case_images: PMC11208102_01
case_images: Initial situation.
case_images: CRID2024-2818034.001.jpg
case_images: PMC11208102_01_CRID2024-2818034.001.jpg
case_images: fig1
case_images: The edentulous mandible was rehabilitated with a conventional complete denture (Figure 1).
case_images: Restorative space available in the maxilla.
case_images: CRID2024-2818034.002.jpg
case_images: PMC11208102_01_CRID2024-2818034.002.jpg
case_images: fig2
case_images: Given the available prosthetic space measured at the mounted casts, a bar attachment was planned (Figure 2).
case_images: Implant dispersion regarding (a) the maxilla and (b) the mandible.
case_images: CRID2024-2818034.003.jpg
case_images: PMC11208102_01_CRID2024-2818034.003.jpg
case_images: fig3
case_images: Four months after placement, the implants were uncovered, and healing abutments were placed (Figure 3).
case_images: Centric relation record with screw-retained record base for the maxilla.
case_images: CRID2024-2818034.004.jpg
case_images: PMC11208102_01_CRID2024-2818034.004.jpg
case_images: fig4
case_images: Centric relation was recorded at the previously defined vertical dimension with an occlusal registration polyvinylsiloxane (Variotime, Kulzer GmbH, Germany) (Figure 4).
case_images: The presence of adequate restorative space for the construction of a bar substructure was verified.
case_images: CRID2024-2818034.005.jpg
case_images: PMC11208102_01_CRID2024-2818034.005.jpg
case_images: fig5
case_images: At this stage, the presence of adequate restorative space for the construction of a bar substructure was verified at the mounted casts (Figure 5).
case_images: (a) Prosthetic space availability verification through matrices fabricated from the diagnostic set-up. Space should be evaluated both (b) horizontally and (c) vertically.
case_images: CRID2024-2818034.006.jpg
case_images: PMC11208102_01_CRID2024-2818034.006.jpg
case_images: fig6
case_images: With the set-up trial placed on the working casts, silicone matrices (Oxasil, Kulzer GbH, Germany) were fabricated (Figure 6).
case_images: Space measurements should take into account implant abutments, bar height, and stud attachment height.
case_images: CRID2024-2818034.007.jpg
case_images: PMC11208102_01_CRID2024-2818034.007.jpg
case_images: fig7
case_images: The latter along with bar height and stud attachment height comprises the minimum vertical space needed for the overdenture substructure (Figure 7).
case_images: Bar design: stud attachments do not coincide with implant positions.
case_images: CRID2024-2818034.008.jpg
case_images: PMC11208102_01_CRID2024-2818034.008.jpg
case_images: fig8
case_images: The bar-stud attachment configurations were evaluated both clinically and radiographically for the passivity of fit (Figure 8).
case_images: Intaglio view of the mandibular denture after removal of the excess material used at the activation process.
case_images: CRID2024-2818034.009.jpg
case_images: PMC11208102_01_CRID2024-2818034.009.jpg
case_images: fig9
case_images: A thicker amount was placed inside the sockets on the intaglio surface of the overdenture. After the complete setting of the material, the overdenture was removed, excess material was trimmed, and the area was thoroughly polished (Figure 9).
case_images: Intraoral view of the dentures at the delivery appointment.
case_images: CRID2024-2818034.010.jpg
case_images: PMC11208102_01_CRID2024-2818034.010.jpg
case_images: fig10
case_images: Both the dentures were thoroughly inspected before the delivery (Figure 10).
case_images: (a) Intraoral view at the 1-year recall. (b) Correct design and oral hygiene have led to the prevention of gingival hyperplasia.
case_images: CRID2024-2818034.011.jpg
case_images: PMC11208102_01_CRID2024-2818034.011.jpg
case_images: fig11
case_images: The 1-year recall appointment proved that careful exercise of oral hygiene on a daily basis has prevented the development of gingival hyperplasia (Figure 11).