More and more patients are requesting full restorative implant work. Although these cases are not common, they are complex, and demand experience and expertise. You may be interested in the below series of pictures that outlines this true case and the step by step procedures taken to complete this full arch implant restoration.
At this point decisions would have been made regarding cuff height of abutments and whether to use straight or angled abutments. For this case, due to the angle of the implants, the 3 anterior abutments were chosen at a 15° angle and the posteriors were straight.
You will notice two keys features that Gibson Dental uses to ensure the bridge will fit correctly and the to be applied porcelain will not shear off the metal substructure. The first feature is a connecting bar in the posterior region to stabilize the frame during porcelain firings. The second feature you see are holes through the metal substructure to allow porcelain to wrap the metal and allow for more even cooling of the metal and porcelain to create less stress.