This patient presented to the Dugoni clinic in 2018 in need of a full mouth rehabilitation. It was immediately apparent that her history of traumatic dental care coupled with her generalized anxiety disorder would make a complex dental treatment plan even more challenging to manage. As a dental clinician, it is important to have a full understanding of our patient’s medical, psychological, and social history in order to come up with a successful treatment plan.

In this clinical report, in addition to presenting the case, treatment plan and restorative considerations, a summary of workflow is presented with a deeper look into problems encountered scanning multiple implants with a large edentulous space between them. A comparison is made between conventional impression accuracy and scanned/printed model accuracy. Additionally, a splinted scan body method for large edentulous spans is proposed with data comparing it to both a conventional impression and scanning without splinting the scan bodies.

This presentation will take us on the journey of the whole treatment focusing on the steps of implant planning, placement and restoration and how we should always be flexible and ready to tackle any obstacle that arises. The significance of this contribution is to show with proper radiographic and photographic documentations the detailed process of how we execute this treatment approach at Dugoni.

A great part of nutrition comes from the patient’s ability to eat, but due to much of the geriatric population’s missing dentition and lack of dental care, eating and proper nutrition become very difficult to do on a daily basis. We noticed this from our very first visit to the TODCO (Tenants and Owners Development Corporation) site in San Francisco during our first year.