Upgrade From A Removable To A Fixed Partial Denture On Implants

Dental implants have become the standard of care and as dentists we need to not only be capable of planning them, but also to diagnose and treat them when there is something wrong with them, or with the prosthesis that they help support.  Sometimes the patient may feel uncomfortable, the prosthesis may require repair too often or is unable to function properly, and the general dentist needs to be able to find an appropriate solution to the problem.

The following article was published in 2012 by Dentistry Today, and shows a case that was seen in my office of a very nice lady that had been treated with implants and a removable prosthesis and was having problems.

Summary of case report
An initial examination and records showed a semi edentulous maxillary arch with four successful implants placed in 2001, in the anterior maxillary region, but not necessarily in the position of a tooth.

The implants were then restored with ball abutments for o-rings and an implant retained, tissue supported removable partial denture. This prosthesis was designed with two distal cantilevers; the larger of the two was on the right and measured 28 millimeters. This created an excessively large lever arm that made the prosthesis prone to fracture.  The lack of adequate interarch space for a removable prosthesis also made the thin acrylic material prone to fracture.
Other concerns with the case were the identification of the existing implants in order to purchase the required components to convert to a fixed partial denture, and the need to place additional implants.

I won’t go into the details of the process from treatment planning to completion , but they are available in the Dentistry Today article .

The patient has been functioning and comfortable for seven years now.

Below are before and after pictures of the case.

Partial Overdenture on implants

Old Partial Overdenture on implants

Fixed partial overdenture on implants

Fixed partial overdenture on implants

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Dentist In West Palm Beach
Carlos Boudet, DDS, DICOI
1840 Forest Hill Blvd, Suite 204
West Palm Beach, Florida  33406
Phone: Call 561-968-6022

Website: http://www.boudetdds.com
Blog;  http://mywestpalmbeachdentist.blogspot.com

About Carlos Boudet, DDS, DICOI

Dr. Boudet is a graduate of the Medical College of Virginia. After graduating with a DDS degree in 1980, he became a commissioned officer for the United States Public Health Service. When his tour of duty ended in 1982 he received an award for outstanding service. He was asked to serve as Dental Director for Florida Community Heath Centers, supervise the operation of four dental clinics around lake Okeechobee. He established his dental practice in West Palm Beach in 1983 and has been in the same location for 30 years. He is a Diplomate of the International Congress of Oral Implantologists, a member of the Central Palm Beach County Dental Society and a chairman of the Advanced Crown and Bridge course of the Atlantic Coast Dental Research Clinic. His articles on prosthodontics and implants have been published in several popular dental magazines.

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