Full Arch

The full arch arrives with prescription, verified photos, and 5 GB files — ready to design.

TrazaLab structures every full arch case so the lab receives implant system, multi-unit type, shimbashi, material, shade, and all scans — before opening CAD.

Start free trial See how it works

97.2%

implant survival

trackable stages

5 GB

per file upload

100%

digital Rx

Protocols

Two protocols. One platform.

All-on-4 and All-on-5 have different implant counts, framework requirements, and loading protocols. TrazaLab captures the right fields for each — from provisional to definitive.

All-on-4

4 implants per arch, 2 tilted posterior up to 45 degrees. Immediate loading possible with PMMA provisional. The original Malo protocol — proven over two decades.

94.8% prosthetic survival 10yr

Malo et al. 2011 — PMID 21876758

All-on-5

5 implants per arch with titanium bar framework. Enhanced stability for larger arches and patients with parafunctional habits. Axial loading on all positions.

Enhanced framework stability

Pjetursson et al. 2012 — PMID 23062125

PMMA Provisional

CAD/CAM milled from a single PMMA puck. Worn 3-6 months during osseointegration. Bridge to the definitive — immediate esthetics and function while bone heals.

3-6 month healing phase

Immediate loading provisional protocol

Zirconia Definitive

Monolithic or layered zirconia final restoration. 900-1200 MPa flexural strength. Zero chipping in monolithic designs. The gold standard for long-term full arch.

0% chipping monolithic

Romandini et al. 2026 — PMID 41650383

Platform

This is how a full arch case arrives at your lab

The surgeon fills out the full arch prescription in TrazaLab. You receive the complete case: arch, implant system, multi-unit type, shimbashi, material, shade, and all files attached — up to 5 GB each.

No phone call. No WhatsApp audio. No guessing which multi-unit angle was placed. Everything structured, everything in one place.

trazalab.com/orden/3041

9 stages. Each one trackable.

Full arch cases move through a structured pipeline. Every stage is visible to surgeon and lab — no guessing where the case is.

Submitted

→

Validating

→

Design

→

Surgeon Review

→

Milling

→

Try-In

→

Final Milling

→

Complete

→

Archived

Submitted: Surgeon sends Rx with scans, photos, and full prescription fields.

Validating: Lab checks files, prescription completeness, and photo gates (VDO, shade).

Design: CAD design of provisional or definitive based on validated Rx data.

Surgeon Review: Digital preview sent for approval. Changes requested via TrazaChat.

Milling: PMMA puck or zirconia blank milled. Bar framework if All-on-5.

Try-In: Patient try-in appointment. Bite, esthetics, and phonetics verified.

Final Milling: Adjustments applied. Final material milled and finished.

Complete → Archived: Case delivered, documented, and archived with full audit trail.

Materials

Full arch materials

Four material options for full arch restorations. Each has different strength, longevity, and clinical trade-offs — TrazaLab captures which one was prescribed.

Material	Use	Strength	Duration	Key Advantage
PMMA	Healing phase	80-120 MPa	3-6 months	Immediate esthetics, easy to modify
Monolithic Zirconia	Definitive	900-1200 MPa	15-20+ years	0% chipping, maximum strength
Hybrid (Ti + acrylic)	Definitive	Metal framework	10-15 years	Proven track record, repairable
PFM	Definitive	500-800 MPa	10-15 years	Good esthetics, lower cost

Strength values from published literature. Romandini 2026

Outcomes

Clinical data. Not marketing.

Every number on this page comes from peer-reviewed systematic reviews. No claims without citations.

Implant survival (rough surface)

Survival rate of rough-surface implants supporting fixed prostheses, systematic review.

Pjetursson 2012 →

Prosthetic survival 10yr (All-on-4)

Cumulative prosthetic survival of All-on-4 protocol at 10 years, longitudinal study.

Malo 2011 →

Chipping in monolithic zirconia

Zero ceramic chipping events in monolithic zirconia prostheses, meta-analysis.

Romandini 2026 →

0 GB

Max file size per upload

Full arch scans, photogrammetry files, and high-res photos — no compression needed.

Prescription Flow

What the surgeon prescribes, step by step

8 structured fields for full arch. No free-text guessing. The surgeon selects, the lab receives — complete and validated.

Arch Selection

Upper, Lower, or Both. Each arch is tracked as a separate case with its own pipeline and files.

Treatment Type

PMMA Provisional, Definitive, or Try-in. Each type triggers different validation rules and stage requirements.

Implant System

Nobel Biocare, Straumann, Neodent, BioHorizons, or other. The lab needs to know which library to use in CAD.

Multi-Unit Type

17 degrees, 30 degrees, Straight, or Ti Base. Angle determines screw channel direction and framework clearance.

Shimbashi Measurement

Vertical dimension of occlusion measured in mm. Required VDO photo gate — the system won't proceed without it.

Centric Relation Method

Bite registration method documented with photo. Critical for full arch — no room for error on CR.

Shade Selection

VITA Classical or 3D-Master. Shade photo gate required — calibrated lighting, shade tab visible next to teeth.

Framework & Material

PMMA, Monolithic Zirconia, Hybrid Ti+Acrylic, or PFM. Framework design (bar, individual, monolithic) selected based on protocol.

Quality Control

Full arch validation before design

10 full-arch-specific checks the lab runs before starting CAD. Structured in TrazaLab so nothing is missed.

Scans & Photogrammetry

Full arch coverage — no gaps, no tracking errors

All multi-units visible and scannable

Tissue scan: margins clear, no voids

Bite & Occlusion

Bite registration present and matches CR

Shimbashi measurement documented

Photos & Verification

VDO photo verified — ruler visible, patient at rest

Shade photo verified — calibrated light, tab visible

Smile line photo for tooth display reference

Prescription Completeness

No field conflicts — material matches treatment type

All required fields complete — zero blanks

Evidence

Scientific references

All clinical data on this page comes from peer-reviewed systematic reviews and meta-analyses.

Pjetursson BE, Thoma D, Jung R, Schwarz F, Formal P, An S. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses after a mean observation period of at least 5 years. Clin Oral Implants Res. 2012;23 Suppl 6:22-38. PMID 23062125

Malo P, de Araujo Nobre M, Lopes A, Moss SM, Molina GJ. A longitudinal study of the survival of All-on-4 implants in the mandible with up to 10 years of follow-up. J Am Dent Assoc. 2011;142(3):310-320. PMID 21876758

Romandini M, et al. Monolithic zirconia fixed dental prostheses: a systematic review and meta-analysis. J Clin Periodontol. 2026. PMID 41650383

Pjetursson BE, Bragger U, Lang NP, Zwahlen M. Comparison of survival and complication rates of tooth-supported fixed dental prostheses. Clin Oral Implants Res. 2007;18 Suppl 3:97-113. PMID 17594374

Next step

Ready to manage your first full arch?

Start with a full arch case. See how it feels when every prescription field arrives filled, every scan attached, and every stage tracked — from submission to delivery.