There were a number of discussions here on immediate function and computer guided versus teeth guided (prosthetic) and computer assisted. Pretty much playing with words, but the process is different. One of the ways to achieve predictable primary stability, besides implant site preparation and implant insertion, is intraoral welding. This is a technique that is over 30 years old and has demonstrated many advantages in clinical practice. Please see the case below. Questions, suggestions and recommendations extremely welcome. Mike
Editor’s Note: The following research articles may be of interest: - Modified protocol of the intraoral welding technique for immediate implant-supported rehabilitation of the edentulous maxilla. Marchesi M, Ferrari C, Superbi S, Jimbo R, Galli S. Implant Dent. 2015 Feb;24(1):110-6. doi: 10.1097/ID.0000000000000189.
![null]( “Preop CT”)](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2015/07/IMG_3504-e1437258052638.jpg)Preop CT
![null]( “Preop left side CT”)](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2015/07/IMG_3505-e1437258037160.jpg)Preop left side CT
![null]( “Post op Radiograph”)](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2015/07/IMG_3490-e1437258024255.jpg)Post op Radiograph
![null]( “i/o picture, welded implants”)](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2015/07/IMG_3498-e1437258009347.jpg)i/o picture, welded implants
![null]( “Post op photo, temps, upper/lower Immediate load/function”)](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2015/07/IMG_4465-e1437257995212.jpg)Post op photo, temps, upper/lower Immediate load/function
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