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industry I porcelain over a cast metal framework. Pink porcelain waslayeredontoformthegingivalareasaccordingto themarkingsindicatedonthemodelsoftheBioTemps restorations,thusreplacingportionsofthesofttissue aswellastheteethperDr.Misch’sFP3(Fixed-Prosthe- sis-3) principles of prosthetic design.6 Because the fi- nal prostheses were designed using the models fabri- cated from the final crown and bridge impressions, a precise fit over the patient’s custom abutments was ensured(Fig.20). Atthefinaldeliveryappointment,thePFMrestora- tionsweredeliveredoverthecustomabutmentswith- out issue. A panoramic radiograph was taken to con- firm complete seating (Fig. 21). The final prostheses achievedtheexactfit,aestheticsandfunctionthatthe patienthadcometoexpectaftersixweeksofwearing theBioTempsprovisionals,whichultimatelyservedas the bases for the final restorations (Figs. 22a–c). The patient was ecstatic with the results, which recon- structed his teeth and gingiva, along with his confi- dence and quality of life. A nightguard was produced forthepatienttomitigatetheimpactofhisparafunc- tionalhabits(Fig.23). _Conclusion The predictability of implant treatment and the adaptability of restorative materials enable clinicians to provide patients in the most dire of dental circum- stances a complete overhaul, reversing the damage that can result from many years of dental wear and neglect.Thisgoesbeyondtherestorationoforalfunc- tionbypreservingthefacialaestheticsthataresofun- damental to the emotional state and social life of the patient. Provided its life-changing capacity, the fixed full-arch implant restoration should be offered to all patients who present with untreatable dentition, without prejudging a patient’s situation and the form of treatment that they will ultimately accept. As the precision,cost-effectivenessandprostheticversatility of implant therapy expands ever further, so does the patient population that is able to receive high-quality treatment._ Editorial note: Reprinted by permission of ©2015 Glidewell Laboratories, Inclusivemagazine.Thedentallabworkinthis case was performed by Glidewell Laboratories. A complete listofreferencesisavailablefromthepublisher. Figs. 22a–22c_Retracted frontal, occlusal maxillary and occlusal mandibular views exhibit the excellent esthetics achieved by the implants and fixed PFM prostheses, reconstructing the patient’s dentition as well as the soft tissue. Fig. 23_The patient was provided with a nightguard to protect his investment against the forces of bruxing. I 37implants4_2015 Fig. 22a Fig. 22b Fig. 22c Fig. 23 contact Dr Ara Nazarian DICOI (Diplomate International Congress of Oral Implantologists) 1857 East Big Beaver Road Troy,Michigan 48083,USA www.michiganreconstructiveim- plantdentistry.com www.premierdentalcenter.com www.aranazariandds.com drnazarian@premierdentalcenter.com