case_images: PMC9667493_01
case_images: Extraoral image before prosthetic rehabilitation.
case_images: DRJ-19-78-g001.jpg
case_images: PMC9667493_01_DRJ-19-78-g001.jpg
case_images: F1
case_images: Extraoral examination revealed facial asymmetry, deviation of the lower third of the face toward the right, and reduced mouth opening [Figure 1].
case_images: Intraoral clinical situation after surgery and before prosthetic rehabilitation.
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case_images: PMC9667493_01_DRJ-19-78-g002.jpg
case_images: F2
case_images: The maxillary arch was intact [Figure 2].
case_images: Computer-aided design-computer-aided manufacturing planning for implants placement at positions 33, 42, 45, and 46.
case_images: DRJ-19-78-g003.jpg
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case_images: F3
case_images: All the four implants planned were 4.5 mm x 7 mm and with a sleeve offset of 12 mm except for the implant planned in position 45 which had a sleeve offset of 10.5 mm [Figure 3].
case_images: Prefabricated surgical stent sent by the laboratory.
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case_images: F4
case_images: Panoramic radiograph after implant placement.
case_images: DRJ-19-78-g005.jpg
case_images: PMC9667493_01_DRJ-19-78-g005.jpg
case_images: F5
case_images: The patient was left for a healing period of 6 months [Figure 5].
case_images: Splinting of impression copings with dental floss and pattern resin.
case_images: DRJ-19-78-g006.jpg
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case_images: F6
case_images: The impression coping was stabilized with the floss and then splinted with pattern resin (Luxatemp, Indore, Madhya Pradesh) [Figure 6].
case_images: Impression made with open tray impression technique using addition silicone impression material.
case_images: DRJ-19-78-g007.jpg
case_images: PMC9667493_01_DRJ-19-78-g007.jpg
case_images: F7
case_images: Once the tray was verified, a pick-up impression was made with rubber base impression material (Flexceed, Vinyl Polysiloxane, Indore, Madhya Pradesh) [Figure 7].
case_images: Provisional restoration in situ.
case_images: DRJ-19-78-g008.jpg
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case_images: F8
case_images: Pradesh) was mixed and placed in the putty index. Provisional restoration was thus fabricated using indirect technique and placed in the patient' mouth [Figure 8].
case_images: Definitive prosthesis.
case_images: DRJ-19-78-g009.jpg
case_images: PMC9667493_01_DRJ-19-78-g009.jpg
case_images: F9
case_images: Occlusal adjustments were done to achieve implant-protected occlusion, and the final screw-retained prosthesis was delivered to the patient [Figures 9 and 10].
case_images: Postoperative.
case_images: DRJ-19-78-g010.jpg
case_images: PMC9667493_01_DRJ-19-78-g010.jpg
case_images: F10
case_images: Occlusal adjustments were done to achieve implant-protected occlusion, and the final screw-retained prosthesis was delivered to the patient [Figures 9 and 10].