Prosthetic procedure for simultaneous immediate loading of opposing edentulous arches.

For patients with complete edentulism, a significant problem is the transfer of diagnostic data to the definitive casts when an immediate loading technique is used. This article presents a prosthetic procedure to allow simultaneous treatment of opposing edentulous arches with immediate implant loading. This technique uses 2 occlusal acrylic resin devices to transfer the diagnostic cast information to the definitive casts. Esthetic and functional fixed dental prostheses are fabricated from diagnostic information acquired in the presurgical phase without any impression or recording of the maxillomandibular relationship during or after surgery. This methodology is applicable when the simultaneous immediate loading of implants in 2 edentulous arches is indicated.

The one-model technique: a new method for immediate loading with fixed prostheses in edentulous or potentially edentulous jaws.

This article examines a new prosthetic procedure for the immediate loading of implants with a fixed prosthesis in edentulous or potentially edentulous arches. In these situations, one of the main problems associated with immediate loading is the transfer of diagnostic information to the master cast. This technique takes advantage of an acrylic resin transfer plate that enables transfer of the study cast information to the master cast. Without any intrasurgical impression or any recording of the maxillomandibular relationship during or after surgery, construction of an adequate esthetic and functional fixed prosthesis is possible on the basis of diagnostic information acquired in the presurgical phase. The methodology is always applicable when there is an indication for immediate loading of implants. The rationale and guidelines for the successful use of this technique in edentulous or potentially edentulous arches are discussed and illustrated with a clinical case.