Material Selection for Complete-Arch Rehabilitation: A Patient Treated with Various Dental Materials 

Priscila Ceolin Meneghetti, DDS, MS, PhD; Sandra J O’Neal, DMD, MS; Ramtin Sadid-Zadeh, DDS, MS, DDS

Objectives | 

Discusses available evidence for material selection in complete-arch rehabilitation and presents the workflow for a patient treated with various dental materials to achieve optimal mechanical and aesthetic outcomes.

Existing conditions: Missing teeth #2, #7, #13, #15 and #19. Peg-shaped lateral tooth #10, failing restoration #14 and #21. Amalgam restorations #4, #5, #12, #20, #28. Metal-ceramic crowns #3, #18, #19, #30, #31. The dental midline shifted to the right. Extrusion of #4 and #5. Class III Angle classification. Crossbite on the left side. Generalized Periodontal disease (Stage III - Grade C), with teeth #23, #24, #25, and #26 exhibiting grade 2 mobility. Last dental visit: 3 years ago.

Medical History: Type 2 diabetes mellitus, Hypertension, Congestive heart failure, Coronary artery calcification, Aortic valve disorder, Obstructive sleep apnea (CPAP user). Prostate cancer, treated with radiation in 2021. Former tobacco use.

treatment plan |

Maxila: Crown lengthening on #4 and #5, e-max single crowns on #3 to #6 and #8 to #11. Zirconia bridge on #12-14.

Mandible: Extraction teeth #23-26. Temporary partial denture. Zirconia crowns on #18 to 21 and #31. Zirconia bridge on #28-30. Metal-ceramic bridge on #22-27.

Conclusion |

The use of various restorative materials in complete-arch rehabilitation is a viable approach for addressing diverse clinical needs. Careful selection and strategic application of these materials are key to achieving successful rehabilitation outcomes.