Redefining Smiles by Malo Bridge: A Case Report on Digitally Fabricated Fixed Prosthetic Solution for Anterior Mandible

The rehabilitation of edentulous spaces with implant-supported fixed prostheses has evolved significantly, with digital workflows enhancing precision and predictability. This case report details the prosthetic rehabilitation of a 50-year-old male patient presenting with missing teeth in the anterior mandibular region. The patient reported difficulty with mastication and aesthetic concerns due to a long-standing edentulous space. Clinical and radiographic evaluation revealed moderate to severe alveolar ridge resorption and a high crown height space, posing a challenge for conventional prosthetic options. To address the functional and aesthetic demands of the case, a digitally planned implant-supported Malo bridge was selected as the optimal restorative solution. The prosthetic workflow incorporated customised abutments, a screw-retained substructure, and cement-retained individual crowns, all designed using Computer-Aided Design (CAD)-Computer-Aided Manufacturing (CAM) technology and fabricated via Direct Metal Laser Sintering (DMLS) Three-Dimensional (3D) printing. This case highlights the advantages of integrating advanced digital techniques for the fabrication of complex implant-supported prostheses, offering a predictable and durable solution for high crown height space restorations.