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Digital Interdisciplinary Workflows in Full-Arch Implant Cases
Educational Objectives
Learning Objectives
After completing this webinar, participants will be able to:
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Define terminal dentition and recognize its diagnostic criteria and clinical significance in treatment planning.
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Compare full-arch treatment modalities available for patients with terminal dentition, including surgical and prosthetic considerations.
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Differentiate FP1 and FP3 treatment options by analyzing esthetic, surgical, and restorative implications.
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Apply digital technologies and interdisciplinary workflows to plan FP1 full-arch rehabilitation.
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Implement a step-by-step algorithm for FP1 surgical execution and restorative sequencing to achieve predictable outcomes
Abstract
Treatment planning for complex full-arch implant cases requires interdisciplinary coordination, meticulous data collection, and precise execution. Digital dentistry enhances this process by generating a virtual patient clone, enabling accurate diagnosis and prosthetic-driven implant placement. While FP3 restorations remain the conventional choice—replacing teeth along with hard and soft tissues—they can be aggressive and biologically demanding. FP1 restorations, in contrast, focus on re-establishing natural white esthetics with a minimally invasive approach. This presentation highlights digital workflows that facilitate FP1 outcomes, demonstrating how guided planning and execution can expand treatment possibilities for patients with terminal dentition.
Terminal dentition, defined as severely compromised teeth that require extractions, presents a complex diagnostic dilemma: overtreatment risks unnecessary morbidity, while undertreatment can compromise long-term outcomes. Fixed implant modalities have provided life-changing solutions, with the FP3 approach serving as the most common treatment option. While FP3 restorations offer ease of planning and greater tolerance for surgical or restorative error, they often require significant hard-tissue reduction to create restorative space—an inherently invasive strategy.
Recent advances in digital dentistry, facially driven planning, and biomimetic restorative concepts have opened the door for more conservative FP1 approaches. These restorations, designed to preserve soft and hard tissue while delivering superior esthetics, reflect a paradigm shift in full-arch rehabilitation. FP1 success hinges on meticulous interdisciplinary coordination and the integration of digital tools such as guided surgery, virtual design, and 3D-printed mock-ups.
Additional Information
Author Bio
Ahmed Sabbah, DDS, PhD
Dr. Sabbah is a Clinical Assistant Professor at the UT Health San Antonio School of Dentistry (UTHSA). He earned his DDS and PhD before completing a 2-year Advanced Education in General Dentistry (AEGD) residency at UTHSA in 2015. From 2015 to 2019, he served as a General Practice Group (GPG) leader, during which he spearheaded the transition from paper-based to electronic student evaluations by developing a web application for student assessment. Supported by several grants, the application has been fully integrated into the predoctoral clinic since 2017.
Dr. Sabbah has received multiple awards, including Professor of the Year, selected by senior dental students, and the Excellence in Clinical Teaching Award. In 2019, he became Assistant Director of the AEGD program, where he implemented digital workflows. Since June 2020, he has served as Program Director of the AEGD residency. His accomplishments in this role include expanding the program to 19 residents, launching the AEGD Master’s program, establishing a partnership with 7 to 7 Dental & Orthodontics, initiating digital workflows at Haven for Hope, and piloting digital systems across the dental school.
Dr. Sabbah has presented at numerous national meetings and served as chair of the Section on Comprehensive Dentistry for the ADEA. He has published several papers and was the principal investigator on a $1.4 million federal grant. His research focuses on implant survival in HIV patients, competency assessment, and the use of ceramic-infiltrated printed resin for indirect restorations.
Disclosures
Commercial Disclosure
This free Dental Learning presentation is made possible through the continued support of Oral Arts Dental. Ahmed Sabbah, DDS, PhD is a consultant and/or speaker for the following companies and/or organizations: Dental Learning, Oral Arts Dental. Ahmed Sabbah, DDS, PhD may receive an honorarium as compensation from the CE Supporter of this presentation and/or from Dental Learning for the time involved in preparing and delivering this online presentation.
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