case_images: PMC4628715_01
case_images: Panoramic radiograph of patient with two poor-prognosed mandibular teeth.
case_images: CRID2015-841745.001.jpg
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case_images: fig1
case_images: After clinical and radiological assessments (Figure 1), considering the loss of the bone and labial support, two treatment options had been presented for the patient: implant supported overdentures or implant supported hybrid dentures.
case_images: Panoramic radiograph after implant insertion.
case_images: CRID2015-841745.002.jpg
case_images: PMC4628715_01_CRID2015-841745.002.jpg
case_images: fig2
case_images: Italy) were inserted according to manufacturer's recommendations. Implant locations were 15, 13, 11, 16, 26, 23, and 21 (Figures 2 and 3).
case_images: (a and b) Clinical view of the implants after surgical insertion.
case_images: CRID2015-841745.003.jpg
case_images: PMC4628715_01_CRID2015-841745.003.jpg
case_images: fig3
case_images: Italy) were inserted according to manufacturer's recommendations. Implant locations were 15, 13, 11, 16, 26, 23, and 21 (Figures 2 and 3).
case_images: (a and b) Gingival formers were fastened and the flaps were repositioned with interrupted 3.0 silk sutures. (c) The healing was uneventful for the following ten days.
case_images: CRID2015-841745.004.jpg
case_images: PMC4628715_01_CRID2015-841745.004.jpg
case_images: fig4
case_images: A coronally repositioned flap from the palatal soft tissue was achieved in order to facilitate a gain of attached tissue and tension-free closure of the flap around the healing abutments (Figure 4).
case_images: (a, b, and c) Wax-up try-in for determining intermaxillary vertical dimensions and the support.
case_images: CRID2015-841745.005.jpg
case_images: PMC4628715_01_CRID2015-841745.005.jpg
case_images: fig5
case_images: This setup is considered as the facial border of the future planned wax-up and it also helps the technician to construct a computerized design for this hybrid prosthesis which stimulates the final restoration (Figure 5).
case_images: (a) Occlusal and (b) frontal view of laser sintered metal substructure.
case_images: CRID2015-841745.006.jpg
case_images: PMC4628715_01_CRID2015-841745.006.jpg
case_images: fig6
case_images: In addition to the mechanical retention, chemical retention was provided by a proprietary bonding agent (GC Metalprimer II) (Figures 6, 7, and 8).
case_images: Occlusal view of the abutments (a) on the study cast and (b) intraorally.
case_images: CRID2015-841745.007.jpg
case_images: PMC4628715_01_CRID2015-841745.007.jpg
case_images: fig7
case_images: In addition to the mechanical retention, chemical retention was provided by a proprietary bonding agent (GC Metalprimer II) (Figures 6, 7, and 8).
case_images: (a) Occlusal view of metal substructure, (b) frontal view of metal substructure, and (c) metal try-in.
case_images: CRID2015-841745.008.jpg
case_images: PMC4628715_01_CRID2015-841745.008.jpg
case_images: fig8
case_images: In addition to the mechanical retention, chemical retention was provided by a proprietary bonding agent (GC Metalprimer II) (Figures 6, 7, and 8).
case_images: Computerized view of model and metal substructure.
case_images: CRID2015-841745.009.jpg
case_images: PMC4628715_01_CRID2015-841745.009.jpg
case_images: fig9
case_images: Implant at site 13 was found to be placed, tilted to the vestibular aspect during the first surgery, so this abutment at site 13 was cemented to the framework to provide a parallel path of insertion to the framework and to improve this implant's emergence profile (Figure 9).
case_images: (a) Occlusal and (b) frontal view of the first composite layer that is bonded to the metal substructure.
case_images: CRID2015-841745.010.jpg
case_images: PMC4628715_01_CRID2015-841745.010.jpg
case_images: fig10
case_images: After that occlusion was adjusted, the end result provided adequate contour to facilitate maintenance and healthy gingival tissues (Figures 10, 11, and 12).
case_images: (a) Frontal and (b) occlusal view for hybrid prosthesis.
case_images: CRID2015-841745.011.jpg
case_images: PMC4628715_01_CRID2015-841745.011.jpg
case_images: fig11
case_images: After that occlusion was adjusted, the end result provided adequate contour to facilitate maintenance and healthy gingival tissues (Figures 10, 11, and 12).
case_images: Occlusal adjustments at (a) lateral movement and (b) centric occlusion.
case_images: CRID2015-841745.012.jpg
case_images: PMC4628715_01_CRID2015-841745.012.jpg
case_images: fig12
case_images: After that occlusion was adjusted, the end result provided adequate contour to facilitate maintenance and healthy gingival tissues (Figures 10, 11, and 12).