Fixed Full-Arch Implant-Supported Restorations: Techniques Review and Proposal for Improvement
Full-arch zirconia restorations on implants have gained popularity due to zirconia’s strength and aesthetics, yet they are still associated with challenges like structural fractures, peri-implant complications, and design misfits. Advances in CAD/CAM and digital workflows offer potential improvement...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-12-01
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| Series: | Dentistry Journal |
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| Online Access: | https://www.mdpi.com/2304-6767/12/12/408 |
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| author | Florin-Octavian Froimovici Cristian Corneliu Butnărașu Marco Montanari Mihai Săndulescu |
| author_facet | Florin-Octavian Froimovici Cristian Corneliu Butnărașu Marco Montanari Mihai Săndulescu |
| author_sort | Florin-Octavian Froimovici |
| collection | DOAJ |
| description | Full-arch zirconia restorations on implants have gained popularity due to zirconia’s strength and aesthetics, yet they are still associated with challenges like structural fractures, peri-implant complications, and design misfits. Advances in CAD/CAM and digital workflows offer potential improvements, but a technique that consistently addresses these issues in fixed, full-arch, implant-supported prostheses is needed. This novel technique integrates a facially and prosthetically driven treatment approach, which is divided into three phases: data acquisition, restoration design, and manufacturing/delivery. Digital tools, including intraoral scanning and photogrammetry, facilitate accurate implant positioning, while 3D design software enables functional and aesthetic validation before final milling. A dual software approach is used to reverse engineer a titanium bar from the final restoration design, ensuring a superior outcome to other protocols. The restoration incorporates a zirconia–titanium hybrid structure, optimizing strength, flexibility, and weight. The proposed workflow enhances restoration precision and predictability through a prosthetically driven treatment plan, by ensuring passivity and aligning with biological and mechanical principles to promote long-term stability. By starting with the proposed restoration design and reverse engineering the bar, while also allowing for flexibility in material and component choices, this technique accommodates both patient needs and financial considerations. This approach demonstrates potential for improving patient outcomes in full-arch implant restorations by minimizing complications associated with traditional methods. Further research is recommended to validate the technique’s efficacy and broaden its clinical applications. |
| format | Article |
| id | doaj-art-0e1d77fbd6b74d29aa6c8fbd0cdcaf26 |
| institution | Kabale University |
| issn | 2304-6767 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj-art-0e1d77fbd6b74d29aa6c8fbd0cdcaf262024-12-27T14:20:25ZengMDPI AGDentistry Journal2304-67672024-12-01121240810.3390/dj12120408Fixed Full-Arch Implant-Supported Restorations: Techniques Review and Proposal for ImprovementFlorin-Octavian Froimovici0Cristian Corneliu Butnărașu1Marco Montanari2Mihai Săndulescu3Doctoral School, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaMINEC—MegaGen International Network of Education & Clinical Research, 030925 Bucharest, RomaniaDepartment of Prosthodontics, University of Modena e Reggio and Ferrara, 44121 Ferrara, ItalyDepartment of Implant-Prosthetic Therapy, Faculty of Dentistry, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaFull-arch zirconia restorations on implants have gained popularity due to zirconia’s strength and aesthetics, yet they are still associated with challenges like structural fractures, peri-implant complications, and design misfits. Advances in CAD/CAM and digital workflows offer potential improvements, but a technique that consistently addresses these issues in fixed, full-arch, implant-supported prostheses is needed. This novel technique integrates a facially and prosthetically driven treatment approach, which is divided into three phases: data acquisition, restoration design, and manufacturing/delivery. Digital tools, including intraoral scanning and photogrammetry, facilitate accurate implant positioning, while 3D design software enables functional and aesthetic validation before final milling. A dual software approach is used to reverse engineer a titanium bar from the final restoration design, ensuring a superior outcome to other protocols. The restoration incorporates a zirconia–titanium hybrid structure, optimizing strength, flexibility, and weight. The proposed workflow enhances restoration precision and predictability through a prosthetically driven treatment plan, by ensuring passivity and aligning with biological and mechanical principles to promote long-term stability. By starting with the proposed restoration design and reverse engineering the bar, while also allowing for flexibility in material and component choices, this technique accommodates both patient needs and financial considerations. This approach demonstrates potential for improving patient outcomes in full-arch implant restorations by minimizing complications associated with traditional methods. Further research is recommended to validate the technique’s efficacy and broaden its clinical applications.https://www.mdpi.com/2304-6767/12/12/408fixed full-arch zirconiahybrid restorationtitanium implant bar |
| spellingShingle | Florin-Octavian Froimovici Cristian Corneliu Butnărașu Marco Montanari Mihai Săndulescu Fixed Full-Arch Implant-Supported Restorations: Techniques Review and Proposal for Improvement Dentistry Journal fixed full-arch zirconia hybrid restoration titanium implant bar |
| title | Fixed Full-Arch Implant-Supported Restorations: Techniques Review and Proposal for Improvement |
| title_full | Fixed Full-Arch Implant-Supported Restorations: Techniques Review and Proposal for Improvement |
| title_fullStr | Fixed Full-Arch Implant-Supported Restorations: Techniques Review and Proposal for Improvement |
| title_full_unstemmed | Fixed Full-Arch Implant-Supported Restorations: Techniques Review and Proposal for Improvement |
| title_short | Fixed Full-Arch Implant-Supported Restorations: Techniques Review and Proposal for Improvement |
| title_sort | fixed full arch implant supported restorations techniques review and proposal for improvement |
| topic | fixed full-arch zirconia hybrid restoration titanium implant bar |
| url | https://www.mdpi.com/2304-6767/12/12/408 |
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