dental implants prosthetic...
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Mohammed AlfarsiBDS, MDSc(Pros), PhD
www.DrMohdAlfarsi.com
Dental Implants Prosthetic Superstructures
Tuesday 29 October 13
Dental Implants Prosthetic SuperstructuresOverview
Surgical Prosthetic
Tuesday 29 October 13
Dental Implants Prosthetic SuperstructuresOverview
Surgical Prosthetic
Tuesday 29 October 13
IntroductionProsthetic Options
Tuesday 29 October 13
IntroductionProsthetic Options
Fixed Removable
Titanium framework
Zirconia framework
Acrylic teeth
Porcelain teeth
Attachment type
Crown retention
Tuesday 29 October 13
Prosthetic OptionsClassification
Tuesday 29 October 13
Prosthetic OptionsClassification
Tuesday 29 October 13
Prosthetic Options
FP-1
Classification
Replaces crown only
Tuesday 29 October 13
Prosthetic Options
FP-1
FP-2
Classification
Replaces crown only
Replaces crown & root
Tuesday 29 October 13
Prosthetic Options
FP-1
FP-2
FP-3
Classification
Replaces crown only
Replaces crown & root
Replaces crown, root & gingiva
Tuesday 29 October 13
Prosthetic Options
FP-1
FP-2
FP-3
RP-4
RP-5
Classification
Replaces crown only
Replaces crown & root
Replaces crown, root & gingiva
Implant-supported
Tissue & implant-supported
Tuesday 29 October 13
Prosthetic Options
FP-1
FP-2
FP-3
RP-4
RP-5
Classification
Replaces crown only
Replaces crown & root
Replaces crown, root & gingiva
Implant-supported
Tissue & implant-supported
Tuesday 29 October 13
FP-1Classification Replaces crown only
Tuesday 29 October 13
Pros Options FP-1 Replaces crown only
Tuesday 29 October 13
Pros Options FP-1 Replaces crown only
Tuesday 29 October 13
Pros Options
Definition Fixed prostheses that replace the anatomical crown only
FP-1 Replaces crown only
Tuesday 29 October 13
Pros Options
Definition
Indications
Fixed prostheses that replace the anatomical crown only
- Minimal loss of soft/hard tissue- Implant can be placed in ideal position
- Crown can be made with natural size & contour
FP-1 Replaces crown only
Tuesday 29 October 13
Pros Options
Definition
Indications
Contra-indications
Fixed prostheses that replace the anatomical crown only
- Minimal loss of soft/hard tissue- Implant can be placed in ideal position
- Crown can be made with natural size & contour
- Considerable loss of soft/hard tissue- Implant can NOT be placed in ideal position
- Crown can NOT be made with natural size & contour
FP-1 Replaces crown only
Tuesday 29 October 13
Pros Options
Definition
Indications
Contra-indications
Fixed prostheses that replace the anatomical crown only
- Minimal loss of soft/hard tissue- Implant can be placed in ideal position
- Crown can be made with natural size & contour
- Considerable loss of soft/hard tissue- Implant can NOT be placed in ideal position
- Crown can NOT be made with natural size & contour
Material of choice
Framework: - Titanium - Zirconia
Veneer: - Porcelain
FP-1 Replaces crown only
Tuesday 29 October 13
Abutment SelectionPros
Options
Tuesday 29 October 13
Abutment Selection
Titanium Vs Zirconia
Pros Options
Tuesday 29 October 13
Abutment Selection
Titanium Vs Zirconia
Pros Options
Tuesday 29 October 13
Abutment Selection
Titanium Vs Zirconia
Advantages- Strong
- Long-term documented success
- Aesthetic
Pros Options
Tuesday 29 October 13
Abutment Selection
Titanium Vs Zirconia
Advantages
Dis-advantages
- Strong- Long-term documented
success
- Aesthetic
- Aesthetic
- Prone to stressed fracture- Expensive
- Technique sensitive
Pros Options
Tuesday 29 October 13
Crown RetentionPros
Options
Tuesday 29 October 13
Crown Retention
Cement Vs Screw
Pros Options
Tuesday 29 October 13
Crown Retention
Cement Vs Screw
Pros Options
Tuesday 29 October 13
Crown Retention
Cement Vs Screw
Advantages Aesthetic Retrievability
Pros Options
Tuesday 29 October 13
Crown Retention
Cement Vs Screw
Advantages
Dis-advantages
Aesthetic
Cement removal issues
Retrievability
Aesthetic
Pros Options
Tuesday 29 October 13
Prosthetic Options
FP-1
FP-2
FP-3
RP-4
RP-5
Replaces crown only
Replaces crown & root
Replaces crown, root & gingiva
Implant-supported
Tissue & implant-supported
Classification
Tuesday 29 October 13
FP-2 Replaces crown & rootClassification
Tuesday 29 October 13
Pros Options FP-2 Replaces crown & root
Tuesday 29 October 13
DefinitionFixed prostheses that replace the anatomical crown & a
portion of the root
Pros Options FP-2 Replaces crown & root
