Journal of Prosthetic Dentistry

Restoration of immediately placed implants in 3 appointments: From surgical placement to definitive prostheses

      This article describes a comprehensive approach that enables the clinician to place dental implants, and fabricate a provisional prosthesis and a definitive metal–acrylic resin or metal-ceramic fixed complete denture in 3 appointments. This technique allows the practitioner to immediately load the implants with a provisional fixed complete denture at the time of implant placement, to record the relative positions of the implants and soft tissues, the occlusal vertical dimension, maxillomandibular relationship, and tooth position at the second appointment by using the information provided by the provisional fixed denture, and to insert the definitive prosthesis at the third appointment. This technique reduces chair time for both the patient and the clinician, and could ultimately reduce the cost of implant treatment and potentially increase treatment acceptance.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Prosthetic Dentistry
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Adell R.
        • Eriksson B.
        • Lekholm U.
        • Branemark P.I.
        • Jemt T.
        Long-term follow-up study of osseointegrated implants in the treatment of the totally edentulous jaw.
        Int J Oral Maxillofac Implants. 1990; 5: 347-359
        • Lindquist L.W.
        • Carlsson G.E.
        • Glantz P.O.
        Rehabilitation of the edentulous mandible with tissue-integrated fixed prostheses: a six-year longitudinal study.
        Quintessence Int. 1987; 18: 89-96
        • Lekholm U.
        • van Steenberghe D.
        • Herrmann I.
        • Bolender C.
        • Folmer T.
        • Gunne J.
        • et al.
        Osseointegrated implants in the treatment of the partially edentulous jaws: a prospective 5-year multicenter study.
        Int J Oral Maxillofac Implants. 1994; 9: 627-635
        • Scheller H.
        • Urgell J.P.
        • Kultje C.
        • Klineberg I.
        • Goldberg P.V.
        • Stevenson-Moore P.
        • et al.
        A 5-year multicenter study on implant-supported single crown restorations.
        Int J Oral Maxillofac Implants. 1998; 13: 212-218
        • Branemark P.I.
        • Zarb G.A.
        • Albrektsson T.
        Tissue integrated prostheses.
        Quintessence, Chicago1985 (p. 175)
        • Zarb G.A.
        • Symington J.M.
        Osseointegrated dental implants: preliminary report on a replication study.
        J Prosthet Dent. 1983; 50: 271-277
        • Wicks R.A.
        • de Rijk W.G.
        • Windeler A.S.
        An evaluation of fit in osseointegrated implant components using torque/turn analysis.
        J Prosthodont. 1994; 3: 206-212
        • Burawi G.
        • Houston F.
        • Byrne D.
        • Claffey N.
        A comparison of the dimensional accuracy of the splinted and unsplinted impression techniques for the Bone-Lock implant system.
        J Prosthet Dent. 1997; 77: 68-75
        • Assif D.
        • Nissan J.
        • Varsano I.
        • Singer A.
        Accuracy of implant impression splinted techniques: effect of splinting material.
        Int J Oral Maxillofac Implants. 1999; 14: 885-888
        • Lorenzoni M.
        • Pertl C.
        • Penkner K.
        • Polansky R.
        • Sedaj B.
        • Wegscheider A.W.
        Comparison of the transfer precision of three different impression materials in combination with transfer caps for the Frialit-2 system.
        J Oral Rehabil. 2000; 27: 629-638
        • Worthington P.
        • Bolender C.L.
        • Taylor T.D.
        The Swedish system of osseointegrated implants: problems and complications encountered during a 4-year trial period.
        Int J Oral Maxillofac Implants. 1987; 2: 77-84
        • Jemt T.
        • Linden B.
        • Lekholm U.
        Failures and complications in 127 consecutively placed fixed partial prostheses supported by Branemark implants: from prosthetic treatment to first annual checkup.
        Int J Oral Maxillofac Implants. 1992; 7: 40-44
        • Brunski J.B.
        Biomechanical factors affecting the bone-dental implant interface.
        Clin Mater. 1992; 10: 153-201
        • Kallus T.
        • Bessing C.
        Loose gold screws frequently occur in full-arch fixed prostheses supported by osseointegrated implants after 5 years.
        Int J Oral Maxillofac Implants. 1994; 9: 169-178
        • Carr A.B.
        • Gerald D.A.
        • Larsen P.E.
        The response of bone in primates around unloaded dental implants supporting prostheses with different levels of fit.
        J Prosthet Dent. 1996; 76: 500-509
        • Kan J.Y.
