Rehabilitation of Edentulous Jaws with Full-Arch Fixed Implant-Supported Prostheses: An Approach with Short and Ultrashort Implants and Metal-Free Materials

الملخص EN

Introduction.

Short implants represent a valid alternative to bone regeneration techniques.

In addition, metal-free prosthetic materials have several advantages for predictable rehabilitation.

This case report is aimed at illustrating the advantages of fixed implant-prosthetic rehabilitation on short and ultrashort implants and metal-free prosthetic materials.

Case report.

A 66-year-old male patient with bone atrophy was treated with temporary denture placement performed based on a rapid protocol.

Once the tissues after extractions matured and aesthetic/function was studied, short implants were prosthetically placed, and a fiber-reinforced composite (FRC) bar was digitally designed for a double full-arch fixed rehabilitation.

The 2-year follow-up showed the absence of peri-implantitis signs and a stable occlusal relationship of prostheses.

Discussion and conclusions.

The FRC material has excellent aesthetic properties and is low cost with a simplified and fast workflow owing to digital dentistry methods.

Further studies are still needed to confirm the effectiveness of long-term therapy; however, the combination of new minimally invasive surgery and prosthetic advances seems to be very promising.