PMC9667493_01
Extraoral image before prosthetic rehabilitation.
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F1
Extraoral examination revealed facial asymmetry, deviation of the lower third of the face toward the right, and reduced mouth opening [Figure 1].
Intraoral clinical situation after surgery and before prosthetic rehabilitation.
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F2
The maxillary arch was intact [Figure 2].
Computer-aided design-computer-aided manufacturing planning for implants placement at positions 33, 42, 45, and 46.
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F3
All the four implants planned were 4.5 mm x 7 mm and with a sleeve offset of 12 mm except for the implant planned in position 45 which had a sleeve offset of 10.5 mm [Figure 3].
Prefabricated surgical stent sent by the laboratory.
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F4
Panoramic radiograph after implant placement.
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F5
The patient was left for a healing period of 6 months [Figure 5].
Splinting of impression copings with dental floss and pattern resin.
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F6
The impression coping was stabilized with the floss and then splinted with pattern resin (Luxatemp, Indore, Madhya Pradesh) [Figure 6].
Impression made with open tray impression technique using addition silicone impression material.
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F7
Once the tray was verified, a pick-up impression was made with rubber base impression material (Flexceed, Vinyl Polysiloxane, Indore, Madhya Pradesh) [Figure 7].
Provisional restoration in situ.
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F8
Pradesh) was mixed and placed in the putty index. Provisional restoration was thus fabricated using indirect technique and placed in the patient' mouth [Figure 8].
Definitive prosthesis.
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F9
Occlusal adjustments were done to achieve implant-protected occlusion, and the final screw-retained prosthesis was delivered to the patient [Figures 9 and 10].
Postoperative.
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F10
Occlusal adjustments were done to achieve implant-protected occlusion, and the final screw-retained prosthesis was delivered to the patient [Figures 9 and 10].