title: Full Mouth Implant Rehabilitation with Staged Approach: 6-Year Clinical Follow-Up.
abstract: OBJECTIVE
  The transition of patients from failing dentition to complete arch implant rehabilitation often requires that the patient is rendered edentulous and has to wear a removable complete denture for varying periods of time. In order to avoid removable provisionalization, the staged treatment approach allows for fixed interim prosthesis throughout the rehabilitation process, patient comfort, and prosthodontic control.
  
  
  METHODS
  The purpose of this clinical report is to describe a combination of staged approach with guided flapless surgery for minimally invasive treatment. The patient had fixed interim prostheses during the entire rehabilitation process. The various implant prosthodontic stages are illustrated for the complete arch prosthetic rehabilitation and the 6-year follow-up outcome is reported. A patient with debilitated dentition was treated with this combined protocol and was followed for 6 years after definitive prosthesis insertion.
  
  
  CONCLUSIONS
  Implant and prosthesis success rates were 100% with minor biologic and no technical complications encountered up to 6-year recall. Guided surgery has the advantage of prosthetically driven implant placement and minimal postoperative sequelae, whereas the staged approach allows for fixed provisionalization throughout the entire treatment period.
  
  
  CONCLUSIONS
  As the computer-guided surgery protocols continue to evolve and improve, further clinical studies are necessary to assess accuracy and make this exciting technology even safer for the average clinician. The clinical significance of this case report lies in the treatment sequence combined with cutting edge technology for maximum patient comfort and prosthodontic control. Guided flapless surgery with prosthodontically driven implant placement led to predictable rehabilitation with no major complications after 6 years. A staged approach with fixed interim prostheses was used throughout the entire rehabilitation period, optimizing patient satisfaction and comfort. Natural canine guidance was the occlusal scheme of choice.
authors.affiliation: Division of Postgraduate Prosthodontics, Tufts University School of Dental Medicine, Boston, MA, USA.|Division of Prosthodontics, Columbia University College of Dental Medicine, New York, NY, USA.
authors.forename: Panos
authors.initials: P
authors.lastname: Papaspyridakos
mesh_terms: D015921:Dental Implants; D004955:Esthetics, Dental; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009066:Mouth, Edentulous / Q000534:rehabilitation / Q000601:surgery*; D017060:Patient Satisfaction
chemical_list: D015921:Dental Implants