The 48-year-old female patient came to our observation with extensive periodontal lesions and extreme mobility of all the elements of the upper arch, which support an old total metal-ceramic prosthesis. In agreement with the clinical situation and with the patient requests, the treatment consisted of the total avulsion of the upper arch and the insertion of 6 post-extraction implants positioned in the natural sockets where possible, filling any gaps with autologous bone collected from the drills. The self-centering relining of the provisional prosthesis made it possible to obtain a splinting without tension during the healing period. The final result allowed us to choose between a total white solution and a pink resin solution, immediately more aesthetic.
