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Our concern has been the development of a Prosthetic-Surgical Guide for implant insertion, aiming to provide superior precision to the clinical stages of implant insertion and prosthesis. This guide supports a more accurate, safe, and tissue-friendly therapeutic plan for the DMA. Apart from the clinical stage of implant insertion into the bone, our designed Prosthetic-Surgical Guide for implant insertion has been clinically used for the precise execution of mucosal stripping (in mucoperiosteal stripping during the implant insertion stage and mucosal stripping for uncovering implants in the prosthesis stage). The outcome was the new Prosthetic-Surgical Guide for implant insertion, a guidance device designed and produced using 3D technology, which made implant-prosthetic rehabilitation safer, being more precise, minimally invasive, intuitive for both doctor and patient, with a significantly reduced risk of infection due to shorter operative times.

In this article, we aim to carefully analyze the forces applied to implants in DMA biomechanics in various forms of prosthodontic edentulism and in different variants of implant-supported prosthesis. We will also examine the most suitable prosthesis variants that would keep the occlusal forces applied on implants within functional physiological limits to avoid overloading at the root-implant support level, overloads that could lead to bone resorption and implant mobility. We will define the elements that must be considered to minimize the risk of failure in implant-prosthetic therapy and based on all these benchmarks, a correct implant-prosthetic therapeutic plan will be developed.