Removable prosthetics and implants

Mon, 04/27/2009 - 22:50 — drpruscde

1- If a good denture exists, is it sufficient to cut out tissue surface base over the location of proposed implants, leaving a space so as not to micro-move the implants during osseous fixation? (Patient went through extensive fixed prosthetics, endo and perio on lower and is not 'eager' for more treatment but would like more stability.) What is the minimum one can use presuming adequate (10+mm x4mm), strong, healthy bone? I would like to cut back the palatal coverage when implants are secure. For her less treatment is better treatment.

Comments

Sat, 10/10/2009 - 10:16 — Ti Doc

Response to Dentures and Implants question

It depends on what your patient wants to spend. If she does not want to spend much, you can get away with 2 implants on the bottom and 2-3 on top (your preference...personally, I like to do 3 minimum on top). If she can afford more, place 4 on bottom and 3-5 on top (again, your personal pref as to how many) 4 and 4 should be fine. Some people like 5 on top.

As for the transition phase during healing of the implants, I personally like to use mini-implants to stablize the denture in the interim while the larger implants are healing. Easy to reline the denture. Some may disagree with me and go straight to loading the newly placed full sized fixtures, but I do not like to do this. I have seen this result in bone loss. The mini-implants have worked great for me and are a good short term stabilizer during the full size implant healing period. I would never use the mini-implants as the permanent restoration. I have seen this result in too many lawsuits and it is not the best care (in my opinion).

Mon, 03/08/2010 - 19:32 — SamBusich

Aldo Leopardi Webinar on DentalXP

Just finished watching Dr. Aldo Leopardi on a webinar through DentalXP. He did a great job on real life clinical implant overdenture therapies. As a restorative dentist that perfroms his own implants surgery this is what most dentists need to know today, how many implants needed in each arch and how to select the appropriate restorative abutments, attachments and frameworks etc. etc.
He is giving a course next month in Atlanta and I plan on being there;
2-day hands-on training course in Atlanta April 9-10th 2010 with Dr. Aldo Leopardi please visit:https://www.regonline.com/aldo
Sam