This patient presented wearing upper and lower complete dentures. While the removable dentures fit well, were easy to maintain, and provided acceptable esthetics, the patient sought a fixed prosthesis as a long-term solution.

Prosthetically driven treatment planning requires careful collaboration from the lab, the restorative dentist and the surgeon. Based on our treatment goals for this case, we selected a multi-level surgical guide (Glidewell; Newport Beach, Calif.) for increased predictability and efficiency. In this case report, we will elaborate on the treatment of the maxillary arch utilizing a multi-level guided surgery protocol, from the treatment plan to the delivery of the provisional screw-retained implant prosthesis.

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