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Updated: Jun 1, 2026

Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
Maxillary implant-supported bar overdenture and mandibular implant-retained fixed denture using CAD/CAM technology
Panagiota-Eirini Spyropoulou1, Michael E Razzoog, Renée E Duff
1Department of Biologic and Materials Sciences, Division of Prosthodontics, The University of Michigan, School of Dentistry, Ann Arbor, Mich., USA. pspyr@umich.edu
Abstract:
The implant-supported bar overdenture and the implant-retained fixed complete denture are appropriate treatment choices for patients with inadequate bone volume in the posterior maxilla and mandible, respectively. Computer-aided design/computer-aided manufacturing (CAD/CAM) technology has broadened the scope and application of those treatment options, allowing for prosthodontically-driven implant placement and ideal substructure design for optimal esthetics and biomechanics. This report describes the fabrication of a maxillary implant-supported milled titanium bar with attachments and an overdenture, and a mandibular implant-retained fixed complete denture with milled titanium substructure.
