Mandibular Arch Rehabilitation Case Report

CASE REPORT

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Mandibular Arch Rehabilitation:
From Removable to Fixed Prosthesis

Discover the transformative power of the Anatomic Guide® protocol in full-arch rehabilitation for a patient with severe mandibular bone resorption.

Case History

A 67-year-old patient with a fully dentate maxillary arch and an edentulous mandible sought to replace his removable lower denture with a fixed, implant-supported prosthesis. He preferred a less invasive procedure without bone grafts.

CBCT assessment highlighted severe bone resorption, atrophy of the lower jaw, and proximity to vital anatomy. 

Treatment Goal

To deliver an aesthetic and long-lasting fixed restoration from beginning to end with a fully digital workflow.

3Sixty’s fully digital Anatomic Guide® protocol for full-arch rehabilitation was chosen as the perfect solution to achieve the treatment goal. This protocol incorporates 3Sixty Treatment Planning services provided by 3Sixty Dentists and 3Sixty Dental Planning Software (Atomica.ai). 

The patient’s intraoral and CBCT scans were taken and merged with the digital wax-up. This enabled 3Sixty Dentists to plan the treatment according to the patient’s restorative needs.

Solutions Used

  • 3Sixty Treatment Planning Services
  • Atomica Implant Planning Software
  • 3Sixty Anatomic Guide® (Full-Arch Stackable System)
    ➵ Stackable Guide
    ➵ Implant Placement Guide
    ➵ Prosthetic Seat
    ➵ PMMA Temporary Prosthesis

Why You Should Download This Report

Delve into the art of prosthetically-driven planning to limit complications.

Discover the perks of a cohesive digital workflow from pre-surgery to surgery day.

Take a peek into the surgical and prosthetic techniques of full-arch masters at work.

View the stunningly detailed pictures documenting every single step.

A Case Report by

Dr. Maurice Salama

Dr. Salama received his DMD from the University of Pennsylvania School of Dental Medicine, where he later received his dual specialty certification in Orthodontics and Periodontics, as well as implant training at the Branemark Center at Penn.

He was awarded the George Coslet and Richard Chase Scholarships at the University of Pennsylvania during his post-doctoral studies. Dr. Salama is currently on the faculties of the University of Pennsylvania and the Medical College of Georgia as Clinical Assistant Professor of Periodontics.

Dr. Salama has completed an ADA accredited hospital-based General Practice Residency at Maimonides Medical Center in New York City. His very unique background includes specialized training in Orthodontics, Periodontal Surgery, and Implant Dentistry.

Dr. Marcelo Silva

Dr. Marcelo Montenegro Silva was born in São Paulo, Brazil where he attended dental school and acquired his first degree in dentistry. After graduation, Dr. Silva relocated to the US and received his second DDS degree at the University of Southern California.

He then went on to pursue post-doctoral training in prosthodontics at Augusta University. Following his residency, Dr. Silva started a fellowship at the Ronald Goldstein Center for Esthetic and Implant Dentistry directed by the world-renowned Dr. Gerard Chiche.

 Dr. Silva is also a passionate educator, frequently lecturing at hands-on workshops and live-patient programs. He enjoys sharing his knowledge and experience with the next generation of dental professionals, inspiring them to pursue excellence in their careers.

Dr. Toni Salama

Dr. Toni Salama earned her bachelor’s degree in biological sciences at Binghamton University and received her Doctor of Dental Surgery at Stony Brook University School of Dental Medicine.

She then went on to complete a 3-year post-graduate residency at New York University where she specialized in Periodontics and Implant Dentistry. During her residency, she received world-class training in treating complex cases, implant placement, and full mouth rehabilitation.

Dr. Salama is a diplomate of the AAP and an active member of the ADA. She has successfully completed advanced training through Live Patient Surgical Mini-Residency at UNIMES Metropolitan University and DentalXP Online Implant Fellowship Program. In 2021, Dr. Salama was recognized as one of the Top Female Doctors in the country.

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