Guided Surgery in Immediate Load: A Modern Solution for Total Edentulism -Case Report

Complete edentulism is a common challenge, and the protocol prosthesis is one of the main alternatives for resolving this impasse. Traditionally, its fabrication takes 3 to 6 months due to the osseointegration of dental implants (DIs). However, the immediate loading technique allows the prosthesis to be installed within 72 hours after the DIs are placed, quickly restoring function and quality of life. In this context, the objective of this study is to report oral rehabilitation with a fixed complete denture, from the DIs installation to their fixation through guided surgery and immediate loading. A 65-year-old male patient presented to the dentist reporting dissatisfaction with the use of an upper removable partial denture. During the anamnesis, periodontal and aesthetic impairment of the present teeth was observed. Multiple extractions and rehabilitation with an upper implant-supported prosthesis were planned. After the anamnesis, the patient’s arches were scanned and a digital plan was created to create a 3D-printed surgical guide(SC) with biocompatible resin. The extractions were then performed, and with the help of the SC, five Morse taper implants were placed, associated with five mini-abutment abutments and their respective provisional cylinders. A removable complete denture was previously fabricated, and holes were drilled in it to position the provisional cylinders. This was then captured using self-curing acrylic resin. Following this, occlusal adjustment, finishing, and polishing of the piece were performed, and installation was performed. Thus, oral rehabilitation with implants through the guided surgery technique and immediate loading is a procedure that brings comfort and predictability in rehabilitation, reducing postoperative morbidity, favoring installation in the appropriate regions and allowing immediate prosthetic rehabilitation.