CASE REPORT article
Front. Oral Health
Sec. Oral and Maxillofacial Surgery
Volume 6 - 2025 | doi: 10.3389/froh.2025.1663892
This article is part of the Research TopicDigital Implant Dentistry: New Developments to Enhance Clinical Workflows and Patient CareView all 3 articles
Essential tremor-challenged maxillary rehabilitation using a digitally guided all-on-six implant restoration: A case report
Provisionally accepted
- 1Department of Prosthodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- 2Department of Prosthodontical Technique, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- 3Shanghai Stomatological Hospital, Fudan University, Shanghai, China
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This case report describes a 73-year-old female with essential tremor who experienced significant dissatisfaction with her maxillary complete denture. Her tremor-related dexterity impairment limited her ability to manage removable prostheses, while the excessive denture volume severely disrupted speech. Moreover, her neuromuscular condition made it challenging to adapt to a new occlusal scheme. To address these issues, a digitally guided all-on-six implant-supported prosthesis was delivered under local anesthesia, preserving her pre-existing, neuromuscularly adapted occlusion with minor esthetic adjustments to the anterior teeth. At the 1-year follow-up, the patient reported high satisfaction with both esthetics and function, along with improved speech and masticatory efficiency. This report underscores the value of digital workflows in maintaining functional adaptation and providing predictable prosthodontic solutions for patients with neuromuscular impairments.
Keywords: elderly edentulism, all-on-six, Essential Tremor, digital workflow, digital jaw relation transfer, case report
Received: 11 Jul 2025; Accepted: 26 Aug 2025.
Copyright: © 2025 Zhang, Cui, He, Hu, Yang, Huang, Wang and Jiang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Hui Huang, Department of Prosthodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Jie Wang, Department of Prosthodontics, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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