Visit #1 Full arch impression with implant impression copings This should be with an abutment level impression, multi-unit abutments placed at 35Ncm. Shoulder should be supragingival. Or can be implant level impression with temporary Ti cylinders that are used to determine angles of mutli-unit abutment required. No matter which is used implant should have healing […]
Should now have prosthesis and NEW screws. Remove healing abutments or temp prosthesis Ensure multi-unit abutments at 35Ncm Seat primary bar and tighten screws. Hand-tighten the prosthetic screws, alternating from one side to the other. Once 2 in, one each side, check ischemia. If still there in 3 minutes remove and reduce area and polish. […]
Recheck torque on screws at 15Ncm. PTFE and neosporin with flowable composite or acrylic over openings Check occlusion. Review oral hygiene instructions. Final photos Set recall schedule (at first 1 time a year to remove, clean, and replace with new screws)
Fee for new denture over hader bar Nylon better than gold because gold too soft? Not using gold anymore. Personal preference?They both seem to work well. Nylon needs changing more, but easier to do. Metal clips that are either passive or activated for retention. Picked up directly into acrylic.
Implant Overdenture attachments ERA=vertical resilient better for implants Locator=rotational better for teeth Where implant is at help decide ERA vs locator Molar want rotation so Locator Canine can go either way PM worst area want ERA, like a teeter tooter Anterior can be either (square jaw=locator or v shaped=ERA think of as similar to PM […]
Overdenture prosthesis Implant Supported Overdenture=Implant-Supported Bar Overdenture Implant and Tissue Supported Overdenture=Implant Retained Overdenture (Prosthesis) =Implant Retained Tissue Supported Overdenture Telescopic could be either or the above but more likely to be # 2 Implant Supported Overdenture is 4-6 implants in the anterior with bar superstructure. Completely supported by bar. The suprastructure is recommended to […]
Can pick up metal housing in processed baseplate or metal mesh baseplate. Sharifi
Do not hang a partial off of an implant crown. Plate terminal abutment Attachments: ERA is vertically resilient so use for any anterior implant positions. Locator for posterior Codes 5862 = precision attachment (one male and female component) 6054 = implant/abutment supported removable denture for partially edentulous arch
Implant supported OD is very similar to implant supported prosthesis Just follow those steps Implant retained OD is very similar to denture and a fixed detachable provisional Initial impression Measure depth from implant platform to most coronal aspect of surrounding gingival tissue for depth locators Take alginate impression Final impressions Seat locator abutments to specified […]
Green Dental Lab made nice OD here
Should have NG fabricated, especially for removable overdenture to protect abutments from and para-functional activity.
Early loading – loading between 48 hours and 3 months Loading lower unsplinted implants at 1 week same as at 6 weeks used 3.7x14mm and flapless Soft diet and removal at night and OHI