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21st Feb. 2026

FP1 Hybrid Rehabilitation with Digital Workflow and Live Surgery

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.

Diagnosis and Treatment Plan

Maxillary Arch

  • Diagnosis: Partially edentulous upper arch with anterior tooth loss and posterior mobility
  • Treatment:
    • Extraction of UR4, UR5, UL4
    • Placement of five implants in the anterior and premolar regions
    • Delivery of immediate 3D-printed provisional prosthesis
    • Final restoration with FP1 monolithic zirconia prosthesis, supported by existing and new implants
    • Maintenance of posterior teeth to preserve bone and function

Mandibular Arch

  • Diagnosis: Failing LR6 with posterior occlusal deficiency
  • Treatment:
    • Extraction of LR6
    • Placement of two implants and restoration with a 3-unit posterior bridge

Materials and Techniques Used

  • Implants: Placed using guided surgery with intraoperative imaging
  • Digital Workflow:
    • iTero for intraoral scanning and soft tissue capture
    • Photogrammetry 2.3D for precise implant position registration
    • Same-day 3D printing of provisional prosthesis
    • Restorations:
      • FP1 zirconia prosthesis (upper)

intraoral scanning and soft tissue capture

Same-day 3D printing of provisional prosthesis

2 weeks post-op

Final Provisional

Full soft tissue and implant position capture

Outcome

This case illustrates how immediate digital integration, soft tissue control, and implant-guided prosthetic planning can be used to deliver and FP1 zirconia prosthesis with long-term aesthetic and functional stability.

The live procedure included:

  • Same-day guided surgery
  • 3D-printed provisional prosthesis delivered within hours
  • Full soft tissue and implant position capture using iTero scanning and photogrammetry

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.

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After a long period of research and many recommendations, we finally met Dr Arman Barfeie, a specialist prosthodontist and implantologist, who was exactly the expert...

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I just had my first hygiene appointment at this practise and am thoroughly impressed! Firstly, I would like to say all members of staff are...

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Excellent service every time. Jasmine today was outstanding. So informative and supportive with any and all questions and queries. Perfect for anyone who, like me,...

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Elwira L

I had an excellent experience at Dental Arts Forest Hill during my Invisalign consultation. The whole team was incredibly professional, welcoming, and informative throughout the...

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June E

The dental surgery is very clean, warming and welcoming! Both receptionists were very lovely – thank you! The hygienist, Amy, was really, really good! She...

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London Dental Arts

Farid A

After a long period of research and many recommendations, we finally met Dr Arman Barfeie, a specialist prosthodontist and implantologist, who was exactly the expert...

Read More
London Dental Arts

D L

I just had my first hygiene appointment at this practise and am thoroughly impressed! Firstly, I would like to say all members of staff are...

Read More
London Dental Arts

Chris S

Excellent service every time. Jasmine today was outstanding. So informative and supportive with any and all questions and queries. Perfect for anyone who, like me,...

Read More
London Dental Arts

Elwira L

I had an excellent experience at Dental Arts Forest Hill during my Invisalign consultation. The whole team was incredibly professional, welcoming, and informative throughout the...

Read More
London Dental Arts

June E

The dental surgery is very clean, warming and welcoming! Both receptionists were very lovely – thank you! The hygienist, Amy, was really, really good! She...

Read More

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