case_images: PMC6735220_01
case_images: Clinical aspect of the removable complete dentures: note the absence of occlusal contact and marginal adaptation to the jaws.
case_images: CRID2019-4648959.001.jpg
case_images: PMC6735220_01_CRID2019-4648959.001.jpg
case_images: fig1
case_images: The patient had been using the same dentures for 30 years (Figures 1 and 2).
case_images: Preoperative intraoral clinical view.
case_images: CRID2019-4648959.002.jpg
case_images: PMC6735220_01_CRID2019-4648959.002.jpg
case_images: fig2
case_images: The patient had been using the same dentures for 30 years (Figures 1 and 2).
case_images: Preoperative panoramic radiograph.
case_images: CRID2019-4648959.003.jpg
case_images: PMC6735220_01_CRID2019-4648959.003.jpg
case_images: fig3
case_images: After imaging analysis (Figure 3), a fixed full-arch rehabilitation on 3 straight immediately loaded implants was planned because the interforaminal distance limited the placement of four implants, according to the surgeon's experience.
case_images: Intraoperative intraoral view of the surgical guide showing parallelism pins.
case_images: CRID2019-4648959.004.jpg
case_images: PMC6735220_01_CRID2019-4648959.004.jpg
case_images: fig4
case_images: The implant positions were tested with the parallel pins and the surgical guide before completing the osteotomies (Figure 4).
case_images: Intraoperative intraoral view of the 3 implants inserted in the jaw.
case_images: CRID2019-4648959.005.jpg
case_images: PMC6735220_01_CRID2019-4648959.005.jpg
case_images: fig5
case_images: Three Titamax GT 3.75 x 11 mm implants (Neodent, Curitiba, Brazil) were inserted in the interforaminal region (Figures 5 and 6), with an insertion torque ranging between 60 and 80 N/cm.
case_images: Intraoperative intraoral view of the surgical guide showing good positioning of the 3 implants.
case_images: CRID2019-4648959.006.jpg
case_images: PMC6735220_01_CRID2019-4648959.006.jpg
case_images: fig6
case_images: Three Titamax GT 3.75 x 11 mm implants (Neodent, Curitiba, Brazil) were inserted in the interforaminal region (Figures 5 and 6), with an insertion torque ranging between 60 and 80 N/cm.
case_images: Intraoral view of the bar proof with occlusion vertical dimension wax block registration.
case_images: CRID2019-4648959.007.jpg
case_images: PMC6735220_01_CRID2019-4648959.007.jpg
case_images: fig7
case_images: The day after surgery, the nickel-chromium metal bar, which had been made according to the position in the wax-up of the future teeth, was tried and sent for mounting the teeth, after being approved by the patient (Figure 7).
case_images: Intraoral view of the wax mounted teeth try-in.
case_images: CRID2019-4648959.008.jpg
case_images: PMC6735220_01_CRID2019-4648959.008.jpg
case_images: fig8
case_images: On the next day, the esthetic appearance, which provided adequate lip support, smile line, positioning of the teeth, and occlusal guidelines (Figure 8), was approved.
case_images: Clinical aspects of the new maxillary denture and mandibular fixed prosthetic restoration on 3 implants on the delivery day.
case_images: CRID2019-4648959.009.jpg
case_images: PMC6735220_01_CRID2019-4648959.009.jpg
case_images: fig9
case_images: Finally, on the third day after surgery, the screw-retained full-arch rehabilitation on the three implants was installed (Figures 9 and 10).
case_images: Extraoral view of the patient with the new oral rehabilitation.
case_images: CRID2019-4648959.010.jpg
case_images: PMC6735220_01_CRID2019-4648959.010.jpg
case_images: fig10
case_images: Finally, on the third day after surgery, the screw-retained full-arch rehabilitation on the three implants was installed (Figures 9 and 10).
case_images: One-year postoperative follow-up panoramic radiograph.
case_images: CRID2019-4648959.011.jpg
case_images: PMC6735220_01_CRID2019-4648959.011.jpg
case_images: fig11
case_images: The patient returned after one year for a clinical and radiographic evaluation (Figure 11).
case_images: Eight-year follow-up panoramic radiograph: note that there is no bone loss around the implants.
case_images: CRID2019-4648959.012.jpg
case_images: PMC6735220_01_CRID2019-4648959.012.jpg
case_images: fig12
case_images: In the evaluation by panoramic radiograph, there were no aspects of bone loss or bone remodeling around the implants (Figure 12).