Tuesday 29 October 13
Definition
Indications
Fixed prostheses that replace the anatomical crown & a portion of the root
- Minimal-moderate loss of soft/hard tissue- Implant can be placed in correct facial-lingual position
- Patient accepts the longer crown (low lip line)
Pros Options FP-2 Replaces crown & root
Tuesday 29 October 13
Definition
Indications
Contra-indications
Fixed prostheses that replace the anatomical crown & a portion of the root
- Minimal-moderate loss of soft/hard tissue- Implant can be placed in correct facial-lingual position
- Patient accepts the longer crown (low lip line)
- Considerable loss of soft/hard tissue- High lip line (high aesthetic demand)
- Un-hygienic implant position
Pros Options FP-2 Replaces crown & root
Tuesday 29 October 13
Definition
Indications
Contra-indications
Fixed prostheses that replace the anatomical crown & a portion of the root
- Minimal-moderate loss of soft/hard tissue- Implant can be placed in correct facial-lingual position
- Patient accepts the longer crown (low lip line)
- Considerable loss of soft/hard tissue- High lip line (high aesthetic demand)
- Un-hygienic implant position
Material of choice
Framework: - Titanium - Zirconia
Veneer: - Porcelain
Pros Options FP-2 Replaces crown & root
Tuesday 29 October 13
Prosthetic Options
FP-1
FP-2
FP-3
RP-4
RP-5
Replaces crown only
Replaces crown & root
Replaces crown, root & gingiva
Implant-supported
Tissue & implant-supported
Classification
Tuesday 29 October 13
FP-3 Replaces crown, root & gingivaClassification
Tuesday 29 October 13
Pros Options FP-3 Replaces crown, root & gingiva
Tuesday 29 October 13
Definition Fixed prostheses that replace the crown, gingiva & ridge
Pros Options FP-3 Replaces crown, root & gingiva
Tuesday 29 October 13
Definition
Indications
Fixed prostheses that replace the crown, gingiva & ridge
- Moderate-severe loss of soft/hard tissue- High aesthetic demands
Pros Options FP-3 Replaces crown, root & gingiva
Tuesday 29 October 13
Definition
Indications
Contra-indications
Fixed prostheses that replace the crown, gingiva & ridge
- Moderate-severe loss of soft/hard tissue- High aesthetic demands
- Inability to control hygiene- Inability to fine tune phonetics
Pros Options FP-3 Replaces crown, root & gingiva
Tuesday 29 October 13
Definition
Indications
Contra-indications
Fixed prostheses that replace the crown, gingiva & ridge
- Moderate-severe loss of soft/hard tissue- High aesthetic demands
- Inability to control hygiene- Inability to fine tune phonetics
Pros Options FP-3 Replaces crown, root & gingiva
Tuesday 29 October 13
Definition
Indications
Contra-indications
Fixed prostheses that replace the crown, gingiva & ridge
- Moderate-severe loss of soft/hard tissue- High aesthetic demands
- Inability to control hygiene- Inability to fine tune phonetics
Pros Options FP-3 Replaces crown, root & gingiva
Tuesday 29 October 13
Definition
Indications
Contra-indications
Fixed prostheses that replace the crown, gingiva & ridge
- Moderate-severe loss of soft/hard tissue- High aesthetic demands
- Inability to control hygiene- Inability to fine tune phonetics
Material of choice
Framework: - Titanium - Zirconia
Veneer: - Porcelain - Acrylic Hybrid denture
Pros Options FP-3 Replaces crown, root & gingiva
Tuesday 29 October 13
Prosthetic Options
FP-1
FP-2
FP-3
RP-4
RP-5
Replaces crown only
Replaces crown & root
Replaces crown, root & gingiva
Implant-supported
Tissue & implant-supported
Classification
Tuesday 29 October 13
RP-4 Implant-supportedClassification
Tuesday 29 October 13
Pros Options RP-4 Implant-supported
Tuesday 29 October 13
DefinitionRemovable prostheses that are supported completely by the
implants
Pros Options RP-4 Implant-supported
Tuesday 29 October 13
Definition
Indications
Removable prostheses that are supported completely by the implants
- Enough alveolar bone to hold (Mand. 4-6 & Max. 6-8) implants
Pros Options RP-4 Implant-supported
Tuesday 29 October 13
Definition
Indications
Contra-indications
Removable prostheses that are supported completely by the implants
- Enough alveolar bone to hold (Mand. 4-6 & Max. 6-8) implants
- Inability to place enough implants
Pros Options RP-4 Implant-supported
Tuesday 29 October 13
Definition
Indications
Contra-indications
Removable prostheses that are supported completely by the implants
- Enough alveolar bone to hold (Mand. 4-6 & Max. 6-8) implants
