Prosthetic Rehabilitation of Edentulous Jaws with All-on-Six Full-Arch Implant-Supported Fixed Prostheses: A Case Report
Dr. Gülşah Kaya1, Dr. Ahmet Berkant Özen2, Prof. Ferhan Eğilmez1, Prof. Inci Rana Karaca2
1 Gazi University Faculty of Dentistry, Department of Prosthodontics
2 Gazi University Faculty of Dentistry, Department of Oral and Maxilofacial Surgery
Introduction
Edentulism is defined as a debilitating, irreversible, and complex pathological condition that is described as the final marker disease for oral health. An implant-supported fixed prosthesis is a recommended alternative treatment for complete edentulous patients within the framework of evidence-based dentistry. This case report presents the implant prosthetic rehabilitation of a patient with completely edentulous maxilla and mandible with all-on-six treatment approach.
Case Description
A 58-year-old male patient presented complete edentulism in both jaws due to the severity of decay was referred to our clinic for aesthetic and functional problems. After taking a comprehensive medical and dental history, current clinical information was supported by full-mouth periapical radiographs, a panoramic radiograph, and assessment of cone-beam computed tomography. There were no detected pathologies or any limitations that could affect the treatment. The patient's maxillomandibular relationship and vertical occlusal dimension assessments were found to be appropriate for making full-mouth fixed prostheses. The surgical phase consisted of the placement of six implants for each jaw. The plan for the all-on-six full-arch rehabilitation was initiated with delayed implant loading protocol. After four months, the jaws were rehabilitated with fixed full-mouth restorations. Group function occlusion was performed. Finally, the patient was instructed in oral hygiene and motivated for improved maintenance. No complication was noted after 1-week, 6-months and one-year follow-up periods.
Discussion
Implant-supported all-on-six full-mouth restoration offers better acceptance through improved function, aesthetics, phonetics, and increased comfort to the patient as well as enhancing masticatory efficiency.This treatment may be a viable and cost-effective option for individuals with complete edentulism to significantly enhance their dental function, comfort, and aesthetics while enhancing their quality of life.