Abstract
Edentulous patients may be restored with complete-arch implant-supported fixed complete
dental prostheses (IFCDPs) on angled distal implants or on parallel implants distributed
equally across the mandible to increase the area of support. A treatment is presented
to introduce the clinical concept of providing edentulous patients with an implant-supported
fixed complete dental prosthesison parallel tissue-level implants in the mandible
with standard length implants interforaminally and ultrashort implants distally. A
structured prosthetic approach was used for the tooth arrangement with a modified
workflow as per the Biofunctional Prosthetic System adapted for static computer-aided
implant surgery (s-CAIS) and computer-aided design and computer-aided manufacturing
(CAD-CAM) of the screw-retained implant-supported fixed complete dental prosthesis.
The concept offered advantages in challenging anatomic, surgical, and prosthetic conditions;
providing distal nonangled abutments and implant platforms, which were straightforward
to clean. If necessary, the prosthesis could have been easily converted into a removable
overdenture using the existing digital prosthetic arrangement. Should implant removal
be required, the extrashort implants can be removed with minimal surgical risk or
morbidity.
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Article info
Publication history
Published online: July 29, 2020
Identification
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© 2020 by the Editorial Council for The Journal of Prosthetic Dentistry.
