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Dental Implants: Full Arch Implant Supported Fixed Partial Denture
I have a patient who wants a mandibular full arch implant supported fixed partial denture. I will be replacing a mandibular overdenture.
The mandible has suffered atrophy with considerable loss of vertical dimension. I can use a fixed-detachable prosthesis (hybrid) but I am concerned that the patient will be dissatisfied because of the space between the metal framework and the gingiva. Has anybody encountered this problem? Any comments?
November 8, 2005 in Treatment Planning & Complications | Permalink
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Comments
why not provide the patient with a procera implant bridge using acrylic teeth? The space between the tissue and the underside is minimal and i have never had a patient complain about it yet. Your lab fees are minimal because you are not using porcelain and acrylic teeth are very forgiving. I have completed quite a few of these recently and have had really good success. Just a thought????
Posted by: wade | Nov 8, 2005 6:31:02 PM
An excellent option with a hybrid prosthesis is the 'Profile Prosthesis' - a fixed-detachable prosthesis for either the maxilla or mandible that is NOT a 'high water' prosthesis - rather, the tissue surface is ovate pontic shaped and is intimate in contact wit the tissue. A reprint of the original article describing the prosthesis is available on my website or email me.
Posted by: Mark Adams, DDS, MS | Nov 9, 2005 6:48:34 AM
Dr. Adams, I cannot find your article on the Profile Prosthesis on your website. Could you please post a direct link for us. Thanks
Posted by: | Nov 17, 2005 3:19:48 AM
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