Immediately loaded full-arch provisional implant restorations using CAD/CAM and guided placement: maxillary and...

This paper describes a protocol which incorporates the benefits of medical imaging, computerised virtual treatment planning, computer guided surgery, and the fitting and immediate loading of a preformed provisional full arch fixed prosthesis. The protocol can be adapted for use with the implant system of the operator's choosing and a prosthetic carrier presents the immediate load prosthesis to the mouth in its correct three-dimensional inter-occlusal relationship, simplifying the prosthetic stages for immediate load case management. Two case studies are described to illustrate the procedure for both mandibular and maxillary reconstructions.