Full-arch fixed prosthetics supported by dental implants and natural teeth: planning, provisionalization, treatment sequences: 2 case examples.

When a patient presents with a partially edentulous arch, fixed res-toration of the arch supported by dental implants and natural teeth requires proper planning and provisionalization. First, information must be obtained to help plan the case for function and aesthetics. Study models must be articulated so that the present occlusal relationship can be analyzed. Diagnostic wax-ups and intraoral waxups or diagnostic appliances must be utilized to evaluate aesthetics and phonetics.1 A detailed periodontal evaluation should be performed to determine which teeth can be saved for fixed prosthetic support. Radiographs including periapicals, panographs, and CT scans must be taken to evaluate the osseous support for dental implants. Interactive CT scans with radiographic guides offer detailed information with regard to implant placement related to tooth position and aesthetics.2