Serial extraction protocol for partial arches in implant dentistry: principles and clinical methodology

Serial extraction protocol (SEP) is a clinical technique that facilitates using natural tooth abutments to support a fixed interim resin prosthesis, while inserting a sufficient number of implants to retain a definitive fixed prosthesis. A Class 1 protocol allows all necessary implants to be placed during one surgical appointment, while a Class 2 protocol requires two or more rounds of implant installation to achieve sufficient support for a definitive fixed prosthesis. The SEP methodology can be used to restore full and partially edentulous dentitions. This article addresses rehabilitation of partial arches using an SEP protocol.