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Patient: A 51-year-old woman visited the Department of Fixed Prosthodontics, Osaka University Dental Hospital with complaints of difficulty during mastication and esthetic dissatisfaction with a removable partial denture. In this case, restoration-driven implant treatment was applied for distal extension missing upper and lower molars. Discussion: Implant placement surgery was performed at all missing tooth positions. Free gingival graft surgery was performed at the bilateral lower molar regions. Custom-made abutments were connected with all the implants and cement-retained metal-ceramic restorations were placed as the non-splinting implant superstructure. Soft tissue and surrounding bone around implants were stable after treatment. Conclusion: The patient was followed for 3 years with no complications and she was very satisfied with mastication and esthetics. The implant treatment effectively improved mastication difficulty and esthetic dissatisfaction in free-end partially edentulous maxilla and mandible.

Dental Implant Treatment for Distal Extension Missing Upper and Lower Molars