Table 1: Treatment steps.

StepsPerformed treatmentsFigure

1Initial phase: patient examination and diagnosisFigures 1(a), 1(b), and 1(c)
2Presurgical phase: assessment of the vertical dimension of occlusion (VDO), evaluation of the reestablished VDO, diagnostic waxing, and new complete dentureFigures 2 and 3
3Surgical guide based on maxillomandibular relationshipFigure 4
4Teeth extraction (no. 21, no. 22, no. 23, no. 24, and no. 25) and implant placementFigure 5
5Postsurgical radiographyFigure 6
6Abutment placement and peri-implant tissueFigure 7
7Installation and capture of titanium cylinders and distal barsFigures 8, 9, and 10
8Mandibular implant-supported prosthesis installationFigures 11, 12, and 13
9Follow-ups every 3 months and maintenance routine of the implantsFigures 14, 15, and 16