        • Rungcharassaeng K.
        • Bohsali K.
        • Goodacre C.J.
        • Lang B.R.
        Clinical methods for evaluating implant framework fit.
        J Prosthet Dent. 1999; 81: 7-13
        • McCartney J.W.
        • Pearson R.
        Segmental framework matrix: master cast verification, corrected cast guide, and analog transfer template for implant-supported prostheses.
        J Prosthet Dent. 1994; 71: 197-200
        • Hebel K.S.
        • Galindo D.
        • Gajjar R.C.
        Implant position record and implant position cast: minimizing errors, procedures and patient visits in the fabrication of the milled-bar prosthesis.
        J Prosthet Dent. 2000; 83: 107-116
        • Yanse R.T.
        How do you test a cast framework fit for a full-arch fixed implant-supported prosthesis? JOMI Current Issues Forum.
        Int J Oral Maxillofac Implants. 1994; 9: 469-474
        • De La Cruz J.E.
        • Funkenbusch P.D.
        • Ercoli C.
        • Moss M.E.
        • Graser G.N.
        • Tallents R.H.
        Verification jig for implant-supported prostheses: a comparison of standard impressions with verification jigs made of different materials.
        J Prosthet Dent. 2002; 88: 329-336
        • Schnitman P.A.
        • Wohrle P.S.
        • Rubenstein J.E.
        Immediate fixed interim prostheses supported by two-stage threaded implants: methodology and results.
        J Oral Implantol. 1990; 16: 96-105
        • Tarnow D.P.
        • Emtiaz S.
        • Classi A.
        Immediate loading of threaded implants at stage 1 surgery in edentulous arches: ten consecutive case reports with 1- to 5-year data.
        Int J Oral Maxillofac Implants. 1997; 12: 319-324
        • Cooper L.
        • Rahman A.
        • Moriarty J.
        • Chaffee N.
        • Sacco D.
        Immediate mandibular rehabilitation with endosseous implants: simultaneous extraction, implant placement and loading.
        Int J Oral Maxillofac Implants. 2002; 17: 517-525
        • Chiapasco M.
        Early and immediate restoration and loading of implants in completely edentulous patients.
        Int J Oral Maxillofac Implants. 2004; 19: 76-91
        • Gallucci G.O.
        • Bernard J.P.
        • Bertosa M.
        • Belser U.C.
        Immediate loading with fixed screw-retained provisional restorations in edentulous jaws: the pickup technique.
        Int J Oral Maxillofac Implants. 2004; 19: 524-533
        • Kantor M.E.
        • Silverman S.I.
        • Garfinkel L.
        Centric-relation recording techniques—a comparative investigation.
        J Prosthet Dent. 1972; 28: 593-600
        • Javid N.S.
        • Colaizzi F.A.
        • Hojjatie B.
        • Michael C.G.
        Influence of materials on reproducibility of centric relation records.
        Int J Prosthodont. 1988; 1: 286-290
        • Campos A.A.
        • Nathanson D.
        • Rose L.
        Reproducibility and condylar position of a physiologic maxillomandibular centric relation in upright and supine body position.
        J Prosthet Dent. 1996; 76: 282-287
        • Latta Jr., G.H.
        Influence of circadial periodicity on reproducibility of centric relation records for edentulous patients.
        J Prosthet Dent. 1992; 68: 780-783
        • McKee J.R.
        Comparing condylar position repeatability for standardized versus nonstandardized methods of achieving centric relation.
        J Prosthet Dent. 1997; 77: 280-284
        • Turrell A.J.
        Clinical assessment of vertical dimension.
        J Prosthet Dent. 1972; 28: 238-246
        • Monari J.A.
        Establishing the vertical jaw relationship for the completely edentulous patient.
        Compendium Contin Ed Dent. 1986; 7 (388, 390-2)
        • Pound E.
        The mandibular movements of speech and their seven related values.
        J Prosthet Dent. 1966; 16: 835-843
        • Malament K.A.
        • Neeser S.
        Prosthodontic management of ridge deficiencies.
        Dent Clin North Am. 2004; 48: 735-744
        • Berglundh T.
        • Abrahamsson I.
        • Lang N.P.
        • Lindhe J.
        De novo alveolar bone formation adjacent to endosseous implants.
        Clin Oral Impl Res. 2003; 14: 251-262
        • Buser D.
        • von Arx T.
        • ten Bruggenkate C.
        • Weingart D.
        Basic surgical principles with ITI implants.
        Clin Oral Implants Res. 2000; 11: 59-68