Immediate complete prostheses with fibrous carbon artificial roots

An original immediate denture technique, combined with the insertion of fibrous carbon artificial (implant) roots is described. The method presents two main characteristics: 1) construction in the laboratory of a "matrix-base", which provides a "skeleton" for the final prosthesis; 2) a change in the sequence of the operative procedure. The final impressions are made after treatment, wax try-ins and surgery, immediately prior to processing the prosthesis. Among the advantages of this technique are the following: the "matrix-base" avoids making an intricate individual impression-tray. The remodelling of the plaster model is simplified in the laboratory. The artificial undersurface is shaped exactly to the tissues, following tooth extraction, when the secondary impressions are taken. The patient may contribute to ensure the optimal "esthetic reproduction" before denture processing. The technique of impacting fibrous carbon implants is simple and enables the optimal maintenance of the alveolar bone volume. The denture made with this technique provides an immediate denture, physiologically integrated into the tissues which it covers or which surround it. The middle and long term clinical results are always highly satisfactory.