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fixed and removable implant restorations ce article | 31 CAD/CAM 3 2016 exact reproduction of the test-driven provisional, thedefinitiveprosthesisfitperfectlyandofferedthe aestheticsandfunctionthepatienthadcometoex- pect (Figs. 28a & b). The final restoration effectively addressed the unique circumstances of the case, providingthemostdurable,stableprosthesispossi- bleforhisupper,andalowerrestorationthatgreatly improvesprostheticretentionandcanbeupgraded to a fixed prosthesis should the patient’s situation change. Conclusion Practitionersnowhavetheclinicalflexibilitytooffer patients a wide range of treatment options, from entry-level, economical restorations like the In- clusive Locator Implant Overdenture, to the fixed, highlydurableBruxZirFull-ArchImplantProsthesis. Thereisaviablemeansoftreatingnearlyallpatients, whatever their oral health, needs and finances. Giventhelife-changingbenefitsofimplanttherapy and the straightforward restorative protocols of today, this service should be offered to all patients confronting the challenges presented by complete edentulism._ References 1. Yunus N, Masood M, Saub R, Al-Hashedi AA, Taiyeb Ali TB, Thomason JM. Impact of mandibular implant prostheses on the oral health-related quality of life in partially and completely edentulous patients. Clin Oral Implants Res. 2015 Jul 14. 2. Martín-Ares M, Barona-Dorado C, Guisado-Moya B, Martínez- Rodríguez N, Cortés-Bretón-Brinkmann J, Martínez-González JM. Prosthetic hygiene and functional efficacy in completely eden- tulous patients: satisfaction and quality of life during a five-year follow-up. Clin Oral Implants Res. 2015 Apr 20. Fig. 24 Fig. 25 Fig. 26 about Dr Paresh B. Patel, DDS, graduated from the University of North Carolina at Chapel Hill School of Dentistry in 1996. He graduated from the Medical College of Georgia/American Academy of Implant Dentistry MaxiCourse in 2009. He has been in private practices in Lenoir and Mooresville, NC, from 1996 through the present. Patel is a founding member and on the editorial board of Journal of the International Academy of Mini Dental Implants. He is a clinical instructor at the Reconstructive Dentistry Institute and a diplomat of American Academy of Small Diameter Implants. Patel was president of the Iredell County Dental Society in 2012; is a member of the American Dental Association, the North Carolina Dental Society and the American Academy of Implant Dentistry; and is a clinical consultant on dental implants and prosthetics. He lectures nationally on implant and restorative dentistry, and he has published numerous articles in leading dental journals. Fig. 24: Quick Up cold-cure acrylic was used to pick up the metal housings in the overdenture and fill in the minor voids between the denture caps and recess wells of the prosthesis. NOTE: In many cases, the doctor elects to have the overdenture caps processed by the lab. Fig. 25: The black processing inserts were replaced with the appropriate retentive caps, which are color-coded according to strength. Fig. 26: Patient with the final Locator overdenture and the upper provisional implant prosthesis in place. Fig. 27: The definitive maxillary restoration was milled from BruxZir Solid Zirconia, incorporating the slight adjustments that were made to the PMMA provisional appliance. Figs. 28a & b: The final BruxZir Full-Arch Implant Prosthesis completed a dramatic oral reconstruction for a patient who presented with terminal dentition, restoring form, function and quality of life. Fig. 27 Fig. 28a Fig. 28b 32016