Prosthetic procedure for simultaneous immediate loading of opposing edentulous arches

For patients with complete edentulism, a significant problem is the transfer of diagnostic data to the definitive casts when an immediate loading technique is used. This article presents a prosthetic procedure to allow simultaneous treatment of opposing edentulous arches with immediate implant loading. This technique uses 2 occlusal acrylic resin devices to transfer the diagnostic cast information to the definitive casts. Esthetic and functional fixed dental prostheses are fabricated from diagnostic information acquired in the presurgical phase without any impression or recording of the maxillomandibular relationship during or after surgery. This methodology is applicable when the simultaneous immediate loading of implants in 2 edentulous arches is indicated.