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Digitally planned and fabricated mandibular fixed complete dentures. Part 2. Prosthodontic phase
The International Journal of Prosthodontics
|March 31, 2015
Summary
This study details fabricating a digital hybrid prosthesis, converting a digital denture into an implant-supported fixed complete denture. It outlines the steps for creating a definitive digitally planned and milled mandibular fixed complete denture opposing a milled maxillary complete denture.
Area of Science:
- Dental Prosthetics
- Digital Dentistry
- Implantology
Background:
- Part 1 described a digital workflow for immediate provisional implant-supported fixed complete dentures.
- This report focuses on the definitive prostheses fabrication following the provisional stage.
Purpose of the Study:
- To describe the technique for fabricating a definitive digitally planned and milled mandibular fixed complete denture.
- To detail the fabrication of a definitive computer-aided design/computer-assisted manufacture-milled maxillary complete denture.
- To present the complete digital workflow for a full-arch implant rehabilitation.
Main Methods:
- Utilized a prosthetically driven digital protocol.
- Employed computer-aided engineering for fabricating the definitive mandibular and maxillary complete dentures.
- Incorporated a milled titanium bar into the mandibular prosthesis.
- Fabricated the definitive maxillary prosthesis using computer-aided design/computer-assisted manufacture (CAD/CAM) milling.
Main Results:
- Successfully fabricated a definitive digitally planned and milled mandibular fixed complete denture.
- Successfully fabricated a definitive CAD/CAM-milled maxillary complete denture.
- Demonstrated a comprehensive digital workflow for full-arch implant restorations.
Conclusions:
- The digital workflow allows for precise fabrication of definitive implant-supported fixed complete dentures.
- Computer-aided engineering and CAD/CAM technologies facilitate efficient and accurate prosthetic fabrication.
- This approach offers a viable method for full-arch rehabilitation with fixed implant prostheses.

