FULL-ARCH FP3 RESTORATION ON SUPERZICO

FULL-ARCH FP3 RESTORATION
Full-arch FP3 (Fixed Prosthesis 3) is the most common and predictable type of full-arch implant restoration, offering excellent aesthetic improvement. Ceramic teeth are fixed onto the implants, replacing both the missing tooth crowns and the lost gingival tissue with artificial gingiva. This is the optimal solution for patients with significant alveolar bone resorption, restoring a natural, harmonious smile.

Phục hình FP3 dạng Thimble trên sườn Super Zirco

Phục hình FP3 dạng I-Bar trên sườn Super Zirco

Key Features of FP3 Restorations:

  • High aesthetics: Pink ceramic or pink composite gingiva is typically used to replace the lost soft tissue, creating a lifelike gingival contour and concealing tissue deficiencies. The tooth crowns and gingiva are designed as a single, integrated unit according to the patient’s wishes, delivering a harmonious and highly natural appearance.
  • Indications: For patients with full-arch tooth loss accompanied by significant bone and gingival resorption.
  • Flexibility: FP3 allows easy modification at the design and try-in stages, offering flexibility to refine the final outcome.

FP3 is widely favoured for its ability to restore both smile aesthetics and chewing function to a level closely resembling natural dentition.

REAL CLINICAL CASE

INITIAL CONDITION

The patient presented with full edentulism in both the maxilla and mandible.

  • 6 stable implants in each arch
  • A younger patient requiring a durable, top-quality restoration for long-term use
  • A request for highly aesthetic final ceramic teeth

RESTORATIVE PLAN

Framework: SuperZirco
Restoration: Prettau® 3 zirconia, with cutback and external ceramic layering on the facial surface only—preserving the full monolithic strength of zirconia at the incisal edge
Gingiva: Natural pink ceramic gingiva

FINAL OUTCOME

Quick, smooth delivery and seating of the restorations
Stable, durable chewing function fully restored
The patient was highly satisfied with the natural shade and translucency, closely resembling real teeth
The patient reported regained confidence and improved quality of life

CA LÂM SÀNG THỰC TẾ

Initial Condition

  • The patient had been wearing a full-arch ceramic restoration for over 10 years
  • Composite gingiva showing staining in several areas
  • Screw access holes positioned on the facial surface, compromising aesthetics
  • Metal frameworks in both arches

Ms. Hoa shared that, at the time of her original treatment, ceramic restorations—particularly full-arch implant restorations—had only recently become widely available in Vietnam. Few clinics had the capability or expertise to perform full-arch implant treatment. After researching her options, she received 5 implants in the maxilla and 4 implants in the mandible, with ceramic teeth supported by a titanium framework. She was quite satisfied at the time: the restoration restored her chewing function and offered acceptable aesthetics by the standards of that period.
However, after years of use, the composite gingiva had become stained and discoloured, with darkening between the interproximal spaces. In addition, when she smiled broadly, the grey titanium framework became visible, along with a screw access hole on the facial surface of one of the teeth.
Having learned about the latest technology at Royal Dental Lab—in collaboration with World Wide Hospital—she discovered that the metal framework could be replaced with a zirconia framework offering superior aesthetics, no grey show-through, and excellent biocompatibility. The gingiva could likewise be remade in ceramic for a more vibrant, lasting appearance—resistant to staining and interproximal darkening.

1. Treatment Solution

  • Full-arch ceramic restoration on a SuperZirco iBar framework: eliminating the grey show-through of metal, with excellent biocompatibility and a lightweight structure
  • Use of angulated screw channel abutments—redirecting the screw access holes to the palatal/lingual aspect—eliminating the unaesthetic facial screw holes in the anterior region
  • Ceramic gingiva selected for its beautiful colour effect, resistance to staining, and lasting colour stability over time

2. Final Outcome
Delivery of the final restoration proceeded smoothly, resolving every shortcoming of the previous restoration—enhancing aesthetics, restoring a confident smile, and ensuring excellent biocompatibility for long-term health.
A further benefit of full-ceramic restorations on a SuperZirco framework: in the event of a chip or fracture, the entire restoration does not need to be remade—repairs can be made directly with ceramic layering at the affected area. This is a significant advantage of this advanced restorative approach.

“Experiencing this modern restorative technology truly exceeded my expectations. My smile feels more natural, harmonious, and aesthetically pleasing—giving me the confidence to enjoy every moment of life.”

Ms. Hoa, long-term full-arch implant patient

Royal Dental Lab – Giải pháp Implant chuyên nghiệp với cam kết từ tâm !