	杨帆, 李峥, 王飞龙, 等. 咬合重建的六阶段实用治疗原则[J]. 中国实用口腔科杂志, 2021, 14(5): 621-628.
	Yang F, Li Z, Wang FL, et al. Six-stage practical treatment principle of occlusal reconstruction[J]. Chin J Pract Stomatol, 2021, 14(5): 621-628.
[10]	Azpiazu-Flores FX, Mata-Mata SJ. Overlay occlusion rim technique to facilitate the recording of maxillomandibular relationships[J]. J Prosthet Dent, 2021, 126(5): 715-717.
[11]	Bessadet M, Auduc C, Drancourt N, et al. Comparative analyses of time efficiency and cost in fabricating fixed implant-supported prostheses in digital, hybrid, and conventional workflows: a systematic review and meta-analysis[J]. J Prosthet Dent, 2025, 133(3): 689-712.
[12]	Ivanhoe JR, Cibirka RM, Parr GR. Treating the modern complete denture patient: a review of the literature[J]. J Prosthet Dent, 2002, 88(6): 631-635.
[13]	Bessadet M, Drancourt N, El Osta N. Time efficiency and cost analysis between digital and conventional workflows for the fabrication of fixed dental prostheses: a sys-tematic review[J]. J Prosthet Dent, 2025, 133(1): 71-84.
[14]	García-Sala Bonmati F, Pérez-Barquero JA, Ilzarbe Ripoll LM, et al. An additively manufactured, magnetically retained, and stackable implant surgical guide: a dental technique[J]. J Prosthet Dent, 2023, 130(4): 444-452.
[15]	Wang J, Fang M, Xin H, et al. Use of a digitally guided triple technique for bone reduction, implant placement, and immediate interim prostheses in complete-arch implant surgery[J]. J Prosthet Dent, 2022, 127(5): 703-708.
[16]	Mouhyi J, Salama M, Mouhyi A, et al. A novel coded healing abutment for a simplified digital workflow: a retrospective clinical study on 103 patients with a one year follow-up[J]. J Dent, 2025, 152: 105465.
[17]	Li J, Chen Z, Dong B, et al. Registering maxillomandibular relation to create a virtual patient integrated with a virtual articulator for complex implant rehabilitation: a clinical report[J]. J Prosthodont, 2020, 29(7): 553-557.
[18]	Li J, Sommer C, Wang HL, et al. Creating a virtual patient for completely edentulous computer-aided implant surgery: a dental technique[J]. J Prosthet Dent, 2021, 125(4): 564-568.
[19]	Shao J, Qing H, Zhu Z, et al. CAD-CAM-fabricated interim fixed complete-arch implant-supported restorations based on the existing dentition[J]. J Prosthet Dent, 2019, 121(5): 717-723.
[20]	Troncoso-Pazos J, Matamala P, Jusari MF, et al. Position of digitally guided implants in completely edentulous maxillae by using a modified double-scan and overlap of three digital surface protocol[J]. J Prosthet Dent, 2025, 133(3): 780-789.
[21]	Ntovas P, Ladia O, Barmak AB, et al. Accuracy of registration between digitized extraoral scan bodies and vir-tual casts: effect of the edentulous area, tooth anatomy, and registration method[J]. J Prosthet Dent, 2025: S00-22-3913(25)00080.
[22]	Zhang S, Chen W, Lin Y, et al. A digital technique for transferring the maxillomandibular relationship for complete arch implant rehabilitation in edentulous jaws[J]. J Prosthet Dent, 2024, 132(4): 688-694.
[23]	Pozzi A, Carosi P, Laureti A, et al. Accuracy of navigation guided implant surgery for immediate loading complete arch restorations: prospective clinical trial[J]. Clin Implant Dent Relat Res, 2024, 26(5): 954-971.
[24]	Joda T, Ferrari M, Gallucci GO, et al. Digital technology in fixed implant prosthodontics[J]. Periodontol 2000, 2017, 73(1): 178-192.
[25]	Cui Z, Fang Y, Mei L, et al. A fully automatic AI system for tooth and alveolar bone segmentation from cone-beam CT images[J]. Nat Commun, 2022, 13(1): 2096.
