The purpose of this study is to report a case of full-mouth rehabilitation on six endosseous implants loaded following the standard procedure. It was decided to insert six implants in the maxillary and six implants in the mandibular arch in a patient with no systemic disease. The surgery was performed with the patient under local anesthesia with lignocaine and 1:100,000 adrenaline. Implant stability was sufficient (35 N/cm measured with a torque spring) for all 12 implants. An impression is taken in the open tray with a silicone impression material. Vertical dimension for rest and occlusion was checked with wax occlusal rims placed in the mouth. Interocclusal records were made with the metal framework in place. The final restoration was realized with ceramic layering completed. Good impressions and meticulous attention to detail are crucial for a successful implant-supported fixed prosthesis.

Restoring the edentulous patient with an esthetic and functional restoration may present numerous challenges to the clinician. The patient's occlusal vertical dimension, centric relation, esthetics and phonetics need to be determined and maintained throughout the restorative process. This clinical report describes the fabrication of implant supported fixed prosthesis in the mandibular posterior region, a tooth supported fixed prosthesis in the mandibular anterior region and a tooth supported maxillary overdenture with a low profile attachment. A step by step approach to provide an esthetic result is described. How to cite this article Jagtap AK, Chaudhari PD, Bhandari JA. A Pragmatic Approach to Full Mouth Rehabilitation. Int J Prosthodont Restor Dent 2014;4(1):14-19.

Amelogenesis imperfect (AI) is a complex group of inherited conditions affecting the enamel in both primary and permanent dentitions causing psychological trauma from unaesthetic, worn teeth. A sequenced treatment is described for a young adult with AI with metal-ceramic restorations. The case describes a patient with AI having hypersensitivity, severely worn, and unaesthetic dentition. Authors treated the patient with full-mouth metal-ceramic restorations after achieving a functional and esthetic occlusal plane using Broderick occlusal plane analyzer. A systematic treatment approach for the patient is described to achieve a long-term clinical success in the case of AI. The systematic treatment of AI as a full-mouth rehabilitation with endodontic therapy after establishing a proper occlusal plane provides long-term prognosis for the patient.