Introduction and the ground of immediate loading full arch procedures. Explanation of this protocol advantages, and its place among all the possible treatment options. Scientific background: success and complication rates; biomechanics: implant length; tilting angle; intermediate abutment functions; prosthesis types; cantilever length. Step by step protocol analyses and explanation using single patient case. Clinical cases overview: maxilla and mandible procedures, cases with 5y. follow ups, complications review and treatment. Dental technician’s part: explanation how prosthetic guide is being designed and prepared, what materials is the optimal choice for this procedure, duration to prepare this prosthesis; rebasing procedures.
Steps to prepare prosthetic guide (template), which will be used to copy implant position and soft tissue profile, and occlusion register in single action. Surgical procedure: teeth extraction; alveolar bone reduction; implant positioning using full arch ruler; bone profiling around placed implants; intermediate abutment attachment and achievement of optimal prosthetically driven position; soft tissue adaptation; wound suturing; healing abutment placement. Prosthetic procedure: temporary cylinder’s adaptation or reduction due to occlusion height, insulation of stiches and wound before impression with template; prosthetic guide adaptation due to implant position; impression using prosthetic guide and self curing composite; occlusion check and registration; final prosthesis adaptation; follow ups and maintenance.
Advantages and disadvantages of this technique. Step by step procedure using single patient case. Summarizing needed requirements for patient and tools to achieve success.