An Alternative Technique for Fabrication of Frameworks in an Immediate Loading Implant Fixed Mandibular Prosthesis

Clinical case presentation demonstrates the treatment of a 64-year-old female patient. The patient presented clinically with tooth mobility and bone resorption in anterior mandibular arch. In addition, she was wearing an old and misfit removable partial dentures in the upper and lower arch and did not show any systemic disease. Given the clinical and radiographic features, it was proposed to extract the remaining lower teeth and place an immediate loading implant-fixed mandibular prosthesis. This decision was made considering the bad conditions of mandibular teeth, which did not allow the rehabilitation with new removable partial dentures or another modality of dental prostheses. For the upper arch was proposed a provisional removable partial denture until the placement of bone graft with the purpose of subsequent placing dental implants.