Case Study
Bimaxillary Full-Mouth Implant Restoration with iBAR Framework
Credit: Dr. Bini Isaac
About the case:
A middle-aged patient reported severely worn-out, discolored teeth, poor occlusal balance, and loss of function. Both arches showed compromised dentition and multiple teeth concerns. The goal was complete functional and aesthetic rehabilitation with long-term stability and natural esthetics.
Diagnosis, Key Findings and actions
Maxilla (Upper Arch):
Generalized spacing, mild protrusion, failing previous treatments, and bone loss. 6 implants strategically placed across the arch.Mandible (Lower Arch):
Heavily worn dentition, discoloration, and 6 implants for full-arch support.Additional Findings:
- Loss of occlusal stability
- Tooth mobility
- Stained and weakened enamel
- Need for full-mouth rehabilitation with implant-supported prostheses
Treatment Approach
A Bimaxillary Full-Mouth Implant Restoration was planned using a Titanium iBAR framework for stability, precision, and even load distribution, combined with Zirconia prostheses for enhanced esthetics and durability.
Advantage of iBAR
The digitally fabricated titanium iBAR has a liner design that connects all the implants in a line more efficiently. Also, the solid titanium blanks provide bulk free comfort with micron-level accuracy.
Advantage of Zirconia
The Zirconia acts as an enhancer for the durability of the prostheses with added benefit of strength and desired aesthetic.
Step-by-Step Treatment Workflow
| Step | Procedure | Purpose / Outcome |
|---|---|---|
Step 1 |
Digital Planning | Accurate implant angulation and position |
Step 2 |
Implant Placement | Strategic placement in both arches |
Step 3 |
CAD-CAM iBAR Design | Lightweight, precise titanium substructure |
Step 4 |
Trial & Passive Fit Verification | Confirmed perfect seating and screw access |
Step 5 |
Zirconia Prosthesis Layering | Natural shade, translucency, and texture |
Step 6 |
Final Prosthesis Delivery | Restored function, esthetics, and confidence |
Materials & Technology
- Framework: Titanium iBAR with linear design
- Restorative Material: Zirconia
- Design Process: CAD-CAM precision milling
- Retention: Screw-retained prostheses
Clinical Outcome
Restored occlusal balance and bite stability
Enhanced smile harmony and lifelike esthetics
Lightweight titanium ensures comfort
Zirconia ensures long-term durability
Patient regained chewing and speaking efficiency and confidence
Before & After Impact
The worn, stained dentition was transformed into a stable, aesthetic, and functional zirconia prosthesis, combining Titanium precision with Zirconia durability for a truly redefined full-arch solution.
Conclusion
The fusion of Titanium iBAR and Zirconia prostheses, guided precisely, set a new benchmark in bimaxillary full-mouth implant rehabilitation.
This case exemplifies how technology, planning, and material science come together to deliver predictability, stability, and lifelike esthetics in complex restorative dentistry.
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