Three attachment types were used to retain the mandibular prosthesis.
1) Screw-retained abutments (Xive) were screwed to the analogues; and a two-implant retained bar was fabricated, screwed to the implants, and attached to the 3 MCDs with autopolymerizing acrylic resin (Meliodent; Kulzer GmbH, Hanau, Germany) after removal of adequate acrylic using a round bur (#140. 277. 040; Acurata Imperial, Thurmansbang, Germany).
2) Ball abutments (Xive) were screwed to the implants and attached to the remaining 3 MCDs with auto polymerizing acrylic resin (Meliodent; Kulzer GmbH) after removal of adequate acrylic using a round bur (#140. 277. 040).
3) A new set of screw-retained abutments (Xive) was added to the implants, and a 6-unit, anterior, metal fused to porcelain fixed bridge with extra coronal precision attachments and a bilateral distal extension RPD (