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Related Experiment Video

Updated: Jun 12, 2025

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
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Immediate Loading Implant-Supported Fixed Full-Arch Rehabilitation Using a New Clinical Decision-Support System: A

Ahmed Bahaa1,2, AbdAllah Bahaa3, Nada El-Bagoury4

  • 1Oral and Maxillofacial Surgery, Royal College of Surgeons of Edinburgh, Edinburgh, GBR.

Cureus
|September 27, 2024
PubMed
Summary

Fixed implant-supported full-arch rehabilitation using the Carames classification (CC) showed excellent outcomes. This approach resulted in no implant loss and good peri-implant tissue health over three years.

Keywords:
carames classificationfull-arch rehabilitationimmediate functional loadingimmediate implantperi-implant marginal tissue health

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Area of Science:

  • Dentistry
  • Oral Implantology
  • Prosthodontics

Background:

  • Implant-supported full-arch rehabilitation effectively restores function and aesthetics in edentulous patients.
  • Patient-reported outcomes validate this treatment approach for improving quality of life.

Purpose of the Study:

  • To evaluate fixed implant-supported full-arch rehabilitation outcomes using the novel Carames classification (CC).
  • To assess implant survival and peri-implant tissue health in a case series.

Main Methods:

  • Seven patients received full-arch rehabilitation with immediate functional loading of provisional prostheses.
  • 70 implants were placed, utilizing the dual-zone grafting technique and multi-unit abutments.
  • The Carames classification (CCI/CCII) guided treatment planning and prosthesis fabrication.

Main Results:

  • No implant or prosthesis failures were observed over a three-year follow-up period.
  • Peri-implant marginal tissue health remained stable, with probing depths of 3-3.5 mm and no bleeding or suppuration.
  • Minimal marginal bone loss was recorded, with some cases demonstrating bone gain.

Conclusions:

  • The Carames classification serves as a valuable clinical decision support system for full-arch implant rehabilitation.
  • The presented protocol demonstrates promising results for peri-implant tissue health and long-term implant stability.