**7. Prosthetic considerations: Immediate and definitive prosthesis**

## **7.1 Immediate prosthesis**

For the adaptation of an immediate postsurgical prosthesis we will have multiple options that depend on the primary stability of the implants (greater than 35 N), the biotype and bone quality, the thickness of the cortices around the implants and the patient's commitment to comply precise indications such as diet and hygiene [43].

When the previous conditions mentioned are unfavorable, we can leave the implants submerged with covers screws, another option is to offer the patient a conventional removable total prosthesis retained to the implants by means of healing abutments. This favors certain retention and adaptation to the patient while the implants are not loaded during their osseointegration phase (2-phase protocol). When conditions allow an immediate screwed and supported load on the implants (1-phase protocol), this same conventional total prosthesis can be reduced from the flanks, the palate and/ or the floor of the mouth to achieve a horseshoe shape, subsequently with a The acrylic relining is mechanically retained to the implants by means of temporarys abauments.
