CATEGORY 62 AUSTRALASIAN DENTIST Total rehabilitation of a fully edentulous maxilla with immediate loading using Straumann® Pro Arch concept Full arch implant-supported restorations can restore function and aesthetics in edentulous patients. Advances in implant technology have signi cantly enhanced the ability to achieve predictable and long-lasting outcomes in these complex cases. e Straumann® BLX implant system, known for its surface technology and features that allow optimal primary stability, is particularly e ective in immediate loading scenarios, making it a reliable option for full arch reconstructions. Introduction is case report focuses on the application of the Straumann® Pro Arch, which enables personalized treatment protocols for implant-borne xed full-arch restorations. In this case, six BLX implants were placed in a fully edentulous patient with compromised oral function. e Straumann Pro Arch o ers an e cient approach to full arch rehabilitation, combining the precision of guided surgery with the e ciency of immediate function. By integrating BLX implants into this treatment, clinicians can achieve stable and predictable outcomes, even in complex clinical situations. e report outlines the clinical planning, surgical techniques, and prosthetic procedures involved in this case. It also highlights the rationale behind choosing the BLX implants, emphasizing how this approach can lead to predictable results in full arch restorations. rough this case, we aim to demonstrate the practical bene ts of the Straumann® Pro Arch in delivering e ective and lasting patient care. Initial situation A 75-year-old female patient, classi ed as ASA I and a non-smoker, presented to our clinic with terminal dentition. She reported signi cant di culty in chewing due to the instability of her upper denture and expressed a desire for a stable solution to rehabilitate her failing dentition and regain con dence in her ability to chew comfortably. Her primary request was to improve her current situation, enabling her to eat comfortably and con dently, thereby signi cantly enhancing her quality of life. During the extraoral examination, various parameters were evaluated. e patient demonstrated an adequate vertical dimension of occlusion and an appropriate incisal edge position. e position of her maxilla was found to be within normal ranges. e aesthetics were acceptable. However, she had some di culty with speech and, more signi cantly, with function, as the prosthesis was not stable (Figs. 1-3) tted from an impression of the maxilla. is transformation will result in a fully stable and durable prosthesis, which will signi cantly improve the patient’s quality of life. e treatment work ow included: 1. Placement of six Straumann® BLX implants using guided surgery techniques 2. Immediate loading of a temporary denture 3. Fabrication and tting of a xed, nonremovable full-arch prosthesis from an impression of the maxilla In order to plan a digitally guided surgery we performed CBCT with the full non-retained denture. We used light-cured material as markers to match the STL and DICOM les (Figs. 6 & 7). All planning was carried out in the coDiagnostiX® program. A clinical case report by Tikarev Ravil Figs 1-3 Fig 6 Fig 7 Figs 4-5 During the intraoral examination, the upper denture showed a lack of retention and stability. A midline discrepancy in relation to the facial midline was noted. Additionally, the patient presented with imbalanced occlusion when wearing the denture. After removing the upper denture, no intraoral pathology was detected (Figs. 4 & 5). Treatment planning After a thorough clinical evaluation, along with radiological (CBCT) and digital (intraoral) scanning, we proposed the following treatment plan: placement of six Straumann® BLX implants using guided surgery techniques, followed by the immediate loading of a temporary denture. Once adequate soft tissue healing was achieved, a xed, non-removable fullarch prosthesis would be fabricated and Next, a complete denture was fabricated, incorporating a metal component on the palate. Unfortunately, this provided signi cant image artifacts when overlaying CBCT and DICOM les. In hindsight, it is sometimes necessary to make a new denture minus the metal part to prevent such artifacts. We planned to place the implants in areas with su cient bone volume to ensure primary stability. Adequate alveolar bone CLINICAL
RkJQdWJsaXNoZXIy MTc3NDk3Mw==