Laboratory-processed acrylic resin provisional restoration with cast metal substructure for immediately loaded implants

Most methods of immediate loading of implants reported in the literature involve retrofitting a preexisting denture to the implants. This article describes and illustrates clinical and laboratory procedures for immediate loading of implants in the edentulous mandible with the use of a laboratory-processed, provisional, screw-retained, implant-supported fixed complete denture that incorporates a cast metal reinforcement.