GuidedSMILE Full Arch Rehabilitation with Dr Mide Ojo

A male patient presented seeking a fixed, long term solution to replace a failing dentition. Years of dental neglect had resulted in significant deterioration of both function and aesthetics, leaving the patient increasingly self conscious and unable to eat comfortably.

Having reached a point where the condition of his dentition was affecting daily life, he elected to proceed with a full arch implant rehabilitation to restore confidence, function and long term stability.

This case also marked Dr Mide Ojo’s first full arch GuidedSMILE procedure following completion of the Getting Started with GuidedSMILE course. It provided an opportunity to implement the principles of a fully digital, prosthetically driven workflow within a live surgical environment, with support from Dr James Hamill and the Quoris3D team.

Digital planning and workflow

Initial records were submitted to Quoris3D ahead of Dr Ojo attending the GuidedSMILE course. During training, it became evident that several aspects of the original records required refinement to achieve the level of precision necessary for a fully guided workflow.

The patient’s upper anatomy, characterised by a narrow and highly vaulted arch form, increased the importance of accurate scan capture and data alignment.

Following the course, the records were retaken using the GuidedSMILE protocols for digital data acquisition. Once approved, Quoris3D completed the digital planning using RealGUIDE within the GuidedSMILE workflow.

CBCT data, intraoral scans and the restorative setup were integrated to establish a prosthetically driven treatment plan that balanced surgical feasibility with restorative objectives.

Careful attention was given to implant positioning, angulation, restorative space and emergence profile in order to support a predictable full arch outcome while accommodating the patient’s anatomical limitations.

The validated digital workflow allowed implant positioning to be refined prior to surgery, improving restorative predictability while ensuring accurate translation from planning through to guided placement.

Guided surgery and conversion

The upper arch was treated first, with on-site mentorship and support provided by Dr James Hamill throughout the procedure. The patient presented with a chronic neck condition which restricted movement and created additional challenges in maintaining a stable surgical position.

Despite these complexities, the guided workflow allowed treatment to progress accurately and efficiently.

Flap elevation and bone reduction were completed under guidance before implant placement was carried out in accordance with the digital plan. As Dr Ojo’s first full arch procedure, the case provided valuable practical experience in flap management, instrumentation and bone preparation.

Small adjustments to surgical technique and workflow improved both efficiency and control throughout the procedure while maintaining patient comfort.

Two weeks later, the lower arch was restored following the same guided protocol, again supported by the Quoris3D team. Excellent primary stability was achieved across both arches, allowing immediate provisional restorations to be delivered chairside.

The patient left with a fixed provisional solution that restored both function and aesthetics from day one.

Post operative healing progressed uneventfully, with follow up reviews at two and four weeks confirming stable healing, patient comfort and satisfactory soft tissue adaptation.

Outcome

Six months following surgery, the patient returned for review and delivery of the definitive restorations. Clinical and radiographic assessment confirmed successful osseointegration and stable implant integration across both arches.

Using the RAPID Appliance workflow, occlusal relationships and bite registration were verified prior to finalisation of the definitive prostheses, ensuring accurate transfer into the restorative phase.

The final restorations were designed with refined contours and improved prosthetic proportions compared to the provisional bridges, enhancing comfort, phonetics and overall aesthetics while maintaining functional stability and balanced occlusion.

The patient described the treatment outcome as life changing, reporting significant improvements in confidence, comfort and quality of life following completion of treatment.

A particularly memorable moment occurred during the review appointment when the patient comfortably bit into an apple for the first time in decades, highlighting the functional impact of the rehabilitation.

Dr Mide Ojo’s review and reflections

“ The GuidedSMILE workflow gave the case structure from the outset. Having the digital plan, surgical guide sequence and experienced support in place made the transition into full arch treatment far more controlled and predictable.

Reflecting on the experience, Dr Ojo highlighted the predictability of the GuidedSMILE workflow and the value of structured mentorship throughout treatment delivery.

He described the transition into full arch implant rehabilitation as significantly more achievable than anticipated, crediting the accuracy of the guided workflow and the support provided throughout planning, surgery and restoration.

The case also reinforced the importance of accurate record collection and validated digital workflows, demonstrating how precision during the planning stage directly influences efficiency, confidence and predictability during surgery and conversion.

Conclusion

This case demonstrates how a structured, prosthetically driven digital workflow combined with comprehensive education and mentorship can support clinicians in delivering complex full arch rehabilitation with accuracy and predictability, even early in their full arch journey.

Through the GuidedSMILE workflow, digital planning was translated accurately into guided surgery and immediate restoration, reducing intraoperative uncertainty while streamlining both the surgical and restorative phases of treatment.

Beyond the clinical outcome, the rehabilitation restored the patient’s ability to eat, smile and function with confidence again, demonstrating the transformative impact of a carefully executed full arch digital workflow.