A Safe Approach to Full Mouth Rehabilitation

The oral rehabilitation for a patient with severe loss of alveolar bone presents a challenge to clinicians. Replacing missing teeth in such a situation with fixed prostheses supported by dental implants often requires either bone grafting or basal implants. Sometimes, multiple surgeries and a longer healing time are required to overcome the unpredictable outcome of bone grafting. In a biomechanically compromised environment, strain to the crestal bone can be reduced by increasing the anteroposterior spread of implants, placement of longer implants, and maximizing the number of implants. Here, we present a clinical case of a patient who had undergone full mouth reconstruction with mandibular implant-supported fixed prostheses and maxillary metalfree crowns for discoloration. This case report demonstrates an immediate implant placement with All-on-4® concept, which may be an alternative to conventional bone grafting followed by implant placement. Also, principles of splinting and load sharing were followed by performing intraoral welding using titanium wires. We hypothesize that primary stability during implant placement is a prime factor contributing to our success.