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...

At post-placement visits, the same factors evaluated carefully at the placement appointment should be reviewed and adjusted where necessary. Overdenture base fit, extensions, occlusion, esthetics, function, comfort and overall patient...

Placement of a removable prosthesis requires attention to detail to cover all important clinical items such prosthesis fit, denture base extensions, esthetics, occlusion, patient comfort and post-insertion instructions. Implant overdentures may or may not...

The trial placement appointment is a significant one for successful edentulous patient care.
The tooth arrangement (set-up) provides a tangible orientation index of the teeth’s spatial positions in relation to each...

Accurate and repeatable recording of patient’s maxillo-mandibular relationships are essential for all types of oral rehabilitation. They provide essential clinical documentation that enables dentists and technicians to create...

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...

Patrick Rutten reviews the laboratory part within the digital workflow and the opportunities with CAD/CAM procedures being an excellent alternative to casting technique. CAD/CAM technology provides excellent and predictable precision, passive fit, significant labor and time savings...

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...

The All-on-4® treatment concept can be combined with a guided surgical protocol. Looking back on experiences with these techniques since 2005, Dr Lopes reviews the advantages of these protocols for patient and surgeon, such as comfort, reduced surgery time and increased...

A 65-year-old female patient came for a complete-arch treatment.  The aim was to re-position the old removable denture in its original position to be able to transfer it into a cement-retained provisional denture. 

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...

A 52-year-old female patient is a referral and has been wearing an immediate provisional partial denture. Implant placement has been planned with a simultaneous GBR procedure.

A 48-year-old female patient desired a better, more aesthetic appearance and an improvement of her masticatory performance. An All-on-4® treatment concept for the maxilla and a newly fixed prosthesis loaded onto the existing implants was planned.

The lecture reviews the treatment of a failed bridge restoration supported by implants and natural teeth. Dr Gamborena and L Rutten explain the treatment sequence and the cooperation between the clinic and the dental lab. The lecture discusses patient motivation, treatment options...