{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T15:50:00Z","timestamp":1789487400993,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:00:00Z","timestamp":1789430400000},"content-version":"vor","delay-in-days":257,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Dentistry"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aim<\/jats:title>\n                    <jats:p>Full\u2010arch rehabilitation in patients with advanced maxillary atrophy has evolved considerably through the introduction of tilted and pterygoid implants combined with immediate loading protocols. At the same time, digital technologies have transformed prosthetic workflows. Nevertheless, fully digital procedures may still present limitations in edentulous arches because of scanning accuracy, equipment costs, and restricted accessibility in many clinical settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Report<\/jats:title>\n                    <jats:p>A 68\u2010year\u2010old male patient affected by terminal dentition and severe generalized periodontitis underwent staged implant\u2010supported full\u2010arch rehabilitation. The maxilla was treated first using immediate postextraction placement of six implants, including tilted posterior and pterygoid implants, followed by immediate loading. Six months later, the mandible was rehabilitated using the same treatment philosophy. Prosthetic rehabilitation was performed through a hybrid analog\u2013digital workflow in which conventional implant impressions were integrated with digital scanning and CAD\u2013CAM manufacturing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All implants obtained adequate primary stability, allowing immediate loading. Clinical and radiographic examinations confirmed successful osseointegration, stable peri\u2010implant tissues, and absence of biological or mechanical complications throughout the observation period. Definitive CAD\u2013CAM prostheses demonstrated passive fit without requiring intraoral corrections. At 2 years, functional stability, aesthetic integration, and patient satisfaction remained excellent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This case illustrates that a hybrid analog\u2013digital workflow can represent a practical and predictable alternative for full\u2010arch rehabilitation in complex implant cases. By combining the precision of conventional impressions with the flexibility of digital prosthetic design, the proposed protocol achieved reliable clinical outcomes while remaining suitable for everyday clinical practice. Although further clinical studies are necessary, this approach may provide a practical and clinically applicable strategy that integrates conventional and fully digital rehabilitation protocols.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crid\/9931993","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T14:25:08Z","timestamp":1789482308000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Staged Full\u2010Arch Rehabilitation With Tilted and Pterygoid Implants: A Pragmatic Hybrid Analog\u2013Digital Workflow With 2\u2010Year Follow\u2010Up"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6181-1067","authenticated-orcid":false,"given":"Francesco","family":"Liborio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8035-6309","authenticated-orcid":false,"given":"Fabio Massimo","family":"Sciarra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6999-6493","authenticated-orcid":false,"given":"Emanuele","family":"Di Vita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvatore","family":"Nigliaccio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0221-7020","authenticated-orcid":false,"given":"Davide Alessio","family":"Fontana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7409-4474","authenticated-orcid":false,"given":"Pietro","family":"Messina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3420-8128","authenticated-orcid":false,"given":"Enzo Maria","family":"Cumbo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7305-530X","authenticated-orcid":false,"given":"Giuseppe Alessandro","family":"Scardina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.11607\/jomi.3233"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2013.04.010"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/cid.12124"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-012-0864-4"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-013-1132-y"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/jopr.12218"},{"key":"e_1_2_14_7_2","first-page":"29","article-title":"Digitizing Implant Position Locators on Master Casts: Comparison of a Noncontact Scanner and a Contact-Probe Scanner","volume":"27","author":"Holst S.","year":"2012","journal-title":"International Journal of Oral & Maxillofacial Implants"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.4047\/jap.2015.7.6.460"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/clr.12567"},{"key":"e_1_2_14_10_2","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2013.0209"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/jopr.13604"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2022.03.033"},{"key":"e_1_2_14_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2020.03.005"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2021.05.019"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-017-2217-9"},{"key":"e_1_2_14_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/ID.0000000000000353"}],"container-title":["Case Reports in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crid\/9931993","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crid\/9931993","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crid\/9931993","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T14:25:09Z","timestamp":1789482309000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crid\/9931993"}},"subtitle":[],"editor":[{"given":"Hannah","family":"Wesley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crid\/9931993"],"URL":"https:\/\/doi.org\/10.1155\/crid\/9931993","archive":["Portico"],"relation":{},"ISSN":["2090-6447","2090-6455"],"issn-type":[{"value":"2090-6447","type":"print"},{"value":"2090-6455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-03-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9931993"}}