case_images: PMC5394411_01
case_images: Patient's preoperative panoramic view.
case_images: CRID2017-5458617.001.jpg
case_images: PMC5394411_01_CRID2017-5458617.001.jpg
case_images: fig1
case_images: All maxillary teeth had unfavorable C/R ratio and were hopeless according to severe caries and severe periodontitis (Figure 1).
case_images: Panoramic view after implant insertion.
case_images: CRID2017-5458617.002.jpg
case_images: PMC5394411_01_CRID2017-5458617.002.jpg
case_images: fig2
case_images: So the clinical decision for the maxilla was extraction of all remaining teeth and insertion of six implants (Figure 2).
case_images: (a): Intraoral view of the interim immediate obturator (IIO) with tissue conditioner (TC) applied. (b): intaglio surface of the IIO.
case_images: CRID2017-5458617.003.jpg
case_images: PMC5394411_01_CRID2017-5458617.003.jpg
case_images: fig3
case_images: Immediately after surgery, tissue conditioner (TC) (COE-COMFORT, GC, America) was applied in the intaglio surface of IIO (Figure 3(a)). TC was applied again (Figure 3(b)). Two weeks later, primary impressions with irreversible hydrocolloid (Kerr, USA) were taken.
case_images: 15  angled abutments and bar and balls were placed and torqued.
case_images: CRID2017-5458617.004.jpg
case_images: PMC5394411_01_CRID2017-5458617.004.jpg
case_images: fig4
case_images: Associated ball and bar attachments (Rhein83 Srl, USA) were selected (Figure 4).
case_images: Delivery of the maxillary definitive obturator (DO) and 5-unit FPD.
case_images: CRID2017-5458617.005.jpg
case_images: PMC5394411_01_CRID2017-5458617.005.jpg
case_images: fig5
case_images: ISO was inserted in the patient's mouth simultaneously (Figure 5). In order to make functional impression at the end of delivery appointment,
case_images: TC was applied to the tissue surface of the DO in order to obtain the optimal peripheral seal.
case_images: CRID2017-5458617.006.jpg
case_images: PMC5394411_01_CRID2017-5458617.006.jpg
case_images: fig6
case_images: TC (COE-COMFORT, GC, America) was used to improve the peripheral seal and consequently speech ability (Figure 6). The patient was instructed to use the
case_images: Delivery of mandibular-implant-supported restorations.
case_images: CRID2017-5458617.007.jpg
case_images: PMC5394411_01_CRID2017-5458617.007.jpg
case_images: fig7
case_images: ISO day and night and only remove it for oral hygiene. In the mandible, implant-supported FPD and crown were selected (Figure 7).
case_images: Delivery of the soft guard to protect the maxillary 5-unit FPD.
case_images: CRID2017-5458617.008.jpg
case_images: PMC5394411_01_CRID2017-5458617.008.jpg
case_images: fig8
case_images: A soft guard was fabricated on the maxillary FPD (Figure 8).
case_images: DO with TC was processed again and delivered.
case_images: CRID2017-5458617.009.jpg
case_images: PMC5394411_01_CRID2017-5458617.009.jpg
case_images: fig9
case_images: ISO with applied-tissue-conditioner was poured and processed again (Figure 9).