# Management of a Staged Approach in an Implant‐Supported Complete‐Arch Fixed Dental Prosthesis (ISCFDP) With a Long Term, Long Span Fixed Provisional Prosthesis, Leveraging a Full Digital Approach: A Case Report

## TL;DR

A digital workflow was used to manage a staged dental implant procedure, preserving key teeth and improving outcomes.

## Contribution

A new staged approach using digital tools and a cobalt-chromium provisional prosthesis for full-arch rehabilitation is presented.

## Key findings

- A fully digital workflow improved precision in implant placement and prosthetic outcomes.
- Preserving maxillary canines and molars supported a long-span provisional prosthesis effectively.
- Cobalt-chromium reinforcement enhanced the stability of the provisional prosthesis during healing.

## Abstract

To describe the clinical implementation of a staged approach using strategically selected abutment teeth, a cobalt‐chromium‐reinforced long‐span provisional prosthesis, and a fully digital workflow for maxillary FP‐2 full‐arch rehabilitation.

A 48‐year‐old male with advanced periodontal disease underwent a staged full‐arch implant rehabilitation. Maxillary canines and first molars were preserved to support a long‐span fixed provisional prosthesis. A fully digital workflow was employed, including CBCT, intraoral scanning, and photogrammetry. A cobalt‐chromium framework reinforced the provisional prosthesis, enhancing strength and stability during the healing period. Following soft tissue maturation, a definitive zirconia prosthesis was digitally designed and delivered with minimal adjustment.

This case highlights the value of a strategically staged approach that preserves key abutment teeth and incorporates a robust digital workflow. The method enabled precise implant placement, improved prosthetic predictability, and optimized esthetic and functional outcomes.