Immediate implants, immediate loading, and milled double bar prosthesis (titanium, biohpp): A case report

Abstract

To rehabilitate lower arch by placing immediate implants and immediate milled provisionals and provide double bar prosthesis for the long-term survival of implants. Full-mouth rehabilitation by integrating cone-beam computed tomography data three-dimensional printing technology helps in precise placement and predictable outcomes to the longevity of implants. Six immediate implants were placed in the lower arch using digitally guided surgery. Computer-aided design-computer-aided manufacture milled temporary prosthesis was also given within 24 h of the surgery. After allowing for osseointegration, the final prosthesis was made up of materials such as titanium (primary bar), PEEK (secondary bar), and high-impact polymer composite crowns. Splinting all the implants together with such framework designs reduces the loads on implants and addition of two bars produces a dampening effect and helps long-term survival of the same. Strategies used to preserve alveolar bone and soft tissue by immediate implant placement in fresh extraction sockets shorten the treatment span. Immediate loading of implants using temporary prosthesis can be done after attaining adequate primary stability. This case has a follow-up of 6 years. The milled double bars made out of titanium and BioHPP h provide dampening effect and thus long-term survival of the implant.