Using a New Attachment System for Fixed Full-Arch Restorations

This article provides insights into the basics of surgical and restorative prerequisites for immediate loading a full-arch fixed implant-supported restoration through various methods, including a novel prosthetic treatment option with no screws and no cement. Bone quality, primary stability, and other important factors for immediate loading are examined, along with options for both the temporary and definitive prostheses.

LEARNING OBJECTIVES:

• Discuss the limitations of CBCTs when planning implant/abutment position for retaining full-arch prostheses.

• Describe the approaches for overcoming deviations in implant/abutment positioning when retaining full-arch prostheses.

• Explain necessary considerations when selecting cement- or screw-retained abutments for full-arch prostheses.

• Describe the components of a removable attachment system for fixed full-arch restorations.

About the Author

Robert Del Castillo, DMD
Private Practice, Miami Lakes, Florida