#Full-Arch 20. Mar 2017

All-Records-in-One® for immediate loading – a novel technique for manufacturing a full-arch, fixed, implant-supported provisional restoration in the surgical office

A clinical case report by Angel Moreno Lucendo, Spain

This case report presents an immediate-loading procedure as an innovative application for the newly described “All-Records-in-One®” impression technique*. This method allows us to fabricate a temporary implant-supported restoration for an edentulous patient in a quick, accurate and comfortable manner for both patients and clinicians. As the procedure is entirely prosthodontically driven, it is highly accurate and has a low incidence of occlusal corrections, thereby substantially reducing the average patient´s chair time.

Initial situation

An edentulous healthy 58-year-old non-smoking male, wearing maxillary and mandibular complete dentures presented at our dental office. He complained about their instability and unsatisfactory appearance (Fig. 1). He also reported pain and frequent pressure ulcers caused by the instability of the mandibular denture (Fig. 2) and also by the lack of keratinized tissue. We assessed viable bone from a panoramic radiograph and CBCT scan (Fig. 3), and the patient was offered several treatment options, including fixed, full arch implant-supported restorations in both maxilla and mandible, and also a free gingival procedure to increase the quality of the tissue, which was refused by the patient. For financial reasons, the patient chose a conventional complete denture in the upper jaw and a full-arch, screw-retained hybrid prosthesis in the lower jaw.

Treatment planning

An immediate-loading option was discussed and fully explained to the patient. Once the patient agreed to have the treatment, we made two diagnostic wax-ups for the upper and lower jaws and tried them in the patient´s mouth to check esthetics, vertical dimension and centric relation records. After clinically assessing the esthetics and functional records, we fabricated a definitive complete denture in the upper jaw and a temporary acrylic complete denture in the lower jaw.

Surgical procedure

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