Digital protocols in contemporary implantology: The value of open-source software

The adoption of digital technologies has significantly transformed contemporary implantology,
enhancing diagnostic accuracy, treatment planning, and clinical predictability. Digital workflows
integrating cone-beam computed tomography (CBCT), intraoral scanning, and computer-assisted
implant planning enable prosthetically driven implant placement. While many systems rely on
proprietary platforms, open-source software has emerged as a flexible, cost-efficient, and
interoperable alternative.
Case Presentation:
This case series demonstrates the clinical applicability of an open-source digital implantology
protocol in three partially edentulous patients (ages 65, 67, and 84 years. CBCT datasets were
merged with intraoral scans using open-source planning software to facilitate prosthetically
driven implant positioning. Virtual planning allowed precise anatomical assessment, implant
angulation optimization, and appropriate implant selection. Digitally designed surgical guides
were fabricated via 3D printing and used for fully guided implant placement. In one case, partial
extraction therapy was incorporated to preserve buccal hard and soft tissues. Definitive
restorations were fabricated following digital impressions. All treatments were completed in
three clinical appointments, with uneventful healing and satisfactory functional and esthetic
outcomes.
Conclusion:
Within the limitations of a case-based report, open-source digital workflows achieved predictable
implant positioning and prosthetic rehabilitation comparable to proprietary systems. These
protocols enhance efficiency, clinical control, and accessibility while supporting evidence-based
and minimally invasive implant practice
Keywords
Digital implantology; Open-source software; Digital workflow; Computer-guided implant
surgery; Implant planning