Abstract
This clinical report describes the prosthetic rehabilitation of a patient with a mandibular
implant-supported complete fixed dental prosthesis with limited interocclusal restorative
space. The problem was manifested by repeated fractures of the acrylic resin teeth
and distortion of the supporting framework. The definitive restoration included a
custom computer-aided design and computer-aided manufacturing (CAD-CAM) titanium framework
with the lingual cusps and most of the occlusal table of the mandibular posterior
teeth milled in titanium as part of the framework. An esthetic CAD-CAM milled denture
base along with teeth was bonded over this framework.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Prosthetic DentistryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Implant treatment of patients with edentulous jaws: A 20-year follow-up.Clin Implant Dent Relat Res. 2008; 10: 207-217
- Complete-arch implant-supported monolithic zirconia fixed dental prostheses: A systematic review.J Prosthet Dent. 2016; 115: 672-677
- Implant and prosthodontic survival rates with implant fixed complete dental prostheses in the edentulous mandible after at least 5 years: A systematic review.Clin Implant Dent Relat Res. 2014; 16: 705-717
- Implant-supported fixed prostheses in the edentu- lous maxilla: 8-year prospective results.Clin Oral Implants Res. 2011; 22: 464-472
- Systematic review of short- (5-10 years) and long- term (10 years or more) survival and success of full-arch fixed dental hybrid prostheses and supporting implants.J Dent. 2014; 42: 1228-1241
- Prosthetic complications in mandibular metal-resin implant-fixed complete dental prostheses: A 5- to 9-year analysis.Int J Oral Maxillofac Implants. 2008; 23: 847-857
- A meta-analysis of prosthodontic complication rates of implant-supported fixed dental prostheses in edentulous patients after an observation period of at least 5 years.Int J Oral Maxillofac Implants. 2011; 26: 304-318
- A systematic review of biologic and technical complications with fixed implant rehabilitations for edentulous patients.Int J Oral Maxillofac Implants. 2012; 27: 102-110
- Vertical space requirement for the fixed detachable implant supported prosthesis.Compen Contin Educ Dent. 2002; 23: 750-756
- Frequency and type of prosthetic complications associated with interim, immediately loaded full-arch prostheses: A 2-year retrospective chart review.J Prosthodont. 2016; 25: 433-439
- Full-arch implant framework casting accuracy: Preliminary in vitro observation for in vivo testing.J Prosthodont. 1993; 2: 2-8
- Three-dimensional analysis of the casting accuracy of one-piece, osseointegrated implant-retained prostheses.Int J Prosthodont. 1993; 6: 346-363
- Accuracy of implant-supported prostheses in the edentulous jaw: Analysis of precision of fit between cast gold-alloy frameworks and master casts by means of a three-dimensional photogrammetric technique.Clin Oral Implants Res. 1995; 6: 172-180
- Failures and complications in 391 consecutively inserted fixed prostheses supported by Brånemark implants in edentulous jaws: A study of treatment from the time of prosthesis placement to the first annual checkup.Int J Oral Maxillofac Implants. 1991; 6: 270-276
- The longitudinal clinical efficacy of osseointegrated dental implants: A 3-year report.Int J Oral Maxillofac Implants. 1987; 2: 91-100
- Precision of fit of titanium and cast implant frameworks using a new matching formula.Int J Dent. 2012; 2012: 374315
- The precision of fit of cast and milled full-arch implant-supported restorations.IntJ Oral Maxillofac Implant. 2013; 28: 687-693
- Phillips’ science of dental materials.12th ed. Saunders, Philadelphia2012: 370-377
- CAD-CAM implant-supported fixed complete dental prosthesis with titanium milled molars: A clinical report.J Prosthet Dent. 2017; 117: 463-469
- Mandibular implant-supported fixed dental prosthesis with a modified design: A clinical report.J Prosthet Dent. 2014; 111: 91-95
- Use of a digitally planned and fabricated mandibular complete denture for easy conversion to an immediately loaded provisional fixed complete denture. Part 1. Planning and surgical phase.Int J Prosthodont. 2014; 27: 417-421
- Digitally planned and fabricated mandibular fixed complete dentures. Part 2. Prosthodontic phase.Int J Prosthodont. 2015; 28: 119-123
- Comparison of retention between maxillary milled and conventional denture bases: A clinical study.J Prosthet Dent. 2017; 117: 233-238
- CAD/CAM complete dentures: A review of two commercial fabrication systems.J Calif Dent Assoc. 2013; 41: 407-416
- Clinical methods for evaluating implant framework fit.J Prosthet Dent. 1999; 81: 7-13
Article info
Publication history
Published online: March 24, 2018
Identification
Copyright
© 2017 by the Editorial Council for The Journal of Prosthetic Dentistry.