Complete Oral FP2 Restoration Using Multi-Unit Implant Protocol by Dr. Simon Budak / Dr. Amir Ashourioin

Patient: A male patient presented with advanced dental deterioration and partial edentulism. The patient reported discomfort, compromised chewing function, and aesthetic concerns. He requested a comprehensive solution with fixed full-arch restorations.

Clinical Findings: Clinical and radiographic evaluations revealed a terminal dentition in both arches. All remaining teeth were deemed non-restorable due to periodontal compromise and structural damage.

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TREATMENT PERFORMED:

Full Extraction: All remaining teeth in both the maxilla and mandible were mobile. Theywere extracted due to advanced deterioration and poor prognosis. The patient wastreated under full sedation. All teeth were extracted, and implants were inserted during asingle 3-hour procedure involving both arches simultaneously.

Implant Placement: Following healing and site preparation, a total of 6 DSI Premium“Orange Line” Conical Connection Implants were placed in the upper jaw and 4 implantsin the lower jaw. All implants were restored using multi-unit abutments to enable ascrew-retained, full-arch prosthetic solution.

Healing stage: Concave emergence profile healing caps were installed to preserve maximum soft tissue volume. Healing screws were inserted immediately to minimize the need for another sedation.
After four months of healing, the caps were replaced with DSI Multi-Unit 1.6 abutments.

Full Extraction: All remaining teeth in both the maxilla and mandible were mobile. They were extracted due to advanced deterioration and poor prognosis. The patient was treated under full sedation. All teeth were extracted, and implants were inserted during a single 3-hour procedure involving both arches simultaneously.

Implant Placement: Following healing and site preparation, a total of 6 DSI Premium “Orange Line” Conical Connection Implants were placed in the upper jaw and 4 implants in the lower jaw. All implants were restored using multi-unit abutments to enable a screw-retained, full-arch prosthetic solution.

Definitive Prosthetic Rehabilitation: The final restorations consisted of screw-retained, full-arch hybrid prostheses supported by multi-unit abutments. Each prosthesis was constructed on a durable metal framework and veneered with pink gingival composite to simulate soft tissue, along with individual ceramic crowns to restore function and aesthetics. An FP2-type suprastructure was used, incorporating a metal bar for structural support and a zirconia overlay to ensure long-term biocompatibility, mechanical strength, and high esthetics.

Outcome: The patient achieved full functional and aesthetic rehabilitation. The restoration provided excellent stability, hygiene accessibility, and long-term prosthetic predictability. The patient expressed high satisfaction with the result.