For a full-arch immediate load (All-on-X) case using the PIC system, the key is capturing ultra-accurate implant positions before delivering the provisional — so there’s passive fit and no stress on fresh implants.

PIC system Protocol

Immediate Loading – Full Arch (All-on-4 / All-on-X)

PHASE 1: Surgery Day – Implant Placement

1️⃣ Place Implants

Place 4–6 implants

Multi-unit abutments (MUA) seated and torqued (usually 25–30 Ncm)

Confirm primary stability (≥35 Ncm ideal for immediate load)

PHASE 2: Attach PIC Scan Bodies

2️⃣ Seat PIC Scan Bodies

Remove healing caps

Seat proprietary PIC scan flags

Hand tighten (light torque only)

⚠️ Important: Ensure no soft tissue interference.

3️⃣ Capture Photogrammetry

Use PIC camera

Take multiple shots until system confirms accurate capture

Total time: 30–60 seconds

✔️ No distortion
✔️ No stitching
✔️ No impression material

This records exact 3D implant positions with micronic accuracy.

PHASE 3: Soft Tissue & Occlusion Records

PIC only records implant positions — you still need:

Intraoral scan (3Shape TRIOS or iTero or other)

Soft tissue

Opposing arch

Bite record

OR

Conventional bite + scan extraorally

 PHASE 4: Digital Design (Lab)

4️⃣ Merge Files

Import PIC file (implant positions)

Merge with intraoral scan (tissue + occlusion)

Design provisional in:

3Shape Dental System

5️⃣ Mill or Print Immediate Prosthesis

Options:

PMMA milled provisional

Printed reinforced provisional

Titanium bar + PMMA hybrid (premium)

🔹 PHASE 5: Delivery (In Couple of Days*)

6️⃣ Seat Prosthesis

Torque prosthetic screws (15 Ncm typical)

Check passive fit (NO tension)

Adjust occlusion:

Light centric contact

No lateral excursive overload

⚠️ Immediate load = controlled occlusion.

* if you want we can do a couple of days turnaround on provisional (when the workload does not include bar), rush fee applies.

🔥 Why PIC is Ideal for Immediate Load

Compared to Regular Intraoral Scan:

PIC Traditional Scan
No stitching errors Stitch distortion risk
5–10 micron accuracy 50–100 micron possible
Passive fit predictable Often requires sectioning

For immediate loading, passive fit = implant survival.

⚙️ Advanced Protocol (Premium)

For best results:

  1. Use verification jig only if extreme angulation

  2. Digitally design screw access channels ideally

  3. Use titanium temporary cylinders for strength

  4. Torque re-check at 48 hours

📊 Clinical Flow Summary

  1. Place implants

  2. Seat MUAs

  3. Attach PIC scan flags

  4. Capture photogrammetry

  5. Intraoral scan soft tissue

  6. Merge + design

  7. Mill provisional

  8. Deliver same day

Total chair time: ~2–4 hours (experienced team)