Treating older patients, especially those with disabilities, may be a demanding challenge. Success is dependent on carefully planned treatment and patient cooperation so that the patient is able to make full use of the completed restoration. Natural teeth, sound residual dental roots or implants may be utilized to support an overdenture. Such an appliance is more stable than a complete denture and affords better comfort, function and aesthetics. In this situation, dental implants were utilized to retain a connective bar. This portion of the treatment is non-removable (fixed). Three plastic clips were used for the retention of the removable overdenture. With a little training, the patient was able to learn to insert and remove the prostheses himself despite fairly advanced Parkinson's disease.
Fixed/Detachable Restorations are screwed into place on dental implants that may be removed by the dentist but not by the patient.
This patient is a male in his mid-fifties facing the loss of all of his remaining teeth due to advanced periodontal disease. In order to avoid complete dentures, a fixed/detachable implant retained/supported dental restoration was planned. Immediate complete dentures were fabricated for placement after the removal of the remaining natural teeth. While he was not thrilled with the dentures, they worked fine during the healing phase of treatment. After several months, implants were placed in the maxillary and mandibular jaws that served as the fixed portion of the prosthetic restorations. Natural bone formed around the implant fixtures to provide an integration of implant to bone to support the detachable prosthesis. After the osteointegration was complete, final restorations were constructed of a metal framework, covered by traditional denture acrylic and teeth.
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