case_images: PMC4299766_01
case_images: Initial clinical features.
case_images: CRID2015-102189.001.jpg
case_images: PMC4299766_01_CRID2015-102189.001.jpg
case_images: fig1
case_images: Given the clinical (Figure 1) and radiographic features, it was proposed to extract the remaining lower teeth and place an immediate loading implant-fixed mandibular prosthesis.
case_images: Multifunctional guide.
case_images: CRID2015-102189.002.jpg
case_images: PMC4299766_01_CRID2015-102189.002.jpg
case_images: fig2
case_images: Thus, a multifunctional guide (Figure 2) was fabricated from a duplicate of the wax base, after the first clinical proof, to maintain the esthetic and dimensional features obtained previously.
case_images: Abutments installed on the implants.
case_images: CRID2015-102189.003.jpg
case_images: PMC4299766_01_CRID2015-102189.003.jpg
case_images: fig3
case_images: Comercio de Produtos Odontologicos, Itu, SP, Brazil) with a greater torque than 40 N cm, the abutments were installed (Figure 3) and an impression was performed using the multifunctional guide. Cylinders that were previously cast in Ni-Cr alloy (Fit Cast SB-Plus Ni-Cr without Beryllium, Talladium, Curitiba-PR, Brazil) were installed on the abutment replicas in the master cast.
case_images: Fragments previously cast in Ni-Cr alloy inserted into the space between the cylinders.
case_images: CRID2015-102189.004.jpg
case_images: PMC4299766_01_CRID2015-102189.004.jpg
case_images: fig4
case_images: Fragments were earlier cast in Ni-Cr alloy and obtained by means of wax patterns and inserted into the space between the cylinders (Figure 4).
case_images: Framework after finishing.
case_images: CRID2015-102189.005.jpg
case_images: PMC4299766_01_CRID2015-102189.005.jpg
case_images: fig5
case_images: Finally, the finishing in the framework with stones and disks and blasting with aluminum oxide (100 mum) was performed (Figure 5).
case_images: Framework try-in.
case_images: CRID2015-102189.006.jpg
case_images: PMC4299766_01_CRID2015-102189.006.jpg
case_images: fig6
case_images: Then, it was performed the framework try-in on the abutments by first tightening down one of the terminal screws completely (Figure 6).
case_images: Prosthesis immediately after installation.
case_images: CRID2015-102189.007.jpg
case_images: PMC4299766_01_CRID2015-102189.007.jpg
case_images: fig7
case_images: After these procedures, we performed a clinical evaluation of the teeth and, after the confirmation and approval of the patient, the prosthesis was installed in 12 hours after surgery (Figure 7).
case_images: Panoramic radiograph after 12 months.
case_images: CRID2015-102189.008.jpg
case_images: PMC4299766_01_CRID2015-102189.008.jpg
case_images: fig8
case_images: Figures 8 and 9 show the radiographic and clinical features of the prosthesis 12 months after the installation.
case_images: Clinical aspect of the prosthesis after 12 months.
case_images: CRID2015-102189.009.jpg
case_images: PMC4299766_01_CRID2015-102189.009.jpg
case_images: fig9
case_images: Figures 8 and 9 show the radiographic and clinical features of the prosthesis 12 months after the installation.