[26]	Brakoč J, Todorović A, Mangano FG, et al. Accuracy of intraoral photogrammetry versus direct digital implant impressions in the fully edentulous lower jaw: an in vitro study[J]. J Dent, 2025, 156: 105654.
[27]	Yan Y, Yue X, Lin X, et al. A completely digital workflow aided by cone beam computed tomography scanning to maintain jaw relationships for implant-supported fixed complete dentures: a clinical study[J]. J Prosthet Dent, 2023, 129(1): 116-124.
[28]	Zhao Y, Zhu L, Wang W, et al. Progressive multi-task learning for fine-grained dental implant classification and segmentation in CBCT image[J]. Comput Biol Med, 2025, 189: 109896.
[29]	Zhu Z, Liu Z, Huang L, et al. Automated dental registration and TMJ segmentation for virtual surgical planning of orthognathic surgery via three-step computer-based method[J]. J Dent, 2025, 153: 105443.
[30]	Park HS, Hyun CM, Lee SH, et al. Automatic 3D registration of dental CBCT and face scan data using 2D projection images[J]. IEEE Access, 2024, 12: 101289-101298.
[31]	Alhossaini SJ, Neena AF, Issa NO, et al. Accuracy of markerless registration methods of DICOM and STL files used for computerized surgical guides in mandibles with metal restorations: an in vitro study[J]. J Prosthet Dent, 2024, 132(5): 986-993.
[32]	Baba NZ, Goodacre BJ, Goodacre CJ, et al. CAD/CAM complete denture systems and physical properties: a review of the literature[J]. J Prosthodont, 2021, 30(S2): 113-124.
[33]	Goldstein GR. Centric relation: a needed reference position[J]. J Prosthodont, 2023, 32(6): 482-488.
[34]	Kattadiyil MT, Alzaid AA, Campbell SD. What materials and reproducible techniques may be used in recording centric relation? Best evidence consensus statement[J]. J Prosthodont, 2021, 30(s1): 34-42.
[35]	满毅, 蓝冬萍. 数字化颌位关系记录与转移方法的研究进展[J]. 中国口腔种植学杂志, 2024, 29(3): 212-217.
	Man Y, Lan DP. Research progress on digital methods for recording and transferring maxillomandibular relationship[J]. Chin J Oral Implantol, 2024, 29(3): 212-217.
[36]	Pérez MM, Espinar C, Pecho OE, et al. Effect of aging on optical behavior and color of 3D printing resin-ba-sed dental restorative materials[J]. J Dent, 2025, 157: 105734.
[37]	Schettini A, Pesun IJ, França R. Assessment of mechanical properties and microstructure of Co-Cr dental alloys manufactured by casting, milling, and 3D printing[J]. J Prosthet Dent, 2025, 133(3): 906.e1-906.e7.
[38]	Parisini P. A digital, custom Gothic arch tracing technique for vertical dimension of occlusion and centric relation recording[J]. J Prosthet Dent, 2024, 132(6): 1128-1132.
[39]	Qu F, Du X, Liu WC. 3D-printed custom trays with a Gothic arch for centric relation recording and definitive impression making for complete dentures: a dental technique[J]. J Prosthet Dent, 2019, 121(1): 32-36.
[40]	戈善为, 周卓靓, 李林, 等. 数字化技术在无牙颌种植义齿颌位关系转移中的应用[J]. 口腔生物医学, 2025, 16(2): 87-93.
	Ge SW, Zhou ZL, Li L, et al. Application of digital technology in the transfer of occlusal relationship of dental implants for edentulous patients[J]. Oral Biomed, 2025, 16(2): 87-93.
[41]	Kim JE, Kwon JH, Kim JH, et al. Recording the trajectory of mouth opening and closing for the fabrication of an occlusal splint[J]. J Prosthet Dent, 2017, 117(5): 597-600.
[42]	Li W, Chen H, Wang Y, et al. Digital determination and recording of edentulous maxillomandibular relationship using a jaw movement tracking system[J]. J Prosthodont, 2022, 31(8): 663-672.