Introduction: Methods of implant-prosthetic treatment are continuously evolving with new materials and technologies, including digital technologies, both in a dental laboratory and in clinical practice. While traditional (analogue) clinical and laboratory procedures rely on complex manual techniques, digital technologies, such as intraoral scanning and CAD/CAM, offer modern approaches. Contemporary implant-prosthetic treatments employ various methods for manufacturing customized implant abutments using different materials. Implant abutments can be prefabricated or individually customized. They can be made from titanium or the aesthetically superior zirconium oxide. Individually manufactured abutments, produced using CAD/CAM technology, offer better aesthetics, a precise fit to soft tissues, and a reduced risk of complications. The customization of abutments directly reduces gingival pressure on the implant structure, while the specific shape of the abutment and material choice promote osseointegration and enhance the long-term success of implant therapy. Purpose: The objective of the diploma thesis is to present the fabrication of a customized titanium abutment using software and CAD/CAM technology in a clinical case, thoroughly describe the process of screwing the abutment into the implant, and provide visual documentation of the entire procedure. Methods: A descriptive research method was used to analyse domestic and international scientific literature and technological procedures related to customized implant abutments. We used scientific literature found on online portals Google Scholar, Science Direct, ProQuest, DOAJ and PubMed databases, professional journals on the subject of prosthetics and maxillofacial surgery, such as the Journal of Prosthetic Dentistry, Clinical Oral Implants Research, Clinical Implant Dentistry and Related Research in Implant Dentistry, and resources found in the library of the Faculty of Health Sciences and Medical Faculty, which were accessed through the COBISS system. The research was limited to publications dating from 2014 onward, focusing on open-access sources. A total of numerous titles in various languages were obtained, which were appropriately summarized and refined into a comprehensive review. Results: In a dental laboratory, a zirconium oxide ceramic crown was fabricated on a customized titanium abutment using CAD/CAM technology. The work process includes a description of the manufacturing steps, visual documentation, and a list of materials used. Discussion and conclusion: The use of CAD/CAM technology in the production of customized implant abutments, frameworks, and all-ceramic restorations offers numerous advantages but also presents certain challenges. The process begins with an optical scanner that digitally captures data, followed by CAD software design, material selection, and abutment positioning within the disc. The CAM milling unit converts this digital data into a physical object, minimizing the risk of errors. However, this technology requires a high level of professional knowledge, software proficiency, and practical skills. The advantage of the CAD/CAM system is that it accelerates the manufacturing process and reduces production costs per unit, while complementing traditional methods and enhancing the quality of implant prosthetics. Further development of digital dentistry will lead to increased use of CAD/CAM technologies in treatment planning, resulting in reduced errors and improved aesthetics and functionality.
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