This clinical report describes the rehabilitation of an edentulous mandible with an implant-supported fixed prosthesis using an all-ceramic framework fabricated from zirconium oxide. Four interforaminal implants were inserted and allowed to heal submerged. The implant-supported fixed prosthesis was then fabricated using CAD/CAM and electroforming technology. No clinical complications were observed at the 6-month follow-up examination, and the patient was highly satisfied with function and esthetics. All-ceramic frameworks provide a high standard of esthetics; reduce the number of metals used in the oral cavity; and have a lower density compared to metals, which reduces weight in the case of large frameworks. (Quintessence Int 2008;39:421–426)

Key words: all-ceramic framework, CAD/CAM, edentulous mandible, electroforming, implant-supported prosthesis, rehabilitation, zirconium oxide