The Dawson Academy Blog

Dental Articles on Occlusion, Centric Relation, Restorative Dentistry & More

Transitioning to a Fixed Implant Supported Prosthesis

When patients come to us with existing maxillary dentures and want to transition to afixed implant supported prosthesis, sometimes the treatment planning process can be a little confusing and a little challenging.

And we tend to maybe let the patient drive that decision and we end up doing a fixed prosthesis. But really the question is, is that the best prosthesis for them?

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How are Real Teeth and Implants Different?

When looking at implants versus teeth, it is very important to consider the differences between them. There are many differences.

One difference that's very important for us as Dawson Dentists to consider is that a tooth has a periodontal ligament, the PDL. An implant does not.

An implant is essentially an ankylosed unit.

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Quick Tip: Screw Retained or Cement Retained Implants

So recently, there's been a lot of debate as to whether we should be using screw-retained restorations on our implants or cement-retained restorations. I think the trend lately toward screw-retained restorations has been driven by research that shows retained cement in that delicate sulcus around the implant is the leading cause of peri-implantitis.

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Dawson Quick Tips: Immediate Non-Occlusal Load Temporaries

So my quick tip is about immediate non-occlusal load temporaries for implant restorations.

I love doing INOL temporaries.

I just think it's a great value for patients, but what I found was that there's a lot of chair time involved in doing these. I've done many of them in my office and the patient would come over from the surgeon's office, implant was placed that morning. They come to me. I have my stent ready. I fabricate the INOL temporary and it looked great, but it took me an hour or an hour and a half to do it. And there's a lot of bleeding involved, and tissue involvement that just becomes very frustrating to work with when you are trying to deal with a temporary material.

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