Background: When restoring multiple implants in the completely edentulous mandible, fabrication of a passive-fitting framework using traditional casting procedures is difficult. The introduction of computer-aided design and manufacturing techniques for fabricating custom 1-piece titanium frameworks simplifies this challenge and reduces time spent by the restorative dentist.
Purpose: The aim of this case presentation is to explain how to fabricate a milled titanium framework using Procera technique step by step.
Materials and methods: A 79-year-old woman with an edentulous maxilla and mandible received a maxillary complete denture in 3 appointments by duplicating her existing complete denture, and a mandibular screw-retained fixed dental prosthesis using a milled titanium framework. The patient did not have any problems regarding her implants and restorations in a year of service.
Conclusion: This clinical report presents a complete oral rehabilitation, in which a custom-milled titanium complete-arch mandibular framework was fabricated with an overdenture, and a maxillary complete denture was fabricated using a denture duplication technique in 3 appointments.