Abstract:
Introduction. The edentulous prosthetic field with severe atrophy creates impediments to the desired
surgical and prosthetic treatment. To overcome these shortcomings, the Fast and Fixed method of implantprosthetic rehabilitation was proposed, which uses the available bone substrate for the insertion of implants
in the anterior maxillary sectors and the possibility of their immediate loading with fixed temporary
dentures, later replaced by permanent ones. The multitude of clinical situations still makes it difficult to
choose this method.
Aim of the study. Evaluation of the particularities in implant-prosthetic rehabilitation of edentulous
patients by the Fast and Fixed method.
Methods and materials. The study included 37 patients (21 men and 16 women), aged 35-73 in the period
2017-2020 with a diagnosis of total edentulous or potential edentulous total uni or bimaxillary with severe
atrophies in the lateral areas. 216 Sky Bredent implants have been inserted. The temporary fixed dentures
were later replaced with permanent fixed prostheses with implant support by the Fast and Fixed method.
Evaluation criteria: fixed morpho-functional and aesthetic rehabilitation, comfort, rehabilitation time.
Results. In 32 cases the primary stability was ≥35 N/cm postimplantation offering the possibility of
immediate loading with fixed temporary acrylic dentures. Patients presented at regular follow-up visits.
The surgical stage took place without any peculiarities. During the osseointegration period, 4 temporary
prosthesis fractured after 3 months, being immediately reconditioned. After 6 months of osseointegration,
the patients were evaluated: the condition of the tissues, the contour and configuration of the dental arches,
cheeks, lips; functional and aesthetic aspect; the conditions for maintaining oral hygiene, and patients who
did not wear temporary dentures underwent second surgical stage. The rehabilitation of all patients was
performed with definitive fixed prosthetic constructions: metal-ceramic (26) and metal-composite (17),
bimaxillary being rehabilitated 6 patients. At 1 year after loading, 5 patients had tartar deposits on the
surface of the final works, at 2 years the fracture of the ceramic plywood was det
Conclusion. Fixed implant-prosthetic rehabilitation by the Fast and Fixed method is a viable solution for
edentulous patients with bone deficiency in the lateral maxillary areas demonstrated according to the
evaluated criteria. The indications for the use of the method as well as the long-term estimation require
continuous study.
