Sixth Clinical Appointment

Placement of the Maxillary Implant Supported Overdenture
Healing abutments are removed and the locator abutments (retrieved from the laboratory) are attached to the implants, verified radiographically, and torqued as per the manufacturer’s recommendations. The maxillary implant-supported overdenture is adjusted as needed, finished, polished, and placed in the patient’s mouth. The black processing elements are changed to pink, grey, or blue retentive elements depending on the amount of retention desired.

Placement of the Mandibular “All-on-5” Prosthesis
The healing caps are removed and the mandibular restoration is tried, adjusted, finished, and polished. The occlusion (bilateral balanced) is verified. The screws of the mandibular restoration are tightened and torqued as per the manufacturer's recommended torque values. The screw axis holes are packed with Teflon tape and composite resin.

The patient is educated and instructed regarding the hygiene procedures and scheduled for routine maintenance recalls. The patient should be provided with all the cleaning aids to help maintain their oral hygiene.46,47