Immediate Full-Arch Rehabilitation of the Mandible
Procedure:
Immediate extraction, immediate implant placement, and immediate loading – mandibular full-arch prosthesis
Clinical Scenario:
A patient presented with generalized mobility of mandibular teeth associated with multiple infected sites. The case required a rapid, predictable full-arch solution with functional and esthetic rehabilitation in a severely compromised mandibular arch.
Treatment Protocol:
The entire procedure was completed under local anesthesia and followed a start-to-finish immediate loading protocol over 3 days.
Full Mouth Extraction (Mandible):
All remaining mandibular teeth were atraumatically extracted.
Infection Management:
Thorough debridement of all infected and granulation tissue was performed to ensure a clean and stable surgical bed.
Implant Placement:
Free-hand placement of implants was carried out in the mandibular arch, achieving optimal primary stability despite compromised bone conditions.
Prosthetic Phase:
Placement of multi-unit abutments
Intraoral digital impression recorded using iTero Lumina
Fully digital prosthetic workflow employed for prosthesis fabrication
Immediate Loading:
A definitive full-arch prosthesis was delivered within 72 hours (3 days) of surgery, restoring function and esthetics immediately.
Outcome:
The patient received a stable, functional, and esthetically driven mandibular full-arch prosthesis within 3 days, demonstrating the effectiveness of immediate extraction, immediate placement, and immediate loading protocols even in the presence of infection—when executed with meticulous surgical and prosthetic planning.
Key Highlights:
Immediate extraction, placement, and loading
Management of multiple infected sites
Free-hand implant placement
Complete digital workflow
Final prosthesis delivered in 72 hours
