This case report describes the prosthetic rehabilitation of a 78-year-old woman with a horizontally resorbed anterior maxilla, in which a 3.8 mm-diameter implant was strategically placed in a localized area of sufficient ridge width to avoid horizontal bone augmentation. The treatment plan combined early implant placement, total conometric retention, and preservation of natural teeth to deliver a minimally invasive, fixed solution. Three implants were placed and restored with a screwless, cementless zirconia-ceramic prosthesis. At the nine-month follow-up, clinical and radiographic outcomes confirmed implant stability, peri-implant tissue health, and functional success without complications. This case illustrates that, in select patients, the use of a moderately wide implant within native bone can optimize biomechanics while reducing surgical burden, especially when paired with friction-fit prosthetic protocols.<\/p>\n","protected":false},"template":"","meta":{"_acf_changed":false,"_members_access_role":[],"_members_access_error":""},"categories":[3151],"tags":[3155,3154,566,3152,3153,1013],"affiliation":[],"contributor":[3219,3216,3214,3210,3209,3213,3218,3212,3211,3217,3215],"journalissue":[3201],"class_list":["post-24570","article","type-article","status-publish","hentry","category-ejmd-vol-15-n-2-may-aug-2026","tag-alveolar-ridge-resorption","tag-dental-abutments","tag-dental-implants","tag-dental-prosthesis","tag-implant-supported","tag-minimally-invasive-surgical-procedures","contributor-b-mattei","contributor-c-m-magnelli","contributor-g-colapinto","contributor-g-conti","contributor-g-zanotti","contributor-l-tarabini","contributor-n-tomizioli","contributor-p-faccioni","contributor-p-montagna","contributor-t-pignatelli","contributor-t-m-davo","journalissue-ejmd-2026-vol-152-may-aug"],"acf":[],"yoast_head":"\n