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The BruxZir® Full-Arch Implant Prosthesis: Three Ideal Indications

Zirconia Full-Arch Implant Prosthesis - Dental CE Course
Launch Course

Course Objectives (1 CE Credit)

Jeffrey D. Fleigel III, DMD, M.S.

The fixed full-arch implant prosthesis provides the edentulous patient with the highest possible level of prosthetic stability, chewing capability and quality of life. This type of restoration has traditionally been fabricated in the form of the screw-retained hybrid denture. Although highly effective, this type of prosthesis has proven vulnerable to fracture, premature wear and other maintenance issues. Due to advancements in dental CAD/CAM fabrication, full-arch implant prostheses can now be milled from monolithic zirconia, resulting in a more durable fixed restoration. In this multimedia presentation, Dr. Jeffrey Fleigel discusses three patient types that especially stand to benefit from the strength of the monolithic zirconia full-arch implant prosthesis. Topics include:

  • The benefits of fixed full-arch implant restorations
  • Acrylic hybrid dentures vs. monolithic zirconia full-arch implant prostheses
  • Circumstances indicating that a more durable restoration is needed
  • The use of provisional appliances to fine-tune prosthetic design
  • Restorative protocol for the monolithic zirconia full-arch implant prosthesis
  • Evaluation of wear facets to identify parafunctional habits
  • Presenting treatment options to the fully edentulous patient
  • Factors that contribute to prosthetic wear and breakage
  • Achieving proper fit and function in full-arch implant cases


In addition to providing patients with the superior function, comfort and stability of a fixed restoration, the monolithic zirconia full-arch implant prosthesis has the strength needed to withstand functional forces over time. Further, the restorative protocol utilized to provide this type of restoration can help clinicians overcome difficulties related to prosthetic design and parafunctional habits. The advantages of this treatment option are illustrated by reviewing three indications for which the monolithic zirconia implant prosthesis is particularly well-suited.


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