#1 During intra oral examination we observed increased vertical dimension and inferior prognathism in extra oral examination
#2 X-Ray shows massive attachment loss in both bone and gingiva
#3 3 months after implantation
#4 Four Multi base abutments placement
#5 All the transfers placed and ready for the impression taking
#6 Put the split impression key in order of their placement turn in the mouth and number them
#7 We placed this four key parts on the multi base abutment one by one
#8 We are ready for final impression step
#9 Placement of plastic burn out sleeves
#10 Metal framework and wax rims
#11 Metal frame work on the multi unit abutments
#12 Dentures and right smile position
#13 An implant-supported hybrid prosthesis is an acrylic resin complete fixed dental prosthesis
#14 Fixed hybrid prosthesis on multi base abutments
#15 No implants failed in this patient after prosthetic rehabilitation during the 3-year follow-up period
#16 Hybrid prosthesis mouth view
#17 Final
36 years old female patient with generalized aggressive periodontitis and dental anomali complaints, came to the clinic. During the primer examination we found pockets of around 7 mm depth with flowing purulent matter. On the other hand we measured massive attachment loss in both bone and gingiva ,upper and lower jaw. During intra oral examination we observed increased vertical dimension and inferior prognathism in extra oral examination. The patient was suffering from sever pain, gum bleeding, bad smell and teeth sensitivity; and she had aesthetic rehabilitation demands at the same time. All remained teeth removed and after 3 months of healing period, 8 implants placed in upper and lower jaws. (dimensions 3.7 and 4.1 mm) during the osseointegration period we preferred to benefit an temporary denture with teeth to teeth occlusion which could fulfill the patients normal oral functions. Hybrid prosthesis have a great number of advantages including reducing the impact force of dynamic occlusal loads, being less expensive to fabricate and highly esthetic restorations. We can have good support for lips and soft tissues. However, we will see food impaction, a bit speech problems with hygiene problems. If your patients use this hybrid prosthesis they should have oral self care behavior.