Prosthodontic management of a combination transosteal/endosteal implant reconstruction: a clinical report.

This is a clinical report of a patient who was not referred for prosthodontic evaluation and treatment until after undergoing Bränemark endosseous implant placement to supplement the previously existing mandibular staple bone plate implant. This supplemental treatment was the surgeon's attempt to resolve the patient's complaint of loose dentures. Creativity with implant biomechanics and prosthodontic design were necessary to restore the patient, in a predictable manner, to normal function. A fixed, detachable cast overdenture bar rigidly connected to all the implants was constructed utilizing resilient attachments to retain the tissue-supported mandibular overdenture. A presurgical prosthodontic evaluation could have averted many of the problems encountered with treatment. More effective conventional prosthodontic treatment may have resolved the patient's complaints and eliminated the need for additional implant placement.

Osseointegrated implant prosthodontics.

This review covers recent literature on prosthodontic aspects of osseointegrated implants. Long-term prognosis, diagnosis and treatment planning, and clinical impression techniques and fabrication technology are discussed.

Removable partial overdentures for special patients.

Removable partial overdentures are an option that should be considered by every dentist who is involved with cosmetic dentistry or dentistry for the older adult. The rationale, indications, and technique have been described for providing an aesthetic, functional prosthesis that is also conservative in nature. The reversibility of the procedure allows the patient the opportunity to pursue other forms of treatment should the result not meet his or her expectations. For appropriately selected special patients, the results can be extremely gratifying for both the patient and dentist.

Overdentures for acquired and congenital anomalies: 2. Partial overdentures.

The use of complete overdentures for the restoration of acquired and congenital anomalies has been advocated for many years. This therapeutic approach can provide an esthetic and functional restoration for missing, malformed, or discolored dentition. For some patients, tissue coverage similar to a complete denture is disconcerting, especially when the majority of the teeth are present. The removable partial overdenture provides a functional, esthetic, and economical alternative. A technique is described for the fabrication of the partial overdenture for acquired and congenital anomalies.

Overdentures for acquired and congenital anomalies: 1. Complete dentures.

Overdenture principles can be applied to dentitions that are relatively complete without preparation or alteration of the existing teeth. Such overdentures may cover the traditional denture-bearing tissues as well as the unaltered remaining teeth. The primary advantages derived are reversibility, simplicity, and cost effectiveness. The primary indications are restoration of congenital and acquired anomalies. A detailed clinical and laboratory technique for fabricating these overdentures is presented. Effective restorations require care and attention to detail using the principles of conventional prosthodontics. No special equipment or material is needed. Two patient histories are presented, illustrating use of the technique.

Verification of centric relation.

This article discusses the clinical uses of Centric Check Points in the edentulous and partially edentulous patient. It details the technique for centric verification, and the correction procedure if an error is discovered.

Evaluation in reconstructive implantology.

Acceptance of implants by dentist, readiness for use, and general indications are described. Individual evaluation for implants is detailed and success of implants defined. Indications for removal are cited and appropriate statistic methodology presented.