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Fig 5: Maxillary arch planning on CBCT Fig 6: Mandibular arch planning on CBCT

Fig 7: OPG immediately after the placement of maxillary implants Fig 8: Three months post op picture of maxillary arch
implants with Multi-unit abutments

Fig 9: Mandibular arch implants Fig 10: Maxillary arch impressions with open Fig 11a: Impression tray Fig 11b: Impression tray fitted with
placed in the third quadrant, tray intaglio surface lab analogues
with healing abutments

patient was uncomfortable using it, so it was ultimately not used. to the multi-unit abutments. This was tried in the patient’s mouth,
Six implants (Osstem TS III SA and TS IV SA) were placed, and and the patient expressed satisfaction with the aesthetic appearance
the case was left to heal for three months. Mandibular implants were (regarding the shape of the teeth) and overall facial changes following
placed at a later date. the placement of the prosthesis.

Prosthetic Phase Work on Mandibular Arch
Three months after the placement of the implants, second-stage Once the occlusal reference plane was finalized, lower implants
surgery was performed, and multi-unit abutments (MUA) were placed at 45, 46, and 36 were placed (Osstem TS III SA) and left for three
and torqued according to the manufacturer’s recommendations. months. Later on, second-stage surgery was performed, and healing
Following the placement of the MUA, impressions were taken, and abutments were placed. Meanwhile, tooth preparation was done in the
a jig trial verification of the impressions was done. New interocclusal mandibular arch, and vital teeth were subjected to immediate dentinal
jaw records were made using a Fox plane device (Vijay Dental). The sealing, and chairside temporaries were fabricated using Temp Smart
case was then transferred to the dental laboratory (Precision Dental (GC Fuji Japan). At this time, the old restoration on 47 was removed,
Studio, Kolhapur, Maharashtra). A 3D-printed temporary prosthesis and the tooth preparation was modified. Finally, all zirconia crowns
was fabricated; the design of the prosthesis was created on exocad by and implant-borne restorations were received and seated in place.
Mr. Mohit Suryavanshi CDT and bonded to the cylinders that attach Luxor Z (Bredent, Germany) zirconia was used for the fabrication

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