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Management of a Staged Approach in an Implant-Supported Complete-Arch Fixed Dental Prosthesis (ISCFDP) With a Long
Kiarash Karimi1,2, Carlos A Jurado3,4, Masoud Hassan Zadeh5
1Private Practice, Woodland Hills, California, USA.
Objectives:
To describe the clinical implementation of a staged approach using strategically selected abutment teeth, a cobalt-chromium-reinforced long-span provisional prosthesis, and a fully digital workflow for maxillary FP-2 full-arch rehabilitation.
Overview:
A 48-year-old male with advanced periodontal disease underwent a staged full-arch implant rehabilitation. Maxillary canines and first molars were preserved to support a long-span fixed provisional prosthesis. A fully digital workflow was employed, including CBCT, intraoral scanning, and photogrammetry. A cobalt-chromium framework reinforced the provisional prosthesis, enhancing strength and stability during the healing period. Following soft tissue maturation, a definitive zirconia prosthesis was digitally designed and delivered with minimal adjustment.
Conclusion:
This case highlights the value of a strategically staged approach that preserves key abutment teeth and incorporates a robust digital workflow. The method enabled precise implant placement, improved prosthetic predictability, and optimized esthetic and functional outcomes.
