Authors
Ethan Ng, Shaun Tan, Nikos Donos, Gil Alcoforado
Published in
The International journal of prosthodontics. Volume 0. Issue 0. Pages 1-20. Aug 28, 2026. Epub Aug 28, 2026.
Abstract
The Global Consensus for Clinical Guidelines (GCCG) provides a structured, evidence-based framework for treatment planning in the rehabilitation of the edentulous maxilla. 'Patient Selection' is illustrated in this case report of a 65-year-old male with well-controlled hypertension, hyperlipidaemia, and type II diabetes mellitus who presented with severe tooth wear, loss of occlusal vertical dimension, limited vertical restorative space, and partial edentulism. A lobulated torus palatinus extending posteriorly was considered unfavourable for conventional complete denture retention. Dissatisfied with his removable partial denture, the patient sought a fixed prosthetic solution to improve mastication and comfort. Assessment of aesthetics, lip support, phonetics, and facial profile demonstrated adequate support without the need for a denture flange. Prosthetically driven digital planning identified sufficient bone volume for standard-length implants in the anterior and left posterior maxilla, but inadequate vertical bone height in the right posterior maxilla. Treatment options included segmental implant-supported fixed bridges, a full-arch implant-supported fixed dental prosthesis, a full-arch implant-retained overdenture, and a non-implant fixed-removable rehabilitation. Following structured discussion of the biological and prosthetic risks, maintenance requirements, treatment duration, costs, and anticipated outcomes of the available options, the patient elected immediate full-arch implant-supported fixed rehabilitation through a shared decision-making process.
PMID:
42664433
Bibliographic data and abstract were imported from PubMed on 29 Aug 2026.
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