Case Planning
Review implant distribution, restorative space, vertical dimension, prosthetic envelope and final material selection.
FULL-ARCH IMPLANT RESTORATIONS
All-on-X Zirconia Restorations on Titanium Bar
A staged digital workflow from verification and PMMA prototype to a definitive zirconia restoration supported by a precision-milled titanium bar.
- โ All-on-4, All-on-5 and All-on-6 workflows
- โ Photogrammetry and verification-jig compatible
- โ PMMA prototype and titanium-bar-supported final
ACTUAL LAB CASE
All-on-X on Titanium Bar
Prototype First. Finalize With Confidence.
Verification, PMMA evaluation, titanium substructure and final
zirconia are coordinated as one restorative workflow.
FULL-ARCH WORKFLOW
A Structured Path From Records to Final Restoration
Each stage is intended to verify implant position, restorative space, tooth position, esthetics, phonetics, occlusion and passive fit before the final restoration is completed.
Photogrammetry or Impression
Capture the implant or multi-unit abutment positions using a validated photogrammetry or conventional impression workflow.
Verification Jig
Confirm the master implant relationship before proceeding to the prototype and definitive framework.
PMMA Prototype
Evaluate fit, tooth position, smile design, esthetics, phonetics, lip support, VDO and occlusion.
Titanium Bar
Mill the titanium substructure according to the approved prototype and available restorative space.
Final Zirconia
Complete the definitive zirconia restoration with individualized tooth and gingival characterization.
TITANIUM SUBSTRUCTURE
Why Use a Titanium Bar Under the Final Zirconia?
The titanium substructure provides a rigid restorative foundation and allows the zirconia superstructure to be designed around the approved prototype and the available prosthetic space.
PF
Passive-Fit Workflow
Fit is supported by accurate implant records, verification and a staged restorative sequence.
RS
Rigid Support
Titanium provides a durable substructure for long-span full-arch zirconia restorations.
RP
Repair Planning
The restorative design may be planned to improve serviceability and long-term maintenance when space allows.
SP
Controlled Space
The bar and zirconia contours are coordinated to preserve material thickness and cleansable intaglio geometry.
RESTORATIVE PHASES
Each Stage Has a Defined Clinical Purpose
The prototype is not simply a temporary restoration. It is the clinical reference used to validate the definitive design.
Verification
Confirms the accuracy of the implant or multi-unit abutment relationship before definitive fabrication.
Prototype Evaluation
Confirms tooth position, midline, smile arc, phonetics, VDO, occlusion and tissue support.
Framework Validation
Confirms bar design, screw-channel positions, restorative clearance and the relationship to the approved prototype.
Final Characterization
Final zirconia is completed with prescribed shade, surface texture, translucency and gingival characterization.
REQUIRED RECORDS
Complete Records Reduce Delays and Remakes
Full-arch cases require more than implant positions alone. Submit all records needed to reproduce the approved clinical relationship.
Implant Position Records
- Photogrammetry scan or verified implant impression
- Exact implant or MUA system and platform
- Scanbody or photogrammetry component information
- Verification jig when indicated
Jaw Relationship Records
- Accurate upper and lower arch records
- Verified bite at the intended VDO
- Midline and occlusal-plane references
- Existing prosthesis scan when useful
Esthetic Records
- Full-face smile photographs
- Retracted frontal and lateral photographs
- Shade and gingival characterization instructions
- Lip support and smile-line information
Clinical Prescription
- Desired tooth arrangement and material
- Final screw-channel and access requirements
- Hygiene-space and intaglio preferences
- Special occlusal or prosthetic instructions
PMMA PROTOTYPE CHECKLIST
What Should Be Verified Before Final Zirconia?
Written approval should confirm the clinical design before the definitive titanium bar and zirconia restoration are completed.
Passive seating
The prototype seats completely without rocking or visible discrepancy.
Midline and tooth position
Midline, incisal edge position and arch form are clinically approved.
Vertical dimension
VDO and facial support are accepted by the clinician and patient.
Phonetics
Speech sounds and incisal position are evaluated clinically.
Occlusion
Centric contacts and excursive relationships are adjusted and approved.
Smile design
Smile arc, tooth display, buccal corridor and gingival transition are approved.
Hygiene access
Intaglio contour and cleansability are evaluated before finalization.
Final written approval
All requested changes are documented before definitive fabrication.
SELECTED FULL-ARCH CASES
All-on-X Case Gallery
Examples of full-arch zirconia restorations completed by VR DentalCAD Studio. Final design and characterization vary by prescription.
FREQUENTLY ASKED QUESTIONS
Full-Arch Case Information
Do you require a verification jig?
A verification step is strongly recommended when implant position accuracy has not already been validated through an accepted photogrammetry workflow.
Can the PMMA prototype be skipped?
Skipping the prototype removes an important opportunity to verify esthetics, phonetics, occlusion, VDO, hygiene contour and patient acceptance before final fabrication.
Can you work from photogrammetry?
Yes. Submit the photogrammetry records together with full-arch scans, bite records, implant system information and all required esthetic records.
Is the final zirconia always made on a titanium bar?
This page describes the titanium-bar-supported workflow. Final design and material selection remain case dependent and must be prescribed by the clinician.
Can you make an immediate-load provisional?
Immediate-load provisional workflows may be supported when complete surgical, restorative and implant-position records are available.
What happens after the prototype is approved?
The approved prototype is used as the restorative reference for the titanium bar and definitive zirconia design.
Clinical responsibility:
The prescribing clinician is responsible for diagnosis, implant and
component selection, verification of fit, clinical torque, occlusal
adjustment, maintenance planning and all treatment decisions.
READY TO START?
Submit Your Next Full-Arch Case
Contact the laboratory before submitting complex cases so the required records, components and restorative sequence can be confirmed.