industry report I I 25implants1_2015 plantsusingatorqueof15Ncm.Theywereintendedto accommodatethescrew-retainedprovisional,thenthe finalscrew-retainedprosthesis.TheAXIOM®PXimplant systemofferstwomajoradvantages:platformswitch- ing and indexing trilobe Morse taper connection. The latter greatly facilitates abutment placement. A tight stableconnectionguaranteesintegrityofthesofttissue (Fig.8).Inthelaboratory,themastermodelwiththeem- bedded analogs was used to fabricate a master plaster cast. A high-rigidity CoCr/resin temporary bridge was fabricated, tried in, and transferred to the patient’s mouth 48 hours after the implants had been placed. This provisional device would serve as an external fixator during os- seointegration of the implants. A control X-raywastakentoconfirmthepassivefit of the framework. The temporary bridge was hand-tightened to a torque of 10 Ncm. Occlusion was accurately adjusted (Figs. 7a-c). The patient wore the tempo- rary bridge for 6 months. During that pe- riod, a number of parameters were eval- uated, including: occlusion, osseointe- gration status, oral hygiene, mastication, phonetics, aesthetics,lipsupportetc.Thetemporarybridgeshould berigid(framework)whileeasilyremovable(screwfix- ation). Site 27 healed uneventfully, protected as it was frommechanicalstress. _Final bridge At the end of the 6-month healing period, prepara- tion for the final restoration could start. Wearing the temporarybridgehadallowedadjustmentoftheabove mentioned parameters (i.e. aesthet- ics,phonetics,lipsupport)andvalida- tionoftheverticaldimensionandin- termaxillaryrelationship.Thetempo- rary bridge was removed, an implant stability percussion test was per- formed, and control X-rays were taken.Thestraightconicalabutments that had been placed concomitantly with the implants were tightened to 25 Ncm (as recommended by the manufacturer), except abutment 23, Fig. 8_Healing status at 6 months postoperative. Fig. 9a_Impression. Fig. 9b_Pick-up transfer copings interconnected. Fig. 9c_Wax bite block. Fig. 9d_Master model. Fig. 10_Wax-up of the framework. Fig. 11a_SimedaScan. Fig. 8 Fig. 9a Fig. 9b Fig. 9c Fig. 10 Fig. 9d