Introduction: Restoring full arch implant supported fixed dental prostheses (ISFDP) cases remains one of the most challenging procedures to meet functional and aesthetic demand of the treatment. Although treatment sequencing would follow the classical steps in prosthodontic provision, the use of metal ceramic restorations may require special considerations to meet possible advantage of passivity, strength and accuracy in occlusion. Therefore, the purpose of this case report is to present sequential and simplified steps for full arch ISFDP using a provisional restoration as a guide prior to definitive restoration.
Case Description: 56 years old female was referred to our clinic. She was wearing removable upper and lower partial dentures. Sequential treatment was carried out by maintaining the compromised mandibular teeth as abutment to insert laboratory provisional bridge and implant placement were done on edentulous area. After healing was completed, the provisional prosthesis on dentition was then converted to provisional on implants by connecting through temporary cylinders. From here, a definitive prosthesis was carried out in four visits.
Discussion: Pre-surgical fabricated fixed provisional prostheses eliminate the application of removable partial denture, have better acceptance by patient and also act as a prototype that enables clinicians to construct definitive prostheses in simple steps
Conclusion: Patient with failing dentition and multiple missing teeth have the option to use the provisional restoration for earlier evaluation of aesthetic and functional result that permits ease for final delivery of definitive prostheses.