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Revista Portuguesa de Estomatologia,
Medicina Dentária e Cirurgia Maxilofacial

rev port estomatol med dent cir maxilofac. 2019;60(4):175-188

Clinical innovation

A comprehensive classification to full arch implant
rehabilitation

João Caramês*
Oral Surgery and Implant Department, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisbon, Portugal
LIBPhys-FCT UID/FIS/04559/2013, Lisboa
International Director New York University College of Dentistry Linhart Continuing Dental Education Program, New York,USA
Implantology Institute, Lisbon, Portugal

a r t i c l e i n f o a b s t r a c t

Article history: Objectives: This article proposes a classification system for full-arch implant rehabilitation
Received 11 October 2019 options, taking into account the patient's individual bone resorption pattern.
Accepted 8 November 2019 Methods: Five levels of jaw atrophy were established according to the available therapeutic
Available online 20 December 2019 bone height and width in the anterior and posterior jaw, based on the evaluation of 150
consecutive edentulous maxillae and 150 consecutive edentulous mandibles by cone-beam
Keywords: computed tomography.
Classification Classification proposal: Fixed full-arch and removable rehabilitation schemes were proposed
Clinical assessment for each level. Implant number, location, position, design and the need for regenerative
Diagnosis procedures were defined according to clinical information and available evidence-based
Full-arch rehabilitation rationale
Patient-centered outcomes Conclusions: The illustrated rehabilitation scheme aims to aid clinicians during treatment
planning and to underline a pyramidal complexity hierarchy of the different classes,
from simple to complex. Besides being helpful for treatment planning, this classification
also optimizes communication between clinicians and patients. (Rev Port Estomatol Med
Dent Cir Maxilofac. 2019;60(4):175-188)
© 2019 Sociedade Portuguesa de Estomatologia e Medicina Dentária.
Published by SPEMD. This is an open access article under the CC BY-NC-ND license
(http://creativecommons.org/licenses/by-nc-nd/4.0/).

* Corresponding author.
E-mail address: caramesj@gmail.com (João Caramês).
http://doi.org/10.24873/j.rpemd.2019.12.687
1646-2890/© 2019 Sociedade Portuguesa de Estomatologia e Medicina Dentária. Published by SPEMD.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).