Prosthetic rehabilitation with implant-supported fixed prosthesis in a completely edentulous patient: A clinical report

Abstract

To present clinical strategies for prosthetic rehabilitation of completely edentulous patients using immediate-loading basal implants.A 58-year-old female patient was referred to the Department of Prosthodontics for restoration of her completely edentulous maxilla and mandible with a fixed full-arch implant-prosthetic rehabilitation. Since the patient lacks adequate bone in the posterior maxilla and is not willing to undergo a removable interim prosthesis, an immediate loading protocol along with 8 single-piece basal implants, including 2 pterygoid implants in the maxillary arch and 6 single-piece basal implants in the mandibular arch, was selected as the treatment option, followed by an acrylic provisional restoration. Four months later, a definitive fixed implant-supported prosthesis was delivered.This treatment strategy may be considered for rehabilitating patients with atrophic ridges demanding fixed provisional prostheses throughout the healing period and can be employed even in immediate implant placement after extraction.