Implant supported full denture (fixed)
,
Multiple crowns

Abrasion

,

Aggressive periodontitis

,

Atrophy of edentulous alveolar ridge

,

Complete loss of tooth

,

Gingival recession

,

Post eruptive color changes of dental hard tissues

Courtesy of Dr N. Dinh Hung An, 2023

Treatment Summary

Patient Information

Age: 51
Gender: male

Diagnosis

Abrasion on 1.2 (UR2), 1.3 (UR3), 2.3 (UL3), 4.1 (LR1), 4.2 (LR2), 4.3 (LR3), 4.4 (LR4), 4.5 (LR5), 3.1 (LL1), 3.2 (LL2), 3.3 (LL3), 3.4 (LL4)
Post eruptive color changes of dental hard tissues on 1.2 (UR2), 1.3 (UR3), 2.3 (UL3), 4.1 (LR1), 4.2 (LR2), 4.3 (LR3), 4.4 (LR4), 4.5 (LR5), 3.1 (LL1), 3.2 (LL2), 3.3 (LL3), 3.4 (LL4)
Aggressive periodontitis on 1.2 (UR2), 1.3 (UR3), 2.3 (UL3), 4.1 (LR1), 4.2 (LR2), 4.3 (LR3), 4.4 (LR4), 4.5 (LR5), 3.1 (LL1), 3.2 (LL2), 3.3 (LL3), 3.4 (LL4)
Gingival recession on 1.2 (UR2), 1.3 (UR3), 2.3 (UL3), 4.1 (LR1), 4.2 (LR2), 4.3 (LR3), 4.4 (LR4), 4.5 (LR5), 3.1 (LL1), 3.2 (LL2), 3.3 (LL3), 3.4 (LL4)
Complete loss of tooth on 1.1 (UR1), 1.4 (UR4), 1.5 (UR5), 1.6 (UR6), 1.7 (UR7), 1.8 (UR8), 2.1 (UL1), 2.2 (UL2), 2.4 (UL4), 2.5 (UL5), 2.6 (UL6), 2.7 (UL7), 2.8 (UL8), 4.6 (LR6), 4.7 (LR7), 4.8 (LR8), 3.5 (LL5), 3.6 (LL6), 3.7 (LL7), 3.8 (LL8)
Atrophy of edentulous alveolar ridge on 1.1 (UR1), 1.6 (UR6), 1.7 (UR7), 1.8 (UR8), 2.1 (UL1), 2.6 (UL6), 2.8 (UL8), 4.7 (LR7), 4.8 (LR8), 3.6 (LL6), 3.7 (LL7)

Total Treatment Visits

7

Treatment planning

Visit #1: Clinical examination and consultation.
Visit #2: Extraction of all teeth on upper and lower arches due to periodontal disease. Implants were placed immediately.
Visit #3: Implant scans taken for fabricating the PMMA provisional denture.
Visit #4: After a healing period of 4 months, an iTero scan was taken for the final fixed prosthesis.
Visit #5: Passive fit of PMMA provisional dentures was confirmed clinically and radiographically. Centric relation was recorded by scanning the temporary prosthesis.
Visit #6: Try-in of upper and lower titanium frameworks and PMMA crowns, centric relation was checked again.
Visit #7: The final prosthesis was cemented.

Comments

- Patient's chief complaint: unaesthetic smile, mobility of upper and lower teeth, reduced masticatory ability.
- To restore aesthetics and proper function, I planned full-mouth rehabilitation supported by implants.
- After implant surgery, I use the digital impressions to make the provisional dentures immediately for the healing period.

There are many advantages of digital impression in full-mouth rehabilitation cases:
1) Improving patient comfort
2) Avoiding traditional impressions and materials and pouring stone models
3) Better patient, technician, and clinician communication
4) Simplifying clinical procedures and more predictable results