presented by: dr farzaneh hosseinkhezri treatment plans for fixed restorations
TRANSCRIPT
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IN THE NAME OF GOD
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IMPLANT SUPPORTED
FIXED RESTORATONS
OF MAXILLA AND MANDIBLE
Presented by: Dr farzaneh hosseinkhezri
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THE COMPLETELY EDENTULOUS MANDIBLE
Treatment plans for fixed restorations
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FORCE FACTORSThe amount of force transmitted to an implant-fixed prosthesis is similar to RP-4
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MANDIBULAR DYNAMICS
1. Medial movement
2. torsion
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IMPLANT TREATMENT
OPTIONS
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TREATMENT OPTION 1: THE BRANEMARK APPROACH
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TREATMENT OPTION2
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TREATMENT OPTION3
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TREATMENT OPTION 4
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TREATMENT OPTION 5
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COMPLETELY EDENTULOUS
MAXILLA
Treatment plans for fixed restorations
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MAXILLA DYNAMICS
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PREMAXILLA ARCH FORM
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SQUARE ARCH
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OVOID ARCH
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TAPERED ARCH
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TREATMENT PLANNING SEQUENCE
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DIAGNOSTIC CASTS
•Evaluate the residual bone•Analyze maxillomandibular relationships.•Diagnostic wax up•Check proper fixture location, alignment, and relation to remaining teeth.•Surgical templates to guide surgical fixture installation.
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SURGICAL GUIDE
A clear resin template made from diagnostic wax upObjectives of surgical guide:1. Delineate the embrasures2. Locate the implant within the
restoration contour3. Align implant with the long axis of the
restoration.4. Identify the level of the emergence
position from the soft tissue
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PROVISIONAL DENTURES
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IMPRESSION MAKING
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HYBRID PROSTHESIS
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THE END