- Inability to place enough implants
Material of choice
Teeth: - Porcelain - Acrylic
Framework: - Titanium
Pros Options RP-4 Implant-supported
Tuesday 29 October 13
Teeth SelectionPros
Options
Tuesday 29 October 13
Teeth Selection
Porcelain Vs acrylic
Pros Options
Tuesday 29 October 13
Teeth Selection
Porcelain Vs acrylic
Advantages- Strong
- Aesthetic
Pros Options
Tuesday 29 October 13
Teeth Selection
Porcelain Vs acrylic
Advantages
Dis-advantages
- Strong- Aesthetic
- Very technique sensitive- Expensive to make/repair
Pros Options
Tuesday 29 October 13
Teeth Selection
Porcelain Vs acrylic
Advantages
Dis-advantages
- Strong- Aesthetic
- Very technique sensitive- Expensive to make/repair
- Cheaper- Easier to make-repair
Pros Options
Tuesday 29 October 13
Teeth Selection
Porcelain Vs acrylic
Advantages
Dis-advantages
- Strong- Aesthetic
- Very technique sensitive- Expensive to make/repair
- Cheaper- Easier to make-repair
- Wear off- Not as aesthetic
Pros Options
Tuesday 29 October 13
Denture RetentionPros
Options
Tuesday 29 October 13
Denture Retention
Attachments
Pros Options
Tuesday 29 October 13
Denture Retention
Attachments
Bar & clips
Pros Options
Tuesday 29 October 13
Denture Retention
Attachments
Advantages - The bar splints the implants
Bar & clips
Pros Options
Tuesday 29 October 13
Denture Retention
Attachments
Advantages
Dis-advantages
- The bar splints the implants
- Technique sensitive- Clips fractures
Bar & clips
Pros Options
Tuesday 29 October 13
Denture Retention
Attachments
Advantages
Dis-advantages
- The bar splints the implants
- Technique sensitive- Clips fractures
Bar & clips Balls
Pros Options
Tuesday 29 October 13
Denture Retention
Attachments
Advantages
Dis-advantages
- The bar splints the implants
- Technique sensitive- Clips fractures
- Less technique sensitive- More angulation
- Bulky- Housing fractures
Bar & clips Balls
Pros Options
Tuesday 29 October 13
Denture Retention
Attachments
Advantages
Dis-advantages
- The bar splints the implants
- Technique sensitive- Clips fractures
- Less technique sensitive- More angulation
- Bulky- Housing fractures
Bar & clips Balls Locators
Pros Options
Tuesday 29 October 13
Denture Retention
Attachments
Advantages
Dis-advantages
- The bar splints the implants
- Technique sensitive- Clips fractures
- Less technique sensitive- More angulation
- Bulky- Housing fractures
Bar & clips Balls Locators
- Less bulky- More angulation
- Less housing fractures
- Expensive
Pros Options
Tuesday 29 October 13
Denture Retention
Attachments
Advantages
Dis-advantages
- The bar splints the implants
- Technique sensitive- Clips fractures
- Less technique sensitive- More angulation
- Bulky- Housing fractures
Bar & clips Balls Locators
- Less bulky- More angulation
- Less housing fractures
- Expensive
Pros Options
Tuesday 29 October 13
Prosthetic Options
FP-1
FP-2
FP-3
RP-4
RP-5
Replaces crown only
Replaces crown & root
Replaces crown, root & gingiva
Implant-supported
Tissue & implant-supported
Classification
Tuesday 29 October 13
RP-5 Tissue & implant-supportedClassification
Tuesday 29 October 13
Pros Options RP-5 Tissue & implant-supported
Tuesday 29 October 13
DefinitionRemovable prostheses that are supported by both the
implants and the alveolar ridge
Pros Options RP-5 Tissue & implant-supported
Tuesday 29 October 13
Definition
Indications- Inability to place enough implants for the implant-
supported denture
Removable prostheses that are supported by both the implants and the alveolar ridge
Pros Options RP-5 Tissue & implant-supported
Tuesday 29 October 13
Definition
Indications
Contra-indications
- Inability to place enough implants for the implant-supported denture
- Young patients due to high bone resorption
Removable prostheses that are supported by both the implants and the alveolar ridge
Pros Options RP-5 Tissue & implant-supported
Tuesday 29 October 13
Definition
Indications
Contra-indications
- Inability to place enough implants for the implant-supported denture
- Young patients due to high bone resorption
Material of choice
Framework: - Titanium
Removable prostheses that are supported by both the implants and the alveolar ridge
Pros Options RP-5 Tissue & implant-supported
Teeth: - Porcelain - Acrylic
Tuesday 29 October 13
The End
Tuesday 29 October 13
The End
Reference
Tuesday 29 October 13
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