Chair-Side Fabrication of a Fixed Implant-Supported Prosthesis in an Edentulous Mandible From A Diagnostic Wax-Up: A Clinical Report

Figure 1a . Pretreatment image of the patient in smile with the existing prosthesis. Figure 1b. Pretreatment image of the patient's existing prosthesis. Figure 2. Definitive mandibular cast representing the positions of the 6 dental implants. Figure 3. Maxillary and mandibular trial dentures on the mounted casts. Note the notches on the mandibular cast.

Figure 4a . Putty matrix of the diagnostic wax-up with tooth-colored acrylic resin. Note the impression of the notches in the putty matrix and the grooves on the teeth. Figure 4b. Duplicated acrylic resin denture after separation from the putty matrix. Figure 4c. Trimmed acrylic resin denture ready to be converted to a screw-retained interim fixed prosthesis. Figure 5. Temporary abutments being placed on the 4 anterior implants before being attached to the duplicate denture.

Figure 6a . Tissue surface of the interim fixed prosthesis showing smooth convex contours. Note the impressions of the healing abutments of the distal implants. Figure 6b. Screw-retained acrylic resin interim fixed prosthesis inserted in the mouth. Figure 7a. Frontal image of the patient with the definitive prostheses. Figure 7b. Full-face image of the patient in smile with the definitive prostheses.