Spectrum of Treatment for Edentulous and Partially Edentulous Patients 2022.pdf

Advanced Prosthodontics- L. Jahangiri Leila Jahangiri, BDS, DMD, MMSc Chair, Department of Prosthodontics Given the various treatment options for the completely and partially edentulous patient, the student will be able to understand, selectively treat and an refer appropriately for optimal care o...

Advanced Prosthodontics- L. Jahangiri Leila Jahangiri, BDS, DMD, MMSc Chair, Department of Prosthodontics Given the various treatment options for the completely and partially edentulous patient, the student will be able to understand, selectively treat and an refer appropriately for optimal care of the patient. 1 Advanced Prosthodontics- L. Jahangiri Edentulous  Re-establish esthetics and phonetics  Patterns of resorption  Determination of prostheses type 2 Advanced Prosthodontics- L. Jahangiri 40 % are edentulous in at least one arch US population 65+ Maxillary resorption 3 Advanced Prosthodontics- L. Jahangiri Mandibular Resorption Resorption, loss, and healing  Residual Ridge Remodeling 4 Advanced Prosthodontics- L. Jahangiri • Rate is variable: Fastest in the first 6 months Between different individuals Between same individual at different times Between same individual at different sites Edentulous Mandible Denture Maxilla 2 implant overdentures Denture Predoctoral Options 2 implants BAR 4 implants 6-8 implants Postdoctoral Options REMOVABLE 4-6 implant OD or Fixed 6 is recommended for FIXED 5 Advanced Prosthodontics- L. Jahangiri Edentulous Mandible Denture Maxilla 2 implant overdentures Denture 2 implants BAR 4 implants 6-8 implants REMOVABLE Traditional Construction 4-6 implant OD or CAD/CAM Construction Fixed 6 is recommended for FIXED Removable Complete Dentures 6 Advanced Prosthodontics- L. Jahangiri • Chewing sensation • Improved stability & retention • Improved chewing ability • Improved health and nutritional status Two Implant Retained Mandibular OD 7 Advanced Prosthodontics- L. Jahangiri Edentulous Mandible Denture Maxilla 2 implant overdentures Denture 2 implants BAR 4 implants 4-6 implant OD or Fixed 6 is recommended for FIXED 6-8 implants REMOVABLE Implant Retained Mandibular Prosthesis Edentulous Mandible Denture Maxilla 2 implant overdentures Denture 2 implants BAR REMOVABLE 4 implants 6-8 implants 4-6 implant OD or Fixed 6 is recommended for FIXED Implant Retained Mandibular Prosthesis 8 Advanced Prosthodontics- L. Jahangiri Edentulous Mandible Denture Maxilla 2 implant overdentures Denture 2 implants BAR 4 implants 4-6 implant OD or Fixed 6 is recommended for FIXED 6-8 implants REMOVABLE FIXED PROSTHESIS IMPLANT SUPPORTED IMPLANT RETAINED Edentulous Mandible Denture Maxilla 2 implant overdentures Denture 2 implants BAR 4 implants 6-8 implants REMOVABLE 4-6 implant OD or Fixed 6 is recommended for FIXED FIXED PROSTHESIS IMPLANT SUPPORTED 9 Advanced Prosthodontics- L. Jahangiri Edentulous Mandible Denture Maxilla 2 implant overdentures Denture 2 implants BAR 4 implants 4-6 implant OD or Fixed 6 is recommended for FIXED 6-8 implants REMOVABLE REMOVABLE PROSTHESIS IMPLANT RETAINED FIXED PROSTHESIS IMPLANT SUPPORTED Edentulous Mandible Denture Maxilla 2 implant overdentures Denture 2 implants BAR REMOVABLE 4 implants 6-8 implants 4-6 implant OD or Fixed 6 is recommended for FIXED 10 Advanced Prosthodontics- L. Jahangiri • Long-term data show success • New designs are modifications of the traditional concept cantilever length < 2 x A-P spread 11 Advanced Prosthodontics- L. Jahangiri 12 Advanced Prosthodontics- L. Jahangiri • Traditional teeth set up and hours of planning • CT Scan and use of specialized softwares • 3D computerized anatomy reconstruction • Fabrication of a “stent” for guided surgery- fixed in location • Often immediate loading with cross arch stabilization, fixed restoration immediately after surgery is possible 13 Advanced Prosthodontics- L. Jahangiri 14 Advanced Prosthodontics- L. Jahangiri 15 Advanced Prosthodontics- L. Jahangiri Courtesy of Dr. Chikunov Courtesy of Dr. Chikunov 16 Advanced Prosthodontics- L. Jahangiri Courtesy of Dr. Chikunov Courtesy of Dr. Chikunov 17 Advanced Prosthodontics- L. Jahangiri Courtesy of Dr. Chikunov Edentulous Mandible Denture Maxilla 2 implant overdentures Denture 2 implants BAR 4 implants 6-8 implants REMOVABLE 4-6 implant OD or Fixed 6 is recommended for FIXED Implant Retained Mandibular Prosthesis 18