Duration: 25 minutes, 31 seconds

Author: Dr. George Perri

AZ in Restorative Implant Dentistry Case 1: Maxillary Full Arch PFM Bridge

AZ in Restorative Implant Dentistry Case 1: Maxillary Full Arch PFM Bridge

The Case of Failing and Malposed Natural Dentition

In this case, we are presented with a patient who has been suffering from failing and malposed natural dentition. This condition has significantly affected their ability to chew properly, leading to discomfort and a compromised quality of life.

Goal: Replacing Natural Dentition with Implants in Correct Positions

Our goal in this case is to replace the natural dentition with implants that are positioned correctly. This will not only enhance the patient’s ability to chew and speak but also improve their overall oral health and aesthetics.

Treatment Planning and Evaluation from Every Angle

When it comes to restorative implant dentistry, meticulous treatment planning and evaluation from every angle are crucial. We need to thoroughly assess the patient’s oral condition, taking into account factors such as bone density, occlusion, and facial aesthetics.

Considerations: Maintaining Natural Teeth and Immediate Implant Placement

In this particular case, we need to carefully consider whether any natural teeth can be maintained or if extraction is necessary. Additionally, we will evaluate the feasibility of immediate implant placement, which can expedite the rehabilitation process and provide the patient with immediate benefits.

Treatment Options in the Maxilla

When it comes to restoring the maxilla, one viable treatment option is a hybrid restoration. This involves a combination of fixed and removable dental prostheses, offering excellent stability and aesthetic results. However, it is important to note that reducing the ridge in the buccal-lingual dimension may be beneficial in certain cases.

Benefits of Reducing the Ridge in the Buccal-Lingual Dimension

By reducing the ridge in the buccal-lingual dimension, we can achieve several benefits in restorative implant dentistry. This includes:

  • Improved aesthetics: With a narrower ridge, the final prosthesis can be designed to closely resemble natural teeth, thus enhancing the patient’s smile.
  • Enhanced oral hygiene: A narrower ridge allows for easier maintenance of oral hygiene, reducing the risk of plaque accumulation and associated complications.
  • Improved speech and comfort: By optimizing the ridge dimension, we can ensure a proper fit of the final prosthesis, which improves speech and comfort for the patient.
  • Increased implant success: An appropriately reduced ridge provides better support for the implants, increasing their long-term success rate.


In conclusion, the AZ case in restorative implant dentistry involving a maxillary full arch PFM bridge requires a comprehensive approach. By evaluating the patient’s condition from every angle, considering natural tooth maintenance and immediate implant placement, and exploring the benefits of ridge reduction, we can provide a successful and aesthetic restoration. Restorative implant dentistry offers patients a chance to regain their oral function, confidence, and overall well-being.

Frequently Asked Questions

1. How long does the dental implant procedure take?

The duration of the dental implant procedure varies depending on the complexity of the case. On average, it can take anywhere from several weeks to several months to complete.

2. Is restorative implant dentistry painful?

Restorative implant dentistry is typically performed under local anesthesia, ensuring that the patient experiences minimal discomfort during the procedure. Some mild soreness or swelling may occur post-surgery, but this can be managed with pain medication.

3. Are dental implants a permanent solution?

Dental implants are designed to be a long-lasting and permanent solution for replacing missing teeth. With proper oral hygiene and regular dental check-ups, dental implants can last a lifetime.

4. Can dental implants look natural?

Yes, dental implants are designed to closely resemble natural teeth in both function and appearance. The artificial tooth crown can be customized to match the size, shape, and color of the patient’s existing teeth, ensuring a natural-looking smile.

5. How much does restorative implant dentistry cost?

The cost of restorative implant dentistry varies depending on several factors, including the number of implants required, the type of restoration chosen, and any additional procedures needed, such as bone grafting. It is best to consult with a dental professional to receive an accurate cost estimate based on your specific case.

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