An extensive cystic lesion involving the hemimaxilla had created communications with both the maxillary sinus and the nasal cavity, resulting in severe anatomical and bone compromise. In a single surgical stage, the lesion was removed, the resulting defect was carefully managed, and implants were strategically anchored in the remaining stable bone. Adequate primary stability allowed immediate full-arch loading with an FP1 fixed prosthesis, restoring function, aesthetics, and natural tooth emergence from the first day.
Management of a large maxillary lesion requires careful assessment of the remaining bone, the sinus and nasal boundaries, and the intended prosthetic result. Digital imaging supports the surgical plan and helps coordinate lesion removal with implant-supported rehabilitation. The choice of anchorage and the timing of loading are determined by the clinical findings and implant stability.
The restorative phase aims to recover comfortable chewing, speech and a natural-looking smile. An FP1 design replaces the teeth while respecting the relationship between the restoration and the surrounding tissues. Maintenance, hygiene and scheduled clinical reviews are integral to the long-term management of a complex full-arch reconstruction.
