A new patient presents with complete edentulism on the maxillary left quadrant as well as an additional missing canine in the esthetic zone of the lower-left mandibular quadrant as a result of trauma from an accidental fall. An implant-supported removable partial denture (RPD) for the upper-left quadrant and a single implant crown to replace #22, turned out to be the best solution.

The patient presented with a missing tooth that was extracted during the COVID shutdown, crowns that were approximately 20 years old and chipped and mismatched shades that did not fit her smile line. In addition, the restorations had mismatched shades and did not fit her smile line. The team decided to treat all the units together with crown and bridge to give the patient her brand new smile.

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.

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 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.