PDF: Anatomical and surgical considerations for fixed implant-supported prostheses in edentulous elderly patients


This article aims to discuss the different approaches and anatomical considerations to perform a precise dental implant placement for full-arch fixed implant-supported prostheses.


Total edentulism can lead to changes in the anatomy of jaws over the years in elderly subjects. 


Therefore, the dental surgeon must comprehend the anatomical variations and surgical peculiarities of elderly total edentulous subjects requiring oral rehabilitation with fixed implant-supported prostheses. 

As the global population ages, the demand for oral rehabilitation in elderly subjects has risen. 

Additionally, edentulism is a global public health challenge until nowadays. 

Dental implants have emerged as a viable and effective solution for restoring oral function and aesthetics with fixed implant-supported prostheses. 



However, successful implant surgery in elderly edentulous patients necessitates a thorough understanding of the anatomical alterations that occur with age in an edentulous jaw. 

Therefore, this article aims to list the main anatomical and surgical considerations in the oral rehabilitation of elderly fully edentulous with fixed implant-supported prostheses. 

One of the primary challenges in oral rehabilitation of elderly total edentulous patients is the progressive resorption of alveolar bone. 

The alveolar processes undergo a continuous remodeling process after tooth loss, resulting in decreased bone volume and altered bone density. 

This is a significant consideration for dental implant placement, as satisfactory bone support is crucial for primary implant stability and long-term success. 

Therefore, over the years different strategies of oral rehabilitation were established to overcome the challenges of anatomical alterations in edentulous elderly patients. 

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