Comprehensive Full Mouth Rehabilitation Utilizing Dental Implants and Natural Teeth: A Case Report

Abstract

Edentulism poses significant functional, aesthetic, and psychological challenges, particularly in older patients and in regions where access to advanced surgical procedures may be limited. Full-mouth rehabilitation using dental implants is an effective treatment option; however, extensive implant placement and adjunctive surgical procedures are not always feasible. This case report describes a hybrid full-mouth rehabilitation approach combining implant-supported prostheses with the strategic retention of natural mandibular teeth. A 65-year-old male patient presented with complete maxillary edentulism and partial mandibular edentulism. Eight implants were placed in the maxilla and two implants in the mandible, while six remaining mandibular teeth were preserved through endodontic treatment and post-core restoration to support the final prosthesis. Digital imaging, cone-beam computed tomography, and guided treatment planning were used to optimize implant positioning and prosthetic design. The definitive restorations achieved stable osseointegration, satisfactory occlusion, improved mastication, and favorable aesthetic outcomes. The patient reported a marked improvement in oral function and quality of life during follow-up evaluations. This case highlights the clinical feasibility and benefits of a hybrid rehabilitation strategy that integrates dental implants with preserved natural teeth, reducing surgical complexity while maintaining functional and biomechanical stability. Such an approach may represent a practical and costeffective alternative for managing complex edentulism, particularly in patients with anatomical, medical, or resource-related limitations. Keywords: Edentulism, Full-mouth rehabilitation, Dental implants, Hybrid prostheses, Resource-limited settings, Implant-supported restoration, Oral health innovation, Patient-centered care.