Interdisciplinary teamwork and meticulous treatment planning are crucial for addressing complex dental disorders. Comprehensive management was essential following SBARD (SAUDI BOARD IN ADVANCE RESTORATIVE DENTISTRY) recommendations and treatment stages. Essential components include assessment of tooth restorability, preventive therapy, extraction of non-restorable teeth, dietary analysis, carious teeth restoration, endodontic treatment, and pre-prosthetic surgical care, which involves dental implant insertion and periodontal surgery. This case report details the treatment of a 27-year-old Saudi male patient exhibiting a high risk of caries, supra-erupted teeth, carious lesions, missing teeth, and inadequate root canal treatment. Principal treatments included preventative therapy, assessment of tooth restorability, extraction of hopeless tooth, extractions, dietary analysis, restorations, endodontic therapy, dental implants, and periodontal surgery. In the present case, the initial preventive measures included periodontal consultations, therapy, and diagnostic assessments, which laid a strong foundation for subsequent treatments. The hopeless teeth extraction (#17, 26, 27, 36, 37, 48) was critical in eliminating sources of infection and preparing the oral environment for restorative procedures. These extractions were pivotal in ensuring that the patient’s oral health could be restored effectively without the complications posed by severely compromised teeth. Conclusive prosthodontic treatment was preceded by occlusal assessment and adjustment in treatment strategies in rehabilitating oral health, function, and aesthetics.
