Today the implant-supported prostheses are used more and more in the daily routine and the removable
prostheses in case of large rehabilitation offer aesthetic and functional advantages especially when a support of the soft tissues is necessary. In this article will be given much attention to the analysis and the design of the prosthesis in order to achieve predictable and repeatable results. During the construction of the structure and superstructure, the microscope will be critical to achieve the maximum precision.
‘Tooth loss and rehabilitation with dentures can have tremendous patient impact and social implications. In
an image-conscious society, dentures restore a sense of normalcy and allow the patient the ability to interact with others.’ (Roumanas, 2009).
Various studies prove that, nowadays, titanium implants have a clinical success and durability rate of more than 90 per cent (ten-year data). When evaluating prosthetic restorations, however, the emphasis is often on the durability of fixed-bridge restorations which, in many cases, are on the lower end. What is the reason for this discrepancy?
Treatment of the edentulous jaw is considered the “ultimate discipline” in dentistry, whereby the fabrication of implant-supported restorations increases. Screwed-in options (for example, a bridge) or removable full dentures (for example, locatorsupported) – many of the tried and tested parameters of full prosthetics need to be considered in field of implant prosthetics. Particularly, static numerous aspects, which are not identical to tooth-supported bridge restorations, need to be included.
Removable prosthesis is playing an increasingly important role in modern dentistry. The introduction of new materials (teeth, resins, composites for characterization) allows to achieve functional and aesthetic excellence. Fabricating an immediate denture in the conventional manner may be complicated and diffi cult, especially when the patient show a terminal dentition.
In this article, we describe a case that we treated utilizing digital technologies for the construction of an immediate and diagnostic full denture.
After the appropriate implant healing period, the prosthetic phase of the treatment starts. For fabricating
the final restoration, we begin by accurately determining the functional conditions and taking a precise implant impression. Once the implant models are produced, we proceed with the fabrication of the final restoration.
When comparing the pros and cons of a fixed or partly removable dental prosthesis the following subjective patient-related factors need to be taken into consideration: Phonetics, aesthetics and morbidity of the patient(hygiene capability).
The treatment started with a complex anamnesis, diagnostic measurements and special splint therapy. After the end of the therapy and abatement of all patient complaints, the modification of the vertical, sagittal and transversal shifts by means of crown and partial crown was undertaken. Based on the diagnostic knowledge gained and by means of the targeted therapy, a complaint-free function could be obtained and assured for the future!
When I first started working with our Sirona inLab® System five years ago, I would have never imagined where it would take my laboratory and me today. We now work closely with CEREC doctors from around the world through the Sirona Connect digital platform, planning best treatment options and creating truly noteworthy cases.
Same-day restorations have become a reality while working with “non-digital dentists,” as well as with CEREC
doctors designing and scanning cases at their offices using chairside systems and then sending them to my laboratory to mill, and this process has worked in reverse also. Our lab has designed cases, and then we can send them back to CEREC doctors who are able to mill and finish the cases all while working chairside.
Over the past decades, the improvements in the field of prevention of caries and periodontal disease have led to a significant reduction in tooth loss. It has been reported in many studies that edentulism adversely affects not only the oral functions but also the quality of life of the patients, limiting their social life and self-esteem. For many years, the full-denture approach was considered the only chance of rehabilitation in these cases; however, the wide spread of osseo-integrated implants has widened the spectrum of, both, fixed and removable rehabilitation possibilities.
Clinical and technical dentistry have gone through a period of significant change as the
profession gears itself to satisfying the needs of customers in the digital age.
Advancements in materials, products and technology over the past 20 years have resulted in improved treatment planning and shorter healing times.
However, it is well documented that the single biggest factor in delivering long term success is the skill of the clinician or the dental technician.
A patient presented for treatment because he was unhappy with his smile. He had observed a gradual reduction of his incisors, which he deemed to be visual symptoms of ageing, as well as increasing amounts of masticatory dysfunction (bruxism) in the form of episodes of grinding, clenching and cracking in the temporomandibular joint. The subsequent interview and examination did not reveal any contraindications for treatment.
The first stage of the treatment was described in part one of this article, which was published in the 3 September Dialogue February (volume 15, issue no 2).
A 58-year-old female patient in satisfactory general health, presented with diffifi culties in function and speech that resulted in a deterioration of her social relationships. She wanted complete restoration of the oral situation. The aim of treatment was the fabrication of full dentures that would offer optimum aesthetics in addition to proper function.
The patient presented for treatment because he was unhappy with his smile. He
had observed a gradual reduction of his incisors, which he deemed to be visual symptoms of ageing, as well as increasing amounts of masticatory dysfunction (bruxism) in the form of episodes of ‘grinding, clenching and cracking’ in the temporomandibular joint. The subsequent interview and examination did not reveal any contraindications for treatment.