Background: The loss of teeth is a problem that frequently interferes with mastication, phonetics and esthetics. Patients frequently find their use of a removable partial denture (RPD) with a clasp to be in sufficient from a functional and aesthetic standpoint. RPD must take retention and stabilization into account. Another choice for free-end dentures, for which fixed dentures (FD) are contraindicated, is a hybrid prosthesis that uses precision attachment to combine an RPD and FD.

Methods: The inability to consistently achieve a passive fit with screw-retained implant prostheses is well documented in the literature. This article is evidenced based literature review describing current available data regarding the fabrication of fixed-detachable hybrid prosthesis.

Conclusions: Current and past literature regarding implant-retained frameworks for full-arch, hybrid restorations have been presented. Guidelines were proposed for use by clinicians and laboratory technicians in designing implant-retained frameworks. However further clinical and laboratory research continues to be warranted to test the efficacy of the proposed guidelines.