Digitally Guided Multidisciplinary Rehabilitation of a Partially Edentulous Patient Using Implant-Supported Prostheses: A Case Report

Abstract

This case report presents the comprehensive digital rehabilitation of a partially edentulous 53-year-old female patient with multiple missing and compromised teeth, leading to impaired masticatory function and esthetics. A multidisciplinary treatment approach was employed, incorporating advanced diagnostic, surgical, and prosthetic protocols, to achieve predictable and patient-centered outcomes. Initial clinical and radiographic evaluations, including cone-beam computed tomography, facilitated accurate assessment of bone availability and guided the treatment plan. This case involved staged extractions, endodontic treatment, periodontal care, and strategic implant placement in both the maxilla and mandible. In the posterior maxilla, sinus augmentation was performed to overcome the limited bone height and enable successful implant placement. Digital planning tools have been used to design a virtual prosthetic outcome, enhancing precision and patient communication. A custom anterior deprogrammer was used to establish a stable occlusal relationship. Following osseointegration, intraoral scanning and computer-aided design/computer-aided manufacturing technologies were used to fabricate posterior metal-ceramic and anterior zirconia restorations, ensuring high accuracy and esthetic integration. Postoperative care included comprehensive oral hygiene instructions, dietary modifications, and structured follow-up visits. At the three-month review, the patient demonstrated excellent peri-implant tissue health, functional occlusion, and high satisfaction with the esthetic results. This case highlights the value of combining digital technologies with a multidisciplinary clinical approach for the management of complex implant rehabilitation. This outcome emphasizes the importance of precision, planning, and patient education in achieving long-term success in implant-supported prosthodontics.

Keywords: dental implants; digital; edentulism; partial; prosthodontics; workflow.

Figure 1. Preoperative features. (A) CBCT showing a metal bridge in the maxilla (black arrow) and an edentulous area in the mandible (red arrow). (B) Maxillary jaw showing a metal bridge on the right side (black arrow) and a root canal–treated root remnant of the canine on the left side (red arrow). (C) Mandibular jaw showing bilateral posterior edentulous areas (black arrows).

These images are related to our patient and published with the patient's consent. CBCT: cone-beam computed tomography.

Figure 2. Post-implant placement. (A) Maxillary jaw with implants placed on the right and left sides with abutments. (B) Mandibular jaw with implants placed on the right and left sides with abutments. (C) Maxillary jaw showing metal try-in. (D) Mandibular jaw showing metal try-in.

These images are related to our patient and published with patient's consent.

Figure 3. (A) Maxillary jaw with impression coping. (B) Digital impression of the maxillary jaw. (C) Mandibular jaw with impression coping. (D) Digital impression of the mandibular jaw.

These images are related to our patient and published with patient's consent.

Figure 4. (A) Bisque try-in for maxillary and mandibular teeth. (B) Polished metal-ceramic maxillary and mandibular implant-supported hybrid bridge. (C) Postoperative follow-up orthopantomogram (OPG) after three months.

These images are related to our patient and published with the patient's consent.