Treatment of a complex restorative case by proposing a new prognostic index: A clinical case report with 3 years’ radiological follow-up

Abstract

ABSTRACT Elderly patients with multiple missing teeth, failed restoration, retained roots, and vertical and horizontal bone defects are very challenging to treat. This type of case needs strategic planning. A new index is proposed to assess the prognosis of individual teeth. Treatment planning is done for each quadrant and later conceptualized as a single entity. Diagnostic wax-up is an important step to educate and visualize the future restorative plan. The health of an individual tooth determines its usefulness in restorative rehabilitation. The osseous defect can be resolved by proper occlusal load distribution without the use of a bone graft. A 3-year radiological follow-up is done to assess the health of the tooth and endosseous implant. The patient’s health and quality of life were significantly improved.