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Orthopedic constructions for replacement of several teeth can be fixed by screw fixation and cement, metal-ceramic or zirconium.

 

Cemented fixation

 

Screw fixation

 

For extended defects (when lacking more than 3 teeth in a row) and with a deep position of the implants from the gingival margin(more than 2 mm), I recommend metal-ceramic bridges on the screw fixation. In other cases, cemented metal- or full-ceramic prosthesis functions well.