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Figure 2a: Cast framework Figure 2b: Framework incorporated into overdenture Providing implant-retained overdentures can be one of the most professionally rewarding aspects of your practice. Figure 3: Virtual framework design with strut over attachment housing If vertical space is lacking, a cast framework can be incorporated into the new denture to provide strength (Figs. 2a, 2b). Frameworks are designed to have a strut over the top of the attachment housing (Fig. 3). In mandibular overdenture cases, it is customary to place four mini implants within the symphysis area with as wide an anterior-posterior spread as possible while still ensuring an adequate margin of safety from the nerve (Fig. 4a). In maxillary overdenture cases, it is customary to place six mini implants anterior to the sinuses (Fig. 4b). The O-ring housings are 4.75 mm in diameter, and there should be at least 2 mm of acrylic between these metal housings in the denture base (Fig. 5). Therefore, the centers of the implants should be at least 7 mm apart. Providing implant-retained overdentures can be one of the most professionally rewarding aspects of your practice — and it can be life-changing for your patients. Planning from both the prosthetic perspective and the surgical perspective will help the cases go smoothly and minimize future complications. IM 32 – www.inclusivemagazine.com –
Mandibular Spacing Maxillary Spacing Figure 4a: Typical placement of mini implants in the mandible Figure 4b: Typical placement of mini implants in the maxilla Figure 5: Digital treatment plan for four Inclusive Mini Implants in an edentulous mandible. Cross-sectional view (upper right quadrant) shows O-ring housing well positioned within the denture base. – Small Diameter Implants: Planning from the Prosthetic Perspective – 33
Page 1 and 2: Inclusive Restorative Driven Implan
Page 3 and 4: Contents 19 Restoring Mandibular Si
Page 6 and 7: Publisher Jim Glidewell, CDT Editor
Page 8 and 9: Contributors ■ Bradley C. Bockhor
Page 10 and 11: Trends in Implant Dentistry Average
Page 13 and 14: my first implant with Jack A. Hahn,
Page 15 and 16: The House that Jack Built Inspired
Page 17 and 18: Hygienist’s Corner A Probing Ques
Page 19 and 20: Probe using only 0.15 Ncm of pressu
Page 21 and 22: Restoring Mandibular Single Teeth w
Page 23 and 24: Figure 4: Cross-sectional view of p
Page 25 and 26: Figure 13: Seated provisional resto
Page 27 and 28: Figures 26a, 26b: Acrylic abutment
Page 29 and 30: IMPLANT POSITION IN THE ESTHETIC ZO
Page 31 and 32: type of connection between implant,
Page 33: SMALL DIAMETER implants Planning fr
Page 38: used before the patient even presen
Page 42 and 43: BB: Sounds like it’s a truly inte
Page 44 and 45: Figure 6: Double-cord tissue retrac
Page 46: It’s a great time to be in dentis
Page 51 and 52: CLINICAL TIP Go online for in-depth
Page 53 and 54: 5a Figures 5a, 5b: A new bite regis
Page 55 and 56: Photo Essay: Immediate and Post-Pla
Page 57 and 58: 4a On the day of surgery, the risks
Page 59 and 60: With the implant securely hand-thre
Page 61: Case #2: Post-Placement Utilization
Page 65 and 66: 7a Once an appropriate osseointegra
Page 67 and 68: CLINICAL TIP When a Flapless Approa
Page 69 and 70: LAB SENSE Go online for in-depth co
Page 71 and 72: Digitally (CAD) Designed vs. Waxed
Page 73 and 74: mitigate the painful and disruptive
Page 77 and 78: Go online for in-depth content Trea
Page 79 and 80: BB: For the sake of our audience, c
Page 81 and 82: A lot of times, having the prosthes
Page 83 and 84: the time, and then I will prescribe
Page 85 and 86:
Go online for in-depth content Crea
Page 87 and 88:
Figure 3: In2Guide surgical guide c
Page 89 and 90:
Figure 13: Implants torqued to full
Page 91 and 92:
Figure 22: Teflon plumber’s tape
Page 93 and 94:
“Rules of 10” Guidelines for Su
Page 95 and 96:
Some added concern is focused on th
Page 97 and 98:
The all-on-four concept generally r
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