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EN
Purpose: The aim of the paper is to present the designing and manufacturing process of the screw-retained superstructure of the dental arch in the maxilla based on six implants using CAD/CAM technology. Design/methodology/approach: The methodology is presented on the example of the implantoprosthetic treatment in a 55-year-old female patient with a significant deficit of the alveolar bone. 6 implants were placed to achieve a good anchorage for the ceramic suprastructure. The prosthetic reconstruction was milled out of a zirconium dioxide block and covered with veneering ceramics to obtain good aesthetics of the restoration. Special copings were designed and manufactured to achieve stabile connection between the implants and the suprastructure. Findings: To properly plan the prosthetic work rebuilding the alveolar ridge on dental implants it is necessary to plan the final prosthetic work before implant placement planning the number of implants and their location in the bones and the possibility of using a fixed or a mobile suprastructure. Practical implications: Design of the suprastructure has to take into account the following factors: 1. The number of implants, copings and openings for the abutment screws, 2. Arrangement of teeth in the prosthesis, 3. The shape of the alveolar ridge, 4. The shape of the space for the porcelain and for the individual crowns, which will be pasted on the suprastructure. Originality/value: For technological reasons it is not possible to make an extensive suprastructure in a single piece. It is necessary to execute the foundation of the reconstruction of the alveolar ridge and the teeth in one piece and separately the individual crowns. It is possible, however, to design and manufacture the complex screw-retained prosthetic suprastructures by means of CAD/CAM technology.
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