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|Posted By : Dr.Sanjay Kalra, BDS, MDS, PCAD, FPFA, FICD, FICCDE (USA)|
|Posted On : 18 Oct 2007 (Total Views : 5513)|
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Some edentulous patients simply cannot tolerate complete denture. It must be accepted that many patient who wear complete denture will experience considerable difficulty adapting to their prostheses. These situations are very frustrating for both patient and the dentist and means were identified to treat the maladaptive denture behavior.
Maladaptive denture behavior:
Maladaptive problem was initially thought to be resulting mainly from adverse anatomic changes in the denture bearing surface e.g. flat ridges, sharp ridges or thin mucosal tissues. However, clinical experience and some research have confirmed that there are physiologic as well as psychologic contributions to such behavior. For such patients who are unfit to accept the removable dentures because of anatomic, physiologic or psychologic reasons, dental implants are the alternative.
Dental implant: -
A dental implant is a foreign object inserted within or over the bones of maxilla or mandibular to support a fixed or removable prostheses for restoration of function lost with the loss of natural teeth.
An over denture is a complete or partial denture supported by mucoperiosteum and prepared teeth or roots.
Implant supported overdenture
It is a complete or partial denture supported by mucoperiosteum and by means of inserted implants.
Prime complaints regarding conventional complete denture
Indications of implant supported overdenture: -
Contraindications for dental implants:-
Advantages of using implant supported overdenture
Insertion of implants
A two stage surgical procedure is required to bring about osseointegration. Both stages are performed under strict surgical and sterilization protocol, with a 4-6 month healing period in between. During the interval between stages the patient?s old prosthesis is modified for use with tissue conditioners.
The ball and socket attachments are screwed into the respective implants after removing the healing screws. The female component (sockets) is fixed into the marked and relieved locations in the fitting surface of the lower denture by means of cold cure acrylic resin.
Criteria for success of implants:-
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