Evolution of Full-Arch Implant Prosthodontics

Evolution of Full-Arch Implant Prosthodontics: From Analog Protocols to Digital Workflows.

Rawal S1, Balshi TJ2, Jivraj S3, Birdi B4. Compend Contin Educ Dent. 2019 Oct; 40(9):578-585; quiz 586.

1 – Private Practice specializing in Prosthodontics, Merritt Island, Rockledge, and Winter Park, Florida; Cofounder, Digital Dentistry Institute.

2 – Founder, Prosthodontics Intermedica, Fort Washington, Pennsylvania; Clinical Professor, Implant Prosthodontics, Nova Southeastern University, Fort Lauderdale, Florida; Fellow, American College of Prosthodontists.

3 – Private Practice specializing in Prosthodontics, Ventura, California; Cofounder, Digital Dentistry Institute.

4 – Private Practice specializing in Periodontics and Prosthodontics, Vancouver, British Columbia, Canada; Cofounder, Digital Dentistry Institute; Fellow, The Royal College of Dentists of Canada (FRCD[C]); Fellow, American College of Prosthodontists; Diplomate, American Board of Prosthodontics.


Ever since orthopedic research emanating from Sweden revealed that human bone could consistently fuse to titanium, forward-thinking prosthodontists have pursued the enormous possibilities for restoring patients with implant-supported prosthodontics. Applications for osseointegration in full-arch prosthetic dentistry have evolved, with the chronologic development of technique and technology progressing from multi-step complex analog procedures to streamlined digital production of immediately loaded prosthetic dentitions that predictably deliver restorative excellence. This article presents a historical perspective that describes how dental implant prosthodontic materials and methods have advanced and are effectively keeping pace with other medical disciplines while remaining entrenched in scientifically based methodology. The article discusses current methods available for producing desirable prosthodontic treatment results to provide patients healthy, esthetic, enduring rehabilitations. The authors conclude that a wealth of research and experience has contributed to the progress of implant prosthodontics and that, based on current technological advances, this area of dentistry is only at the cusp of further development.

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Pi Dental Center, Fort Washington, PA