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A Digitally Designed All-on-4 Restoration with Screwmentable Concept

A Digitally Designed All-on-4 Restoration with Screwmentable Concept

Author

Koungjin Park, Jung-Suk Han, Jae-Hyun Lee

Journal

Journal of Korean Dental Science

Year

2022

Park K, Han JS, Lee JH* (Corresponding author). A Digitally Designed All-on-4 Restoration with Screwmentable Concept. Journal of Korean Dental Science. 2022;15(1), 84–91. doi: 10.5856/JKDS.2022.15.1.84.

Abstract

An all-on-4 restoration allows edentulous patients to use a fixed prosthesis with a minimum number of implants. These implant-supported fixed complete dentures have traditionally been fabricated as screw-retained or cement-retained prostheses. However, it is difficult to passively fit the long-span full-arch prosthesis using the screw-retained type restoration, and predictable retrievability is not obtained with the cement-retained type. This case report describes a prosthesis fabricated using a combination of the two retention types. The screwmentable method allows the implant-supported fixed complete denture to achieve a passive fit at the connection with retrievability. In addition, a framework with an optimized size was designed by using digital dental technology.