A step-by-step technical report on the novel 'PREMADE Protocol' for fabricating acrylic provisional prostheses for all-on-4 treatment concept

Background: This technical report describes how to use a prosthetic protocol with a standardized immediate and fixed prosthesis that is the same for all patients. The prosthesis called “PREMADE” is adapted to various arch sizes (narrow, regular, and wide, with uniform teeth in all cases). This aim is to obviate the need for all laboratory procedures following the positioning of the implant. Case Presentation: This report details the application of the PREMADE protocol in a clinical setting. It illustrates its use in a patient requiring immediate dental implant loading, highlighting the protocol’s step-by-step technical nuances. The case underscores the protocol’s efficiency in reducing laboratory phases and chair time, facilitated by its innovative approach of utilizing a standardized prefabricated arch adaptable to various jaw sizes. The procedure’s success is evident in the minimized patient discomfort and improved osseointegration, attributed to the protocol’s stability and micromotion control. Conclusions: The PREMADE protocol signifies a transformative advancement in immediate dental implant loading, enhancing procedural efficiency and patient outcomes. Its application demonstrates the potential to reduce procedural complexity and time, thereby improving the patient experience. However, further research is required to establish its universal applicability and to compare it with other immediate loading protocols. The future integration of this protocol in all-on-4 rehabilitation could revolutionize the prosthetic phase, making advanced dental treatments more accessible.