Reabilitação com prótese total imediata superior após múltiplas exodontias.

Oral rehabilitation of patients with extensive dental impairment represents a clinical and social challenge, especially in the face of economic limitations that make rehabilitation with removable complete denture unfeasible. This paper describes the case of a male patient, without relevant comorbidities, under treatment for the use of psychoactive substances, with severe bone loss and complaints of pain, masticatory difficulty, and aesthetic dissatisfaction. Given the infeasibility of conservative treatments and the financial impossibility of opting for immediate complete denture, the therapeutic plan included multiple extractions followed by the immediate installation of an upper complete denture in acrylic resin, previously fabricated in the laboratory. The procedure included preservation of the alveolar ridge, selective regularization, and immediate adaptation of the denture, restoring function, esthetics, and comfort. Clinical follow-up, with occlusal adjustments, relinings, and monitoring of healing, enabled good adaptation, masticatory recovery, esthetic improvement, and increased self-esteem, highlighting the effectiveness of immediate complete denture as an accessible and predictable alternative.