case_images: PMC11101258_01
case_images: Extraoral preoperative photograph: (a) left lateral view; (b) frontal view; (c) right lateral view showing sunken upper lip represented by yellow arrow.
case_images: CRID2024-8193822.001.jpg
case_images: PMC11101258_01_CRID2024-8193822.001.jpg
case_images: fig1
case_images: Therefore the patient's main concern was the loss of lip fullness as shown in Figures 1(a)-1(c).
case_images: Completely edentulous maxillary arch.
case_images: CRID2024-8193822.002.jpg
case_images: PMC11101258_01_CRID2024-8193822.002.jpg
case_images: fig2
case_images: Intraoral examination revealed an edentulous maxillary arch (Figure 2) and a dentulous mandibular arch (Figure 3).
case_images: Mandibular arch.
case_images: CRID2024-8193822.003.jpg
case_images: PMC11101258_01_CRID2024-8193822.003.jpg
case_images: fig3
case_images: Intraoral examination revealed an edentulous maxillary arch (Figure 2) and a dentulous mandibular arch (Figure 3).
case_images: Angled abutments attached to the zygomatic implants.
case_images: CRID2024-8193822.004.jpg
case_images: PMC11101258_01_CRID2024-8193822.004.jpg
case_images: fig4
case_images: Four zygomatic implants (Noris Zygo ) measuring each 37.5 mm in 15 with 60-degree abutment (Angulated Multi-unit NM-A7160), 57.5 mm in 12 with 60-degree abutment (Angulated Multi-unit NM-A7160), 37.5 mm in 25 with 60-degree abutment (Angulated Multi-unit NM-A7160), and 55 mm in 23 with 45-degree abutment (Angulated Multi-unit NM-A7146) were placed (Figure 4).
case_images: Postsurgical radiographs of the patient: (a) anteroposterior view; (b) orthopantomogram; (c) submentovertex radiographs showing zygomatic implants in place.
case_images: CRID2024-8193822.005.jpg
case_images: PMC11101258_01_CRID2024-8193822.005.jpg
case_images: fig5
case_images: Postsurgical radiographs of the patient were taken (Figures 5(a)-5(c)).
case_images: Hydrocolloid impression made with healing caps postsurgical after placement of implants.
case_images: CRID2024-8193822.006.jpg
case_images: PMC11101258_01_CRID2024-8193822.006.jpg
case_images: fig6
case_images: The rubber dam was placed on the healing abutments, and another impression was made with irreversible hydrocolloid impression material (Figure 6).
case_images: Maxillary denture with holes prepared in the sites of the healing caps.
case_images: CRID2024-8193822.007.jpg
case_images: PMC11101258_01_CRID2024-8193822.007.jpg
case_images: fig7
case_images: Holes were made in the same positions for the temporary cylinders (Figure 7).
case_images: Intraorally attached temporary cylinders.
case_images: CRID2024-8193822.008.jpg
case_images: PMC11101258_01_CRID2024-8193822.008.jpg
case_images: fig8
case_images: Abutments NM-T7121) were then screwed to the abutments intraorally (Figure 8), and the denture was tried to verify the position of the cylinders in dentures so that there was 2 mm space available for the autopolymerizing acrylic resin on all sides (Figure 9). Adjustments were done on the denture for the same, and occlusion was obtained in canine guidance.
case_images: Denture placed intraorally on temporary cylinders.
case_images: CRID2024-8193822.009.jpg
case_images: PMC11101258_01_CRID2024-8193822.009.jpg
case_images: fig9
case_images: Abutments NM-T7121) were then screwed to the abutments intraorally (Figure 8), and the denture was tried to verify the position of the cylinders in dentures so that there was 2 mm space available for the autopolymerizing acrylic resin on all sides (Figure 9). Adjustments were done on the denture for the same, and occlusion was obtained in canine guidance.
case_images: Maxillary denture with temporary cylinders picked up.
case_images: CRID2024-8193822.010.jpg
case_images: PMC11101258_01_CRID2024-8193822.010.jpg
case_images: fig10
case_images: Temporary cylinders were then picked up in the denture (Figure 10).
case_images: Finished maxillary prosthesis: (a) occlusal view; (b) frontal view; (c) intaglio surface.
case_images: CRID2024-8193822.011.jpg
case_images: PMC11101258_01_CRID2024-8193822.011.jpg
case_images: fig11
case_images: The denture was then modified, and flanges and palate were removed, finished polished, and inserted (Figures 11(a)-11(c)).
case_images: Prosthesis inserted intraorally (occlusal view).
case_images: CRID2024-8193822.012.jpg
case_images: PMC11101258_01_CRID2024-8193822.012.jpg
case_images: fig12
case_images: Teflon tape and sealed with composite (Figure 12).
case_images: Extraoral photographs of patient with inserted final prosthesis: (A) left lateral view; (B) frontal view; (C) right lateral view.
case_images: CRID2024-8193822.013.jpg
case_images: PMC11101258_01_CRID2024-8193822.013.jpg
case_images: fig13
case_images: The patient was satisfied with the appearance (Figure 13). The patient was kept on follow-up every 7 days for verification of phonetics, occlusion, and comfort.