Rehabilitation of a completely edentulous patient with fixed implant prosthesis on titanium framework: A case report

Abstract

Rationale: This article describes step by step procedure for the rehabilitation of a completely edentulous patient with 12 endosseous implants followed by the fabrication of the Malo bridge with CAD-CAM fabricated titanium framework. Patient Concerns: The patient with a chief complaint of ill-fitting conventional complete denture reported to the hospital and wanted a fixed rehabilitation. Diagnosis: The patient was diagnosed with completely edentulous maxillary and mandibular arches without any systemic illness. Interventions: Twelve implants (Neobio tech) were placed in maxillary and mandibular arches (6 in each arch). After osseointegration, healing abutments were placed during the second stage of surgery. A final impression was made using the open tray technique. The accuracy of the impression was verified using jig trial and OPG. This was followed by jaw relation and try-in. A titanium metallic framework was positioned on the implants to check the fit. A Malo bridge with individual cementable zirconium crowns was fabricated. The metallic framework was torqued to 35N and crowns were cemented using Implant Premier cement. The screw holes were packed with Teflon tape and restored using composite. Outcomes: The patient was satisfied with the treatment outcome. Follow up were done after 10 years with no significant complications. Lessons: Fixed implant prosthesis with titanium framework was found to be a successful treatment protocol for the rehabilitation of the completely edentulous patient.