Full Oral Rehabilitation with Immediate Load Dual Protocol: A Case Report

   

Plautius FS Zanluca^*

Citation: Zanluca PFS. Full Oral Rehabilitation with Immediate Load Dual Protocol: A Case Report. J Oral Med and Dent Res. 6(1):1-4.

Received: December 03, 2024 | Published: January 24, 2025                                                  
Copyright^© 2025 Genesis Pub by Zanluca PFS. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author(s) and source are properly credited.

DOI: https://doi.org/10.52793/JOMDR.2025.6(1)-88

Abstract

Full implant rehabilitations have become an increasingly effective solution for patients seeking to improve oral functionality and aesthetics. This case report presents an integrated approach using distinct techniques for each arch, with the aim of achieving superior results in function and comfort, as well as reducing treatment time.

Keywords

Full Oral rehabilitation; Surgical Procedure; Implant installation; All-on-4 Technique.

Introduction

Full implant rehabilitations have become an increasingly effective solution for patients seeking to improve oral functionality and aesthetics. This case report presents an integrated approach using distinct techniques for each arch, with the aim of achieving superior results in function and comfort, as well as reducing treatment time.

Case description

A 62-year-old female patient sought treatment reporting severe difficulty chewing, aesthetic discomfort, and dissatisfaction with worn-out removable dentures. After clinical and radiographic evaluation, a total rehabilitation with immediate load for both the maxilla and mandible was indicated.

Treatment plan

• Mandible: Standard technique with the installation of 5 straight implants.
• Maxilla: All-on-4 technique, allowing immediate load without the need for bone grafting.

Treatment steps

1. Pre-Treatment Planning:

• Clinical examination and CT scan to assess bone availability. 
• Digital planning for the strategic positioning of implants.

2. Surgical Procedure - Mandible: 

• Incision and mucosal flap reflection.
• Bone drilling and installation of 5 straight implants.
• Placement of mini-pillars for immediate support of the provisional prosthesis.

3. Surgical Procedure - Maxilla:

• Lateral window technique for visualization of the medial wall of the maxillary sinus.
• Sinus membrane elevation to allow the placement of 4 tilted implants.

4. Prosthesis Fabrication and Installation:

• Just a few days after surgery, the definitive prostheses were fabricated using highly durable materials and advanced aesthetics.

Results

• After two months, the patient reported significant improvement in chewing, increased self-esteem, and quality of life.
• Clinically, excellent implant stability was observed, with perfect adaptation of the definitive prostheses.

Case Images

Figure 1: Surgical Procedure Record of the incision, flap reflection, and bone drilling process in the mandible.

Figure 2: Implant Installation Implants and mini-pillars installed using the standard technique in the mandible.

 Figure 4: All-on-4 Technique Visualization of the lateral window and sinus membrane elevation.

Figure 5: Previous Prostheses Worn removable dentures, demonstrating the limitations of the initial condition and a severe reduction in VDO (vertical dimension of occlusion).

Figure 6: Final Result Image taken 60 days after surgery, highlighting the functional and aesthetic outcome.

Discussion

The combination of specific techniques for each arch was crucial for the success of the treatment. In the maxilla, the use of the All-on-4 technique avoided bone grafts, reducing costs and optimizing the rehabilitation time. In the mandible, the standard technique with straight implants provided immediate stability.

This case illustrates the importance of individualized planning and the application of integrated approaches to achieve functional and aesthetic results in complex rehabilitations.

Conclusion

Interdisciplinary treatment using modern techniques, such as immediate load and protocols like All-on-4, provides high-quality results, offering the patient an effective functional and aesthetic restoration.