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Partially digital workflow for making complete-arch implant-supported fixed prostheses: A dental technique
Ana Larisse Carneiro Pereira1, Maria de Fátima Trindade Pinto Campos2, Rodrigo Falcão Carvalho Porto de Freitas1
1PhD student, Department of Dentistry, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil.
The Journal of Prosthetic Dentistry
|June 11, 2021
Summary
This study presents a streamlined technique for creating implant-supported prostheses using intraoral scanning and CAD-CAM technology. This digital workflow enhances accuracy and efficiency in fabricating dental restorations.
Area of Science:
- Dental Materials Science
- Biomaterials Engineering
- Digital Dentistry
Background:
- Traditional fabrication of complete-arch implant-supported fixed prostheses involves multiple steps prone to errors.
- Accurate implant positioning and digital workflow integration are crucial for successful prosthetic outcomes.
Purpose of the Study:
- To describe a novel technique for fabricating complete-arch implant-supported fixed prostheses.
- To integrate intraoral scanning and CAD-CAM technology for enhanced precision and efficiency.
Main Methods:
- A specialized device was developed for precise capture of multiple implant positions and digital surgical guides.
- Metal substructures were designed and milled directly from cobalt-chromium using CAD-CAM.
- Gingiva and artificial tooth colors were selected via intraoral scanner software; prosthesis bases were conventionally processed.
Main Results:
- The described technique simplifies the fabrication process for implant-supported prostheses.
- Direct milling of cobalt-chromium substructures ensures high accuracy and fit.
- Elimination of conventional casting and occlusal registration steps reduces potential errors.
Conclusions:
- Intraoral scanning and CAD-CAM technology offer a reliable and efficient method for fabricating complete-arch implant-supported fixed prostheses.
- This digital approach improves accuracy and minimizes errors compared to traditional techniques.
- The technique facilitates predictable and esthetic outcomes in implant dentistry.

