International Arab Journal of Dentistry


The total prosthetic rehabilitation by associated prosthesis seeks to redefine aesthetic criteria, restore good occlusal stability, and optimize the functions of the masticatory apparatus.The development of a sequential treatment plan for such cases and the systematic synchronization of clinical and laboratory steps are essential to their success. In this article, we present a clinical case whose management and implementation of treatment required a fundamental synchronization of the clinical and laboratory stages: initial periodontal preparation, extraction of unfavorable teeth, fixed temporization, indirect post and core, cross mounting leading to maxillary fixed prostheses and a mandibular skeletal prosthesis combined to fixed prostheses. Later, the mandibular removable prosthesis was replaced by implants and fixed prostheses.