Performed by: Dr. Rohan Grover

Introduction:
Restoring full arch dental function in patients with terminal dentition presents both a challenge and an opportunity for transformative results. Dr. Rohan Grover’s recent case of a lower arch reconstruction highlights the successful use of Dentium SuperLine implants for a patient requiring full arch rehabilitation. This case involved the extraction of terminal dentition, immediate placement of seven SuperLine implants, and the subsequent fabrication of a cement-retained, retrievable prosthesis (FP-1).

Case Overview:
The patient, in their late 60s, presented with compromised lower teeth due to advanced periodontal disease and extensive tooth decay. The treatment plan was to perform a complete extraction of the remaining lower teeth and immediately replace them with SuperLine implants. The goal was to restore function, aesthetics, and patient comfort while ensuring long-term implant success.

Step 1: Extraction of Terminal Dentition & Immediate Implant Placement
Upon examining the patient’s oral health and performing a CBCT scan, Dr. Grover identified that the jawbone provided sufficient volume for immediate implant placement following the extractions. The patient underwent the extraction of all remaining lower teeth in a single session under local anesthesia.

Seven Dentium SuperLine implants were placed immediately following the extractions. These implants were chosen for their excellent stability, versatility, and strong performance in immediate loading situations. Dr. Grover noted the high initial stability of the implants, a crucial factor for the success of the case.

Step 2: Achieving Stability & Osseointegration
The primary stability of all seven implants was exceptional, ensuring a favorable foundation for the patient’s new dental prosthesis. To ensure optimal healing and osseointegration, a three-month healing period was planned. During this time, the patient was provided with a temporary removable prosthesis to maintain aesthetics and functionality.

Step 3: Intraoral Scanning & Prosthesis Fabrication
After the healing period, intraoral scanning technology was employed to capture precise digital impressions. This digital workflow enhanced accuracy and reduced the time needed to fabricate the final prosthesis. The FP-1 prosthesis, cement-retained and retrievable, was custom-designed to match the patient’s natural tooth contours and bite.

FP-1 prostheses offer the advantage of being aesthetically pleasing, as they replicate the natural emergence of teeth from the gums. The retrievability ensures ease of future maintenance and implant care, while the cement-retained design ensures secure placement and long-term stability.

Outcome:
At the three-month mark, the patient’s final prosthesis was successfully loaded onto the implants. The final result showcased not only a restored smile but also full masticatory function. The patient reported a significant improvement in their quality of life, expressing satisfaction with both the aesthetics and comfort of the new prosthesis.

Conclusion:
This case highlights the remarkable benefits of using Dentium SuperLine implants in full arch reconstructions. Immediate implant placement, combined with advanced intraoral scanning and precision prosthesis design, provided a streamlined and effective solution for lower arch rehabilitation. Dr. Rohan Grover’s expertise in implantology, coupled with the reliability of Dentium’s SuperLine system, resulted in a successful outcome for the patient, offering them renewed function and confidence.

For clinicians considering similar full arch reconstructions, this case emphasizes the importance of selecting implants with superior stability and versatility, as well as incorporating digital workflows for optimal prosthetic design.