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CAD/CAM custom-milled titanium bar

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Fig. 1: Scans showing severe bone resorption and atrophy of the upper jaw.

Fig. 2: Scans showing severe bone resorption and atrophy of the upper jaw.

Fig. 3a: Implant planning with SIMPLANT after a bilateral sinus lift.

Fig. 3b: Implant planning with SIMPLANT after a bilateral sinus lift.

Fig. 3c: Implant planning with SIMPLANT after a bilateral sinus lift.

Fig. 4a: Axiom PX implant.

Fig. 4b: Occlusal view showing the multi-unit abutments and protective caps in place.

Fig. 5b: Master cast with silicone gingiva.

Fig. 6: Plaster index for approval.

Fig. 7: The wax pattern fabricated by the laboratory technician.

Fig. 8a: Simeda scan.

Fig. 8b: Scanning.

Fig. 9a: 3-D CAD model.

Fig. 9b: 3-D CAD model.

Fig. 10: Milling.

Fig. 11a: Simeda milled titanium bar.

Fig. 11c: The titanium bar in situ.

Fig. 11d: Panoramic radiography for fit control of the bar.

Fig. 12a: The telescopic denture on a milled bar.

Fig. 12b: The telescopic denture on a milled bar.

Fig. 5a: Master cast with silicone gingiva.

Fig. 11b: Simeda milled titanium bar.

Fig. 13: CEKA attachments as additional retention devices.

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