Abstract:
Introduction. Implant-prosthetic rehabilitation is popular and fast growing treatment care
opportunity with development of new products and techniques. This offers a new possibility for
patients with completely edentulous jaws to get rid of complete dentures. However, the lack of a
well-defined and prosthetically driven approach may result in total failure of rehabilitation
procedure.
Aim of the study. To highlight the main prosthetic element of full mouth rehabilitation on
implants.
Materials and methods. The paper is based on analysis of medical literature and treatment of 35
patients (aged between 32 and 73 years old) with full edentulous upper and/or lower jaws using
implant-supported prosthesis (39 prostheses). The patients were mainly rehabilitated with tilted
implants according to all-on-4 protocol. The treatment time was divided in two parts, provisional
treatment, and final one. The first one had a 6-12 months period. After treatment, seven elements have been identified as key factors in prosthetic planning of full edentulous cases whose
ignorance can lead to complete failure of aesthetical and functional aspects.
Results. To have predictable and functional results, the patients must be investigated by the
prosthodontist to identify their needs and expectancies. The key indicative factors are position of
incisal edge of upper frontal incisors, restorative space, lip support, smile line and lip length,
contour and profile emergence, contact with soft tissues, and occlusal scheme.
Conclusions. The prosthetic planning of complex cases in full mouth rehabilitation is essential
for aligning the treatment plan along with patient’s expectations. By missing out the key
planning factors, unpredictable and unfavorable results for both the doctor and patient could occur.
