At this appointment, the prosthesis framework is evaluated for accuracy of fit, appropriate contour to faciltate oral hygiene access and the necessary balance of structural morphology for rigidity/strength and sufficient space to...

Attachment selection

The relative merits of different prosthodontic treatment objectives - resilient versus rigid attachments - are controversial and empirical. A resilient retention mechanism is recommended on the assumption that this will protect implants from overload; while in...

Impression making in implant overdenture therapy simultaneously records healthy available denture-bearing tissue surfaces and implants’ positions in edentulous arches. The objective is a shared retention and...

A fixed prosthesis offers benefits from both a functional and esthetic point of view and may be regarded as quite similar to a patient's own natural dentition when compared to alternative treatment options such as complete dentures....

Some patients present with soft and hard tissue defects that cannot be addressed by a fixed implant prosthesis when esthetics, phonetics and oral hygiene access are considered. In these patients who have struggled...

Successful oral rehabilitation of edentulous patients with removable prostheses demands careful adherence to a clinical protocol.
Clinical objectives are met by using a routine clinical protocol that includes most or all of the following steps...

What can go wrong when restoring a full-arch with immediate provisionalization ? Dr Parrish gives insight in the most common complications and pitfalls and how they can be avoided. Often failures are due to human errror. Implant component failures are rare, provided premium quality...

A 57-year-old female patient presented herself with a missing maxillary left central incisor and wanted a fixed replacement. A single implant and crown were used to replace the missing tooth with gingival-colored cervical porcelain to provide a more esthetic result.

A 47-year-old female patient referred by her periodontist who was not satisfied with her gingival health. Metal-ceramic crowns with ceramic margins on the natural teeth along with placement of a custom abutment and cementation of a metal-ceramic crown on the implant were chosen.

A 91-year-old female patient was unable to wear her existing dentures. There was no residual ridge in the maxilla, only soft tissue. In the mandible, there was extensive resorption with the inferior alveolar canal close to/on the residual ridge. 

The lecture discusses the different reasons, why patients loose teeth and the various options for treatment with implant supported restorations. The aspects which need to be considered comprise the reason of tooth loss such as caries, perio disease or apical lesions, and prosthetic...

A 57-year-old female patient presented with significant soft tissue defect requiring the use of pink porcelain for restoration.

A 73-year-old female patient presented with extensive bone loss around the posterior tooth abutment, requiring extraction. Two crowns were used to replace the missing teeth and they were splinted to control the leverage due to the distal location of the implant in the molar crown.

The lecture presents esthetic reconstruction principles in the anterior maxilla and discusses the challenge to integrate white and pink esthetics - soft tissue and tooth restoration. Dr Coachman presents a clinical case with an implant based crown restoration on an upper central...

The lecture discusses parameters influencing the esthetic result of an implant based restoration from the perspective of the dental technician. Presenting clinical cases in the esthetic zone, Patrick Rutten gives insights in material selection highlighting the advantages of CAD/CAM...