case_images: PMC10447022_01
case_images: Initial situation. Unilateral posterior edentulousness characterizes the case as a Kennedy Class II.
case_images: CRID2023-5249889.001.jpg
case_images: PMC10447022_01_CRID2023-5249889.001.jpg
case_images: fig1
case_images: A dental implant was present in the position of tooth No. #33, whereas the other two implants previously placed posterior to this one had been extracted due to severe periimplantitis (Figure 1).
case_images: Teeth #43 and #48 were prepared according to the previously defined vertical dimension. A healing abutment was placed on the implant in position No. #33 after the removal of the cement-retained crown.
case_images: CRID2023-5249889.002.jpg
case_images: PMC10447022_01_CRID2023-5249889.002.jpg
case_images: fig2
case_images: The metal framework carrying a unilateral custom tray at the edentulous area was tried intraorally. Impression of the edentulous area distal to the implant No. #33 was made with the framework in place so that an altered cast can be fabricated.
case_images: CRID2023-5249889.003.jpg
case_images: PMC10447022_01_CRID2023-5249889.003.jpg
case_images: fig3
case_images: The previous cast was modified according to the altered cast technique (Figure 3).
case_images: Light flow silicone placement to ensure adequate space presence for the attachment and activation acrylic to be placed.
case_images: CRID2023-5249889.004.jpg
case_images: PMC10447022_01_CRID2023-5249889.004.jpg
case_images: fig4
case_images: This area was filled with low-viscosity silicone, and the IARPD was seated to verify that adequate space was present for the activation (Figure 4).
case_images: The patient is in the maximum intercuspation position to ensure proper activation of the implant attachment. The activation insert was replaced by one with medium retentive force.
case_images: CRID2023-5249889.005.jpg
case_images: PMC10447022_01_CRID2023-5249889.005.jpg
case_images: fig5
case_images: After careful insertion of the prosthesis to its correct position, the patient was asked to close his mouth until maximum intercuspation (Figure 5).