TOTAL CONOMETRIC FULL-ARCH PROSTHESES ON IMPLANTS: A MULTICENTRIC OBSERVATIONAL STUDY AFTER ONE YEAR

¹ Private Practice in Verona, Italy; Social and Healthcare Unit 9 Specialist, Verona, Italy
² Social and Healthcare Unit 9 Specialist, Verona, Italy
³ Head and Neck Department, Department of Surgery, Dentistry, Pediatrics, and Gynecology, University of Verona, Verona, Italy
⁴ Private Practice in Ravenna, Italy
⁵ Private Practice in Foggia, Italy
⁶ Head and Neck Department, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy

Correspondence to:

European Journal of Musculoskeletal Diseases 2026 September-December 15(3): Ahead of Print
https://doi.org/10.82093/ejmd/2026v15iss3_5

Received: 12 July 2026 Accepted: 4 August 2026

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Abstract

This multicentric retrospective pilot study explored peri-implant soft-tissue conditions one year after full-arch rehabilitation using a conometric connection at both the prosthetic and implant levels. Twenty patients were treated across three private dental clinics in Italy, with a total of 101 implants placed. Probing pocket depth (PPD) was measured at four sites and analyzed at the site, implant, and patient levels. The overall median PPD at the site level was 2.0 mm, and only 3% of sites showed PPD ≥4 mm, all at interproximal positions. At the implant level, 6.9% of implants had at least one site ≥4 mm; at the patient level, only 25% had any site ≥4 mm. No clinical signs of disease were observed, and no major technical complications were recorded. These descriptive findings suggest an overall favorable outcome for total conometric full-arch prostheses on implants, which may help in maintaining healthy peri-implant soft tissue conditions under functional loading, although the retrospective design and small sample size warrant cautious interpretation.

Keywords: dental implants, dental prosthesis, dental prosthesis design, implant-supported, peri-implantitis