Immediate loading of implants and fixed complete dentures: a simplified prosthetic procedure

Area of Science:

• Dental Implantology
• Prosthodontics
• Oral Surgery

Background:

• Immediate prosthetic placement following All-on-four implant surgery presents significant clinical challenges for prosthodontists.
• Ensuring prosthesis quality during immediate loading protocols requires careful planning and execution.

Purpose of the Study:

• To describe a simplified, reliable technique for fabricating and adapting a conventional complete denture for immediate use with All-on-four implants.
• To evaluate the feasibility of using a laboratory reline procedure to ensure prosthesis fit and quality for immediate fixed prostheses.

Main Methods:

• A conventional complete denture was fabricated pre-surgically.
• The denture was adapted to the implants using a laboratory reline procedure after the All-on-four surgical phase.
• This facilitated the immediate placement of the fixed prosthesis.

Main Results:

• The described technique allows for the successful adaptation of a pre-fabricated denture to implants.
• Immediate placement of the fixed prosthesis was achieved without compromising prosthesis quality.
• The procedure requires only a straightforward dental laboratory reline.

Conclusions:

• This simplified technique offers a practical solution for the immediate prosthetic rehabilitation of patients undergoing All-on-four treatment.
• Laboratory relining of a pre-surgical denture is an effective method to ensure a high-quality immediate fixed prosthesis.
• The technique enhances predictability and simplifies the process for immediate All-on-four restorations.