Nowadays patients demand for a restoration that looks natural and this requirement has to be granted in the most simple, fast, accurate and pain-free way. The computer guided implant static and dynamic surgery introduced a novel minimally invasive concept in the treatment of total edentulous and terminal dentition patients, with new perspectives based on bone graftless rehabilitation and low morbidity implant surgery. The challenging interplay with the surrounding gingival framework, often overlooked in the extensive rehabilitation supported by implants, will be highlighted through a step by step clinical protocol to deliver a natural gingival architecture and a direct pink free prosthetic emergence. Different Zirconia based restorative options and protocols will be presented to achieve a natural life-like appearance as well as to optimised the soft tissue integration and esthetics. 

Moreover the novel DTX digital platform can embed all the diagnostic information obtained from CBCT as well as extra and intra oral optical surface scanning, allowing a novel digital pathway based on facially driven virtual diagnostic waxing, prosthetically driven surgical plan, digitally printed surgical template, and immediate fabrication of implant-supported screw-retained interim restorations. The interplay between the DTX software and the X-Guide Navigation System drives the virtual planning and the minimal invasive implant and prostheses positioning to the next level in terms of accuracy and predictability.