Clinical Background : Anthony presented with a partially edentulous maxilla and a failing lower right posterior segment. The case was selected and presented as a live surgery demonstration in front of over 1,000 clinicians at the European Symposium for Osteem, showcasing immediate digital workflows, FP1 planning, and soft tissue management in real time. The upper arch presented with a mix of stable and failing teeth. Only UR4, UR5, and UL4 were extracted due to mobility and poor prognosis. In the mandible, LR6 was removed and replaced with a short-span implant bridge. This case forms part of an advanced training portfolio in FP1 prosthetics, and will be used for ongoing collaboration in digital and restorative education.
This case illustrates how immediate digital integration, soft tissue control, and implant-guided prosthetic planning can be used to deliver an FP1 zirconia prosthesis with long-term aesthetic and functional stability.
The live procedure included:
Over a 6-month provisional phase, soft tissue architecture was carefully matured to support the final FP1 prosthesis. The patient achieved an excellent aesthetic result, with healthy, maintainable soft tissue contours and a balanced occlusion.
Mandibular Arch
Materials and Techniques Used
This case demonstrates how modern digital workflows can significantly streamline the delivery of complex prosthetic cases, even in a live educational setting. By retaining the posterior teeth and focusing surgical intervention in the anterior zone, we preserved existing bone volume and minimised invasiveness.
The FP1 approach was chosen for its ability to restore crown-only aesthetics in an arch with minimal vertical bone loss. The success of this prosthesis depends on precise implant positioning, soft tissue management, and occlusal design—each of which was addressed through digital planning and a 6-month provisionalisation phase.
The use of 3D printing on the day of surgery provided immediate functional and aesthetic benefit while supporting tissue healing and patient confidence. Strategic occlusal planning ensured a hygienic and maintainable prosthesis, balancing aesthetic demands with long-term biological health.
Anthony’s case is a strong example of how live surgery, digital precision, and interdisciplinary planning can converge to deliver high-level results—and serve as a model for education and advanced FP1 training.
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