A New Procedure Reduces Laboratory Time to 6 Hours for the Elaboration of Immediate Loading Prostheses with a Titanium Frame Following Implant Placement

Good primary stability and no micromovements during the healing stage are the two main factors predicting successful osseointegration. Therefore, the international literature on immediate loading emphasizes the importance of using a rigid framework on an interim acrylic prosthesis to bind the implants for 48 to 72 hours after implant placement. This report describes the procedure of the Euroteknika “all in bar” system which can shorten this time to 6 hours. The cast was prepared with the abutment replica and mounted on an articulator by the dental laboratory. The abutments with winglets were arranged on tetra abutments in order to create the frame. The frame was finished using laser welding to join the winglets together. Teeth were then mounted according to the validated diagnostic set-up, fixed on the frame with a self-polymerized resin, and set in the mouth. The “all in bar” frame containing abutments with winglets constitutes a rigid milled titanium frame which is obtained without using an outside milling center. The advantages of such a procedure would be to reduce the toothless period of patients while providing the excellent implant stability required for good osseointegration.