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Fabrication of a passive framework when restoring multiple implants in an edentulous maxilla may be an important requisite for long-term implant survival. The development of computer-aided design and manufacturing techniques for fabricating custom 1-piece titanium frameworks can simplify that challenge. This article reports on a treatment in which a custom-milled titanium complete-arch maxillary framework was used to restore a compromised maxillary arch. A 4-year follow-up demonstrated a steady state of bone and no prosthodontic complications. (J Prosthet Dent 2008;99:8-13). [ABSTRACT FROM AUTHOR]

This article describes the modification of a procedure for fabricating a laboratory-processed, metal-reinforced, acrylic resin provisional restoration that becomes an implant-retained fixed partial denture. The modification involves the incorporation of patrix and matrix components into a cast metal framework. The prosthesis can be used as an alternative to a removable radiologic stent and surgical guide. It can function as a surgical guide during implant placement and help retract the buccal mucogingival flap during implant placement. The prosthesis also can be used as an aid in locating the implant during stage II surgery. Finally, the pontics can be converted into an implant-supported provisional restoration immediately after the implant prosthetic components are attached to the uncovered implants.