J Korean Acad Prosthodont.  2024 Oct;62(4):328-338. 10.4047/jkap.2024.62.4.328.

Maxillary complete denture and mandibular implantsupported fixed prosthesis restoration utilizing digital workflow

• Son H
• Hong SJ
• Paek J
• Noh K
• Kim HS
• Kwon KR
• Pae A

• KMID: 2560762
• DOI: http://doi.org/10.4047/jkap.2024.62.4.328

Abstract

Advancements in CAD-CAM technology have allowed for a variety of options in implant-supported fixed prosthesis restorations for completely edentulous patients. For patients with severe alveolar bone resorption, zirconia prosthetic restorations that include the gingival portion, such as implant-supported hybrid dentures, are possible, as well as monolithic zirconia prosthetic restorations in the form of crowns. The integration of digital technology in fixed prosthetic restoration using implants enables predictable treatment through diagnosis and virtual surgery by integrating the patient’s clinical and radiological information. In this case, the utilization of digital software allowed for the establishment of implants in appropriate positions, considering both the remaining alveolar bone and the final prosthesis. By designing both the maxillary removable prosthesis and the mandibular fixed prosthesis simultaneously in CAD software, bilateral balanced occlusion could be easily achieved. Furthermore, maintaining the initial interocclusal relationship from provisional restorations to final prostheses allowed for convenient transition while ensuring functional and aesthetic satisfaction.

Keyword

CAD-CAM; Digital complete denture; Edentulous jaw; Hybrid denture; Implantsupported dental prostheses; Surgical guide