When we have patients with an existing maxillary denture who want to transition to some type of implant prosthesis, there are many things to consider when we are treatment planning these types of cases. Number of implants, A/P spread, and vertical space are a few important clinical decisions that must be made. The decision to do a fixed or removable prosthesis, however, can be patient driven, meaning, most patients will want a fixed prosthesis if given the choice.
There are three main areas that need attention when designing complete denture prostheses. When these three things are not accomplished, it can lead to misfits and patient dissatisfaction. I see it all the time.
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?
Mandibular denture stability is often times a difficult challenge for us and also for patients.
For them to feel that a lower denture is stable and comfortable is very challenging, especially with ridges that are severely atrophic. One of the things that I have learned over my career is using HydroCast, which is a functional impression material. It is made by Sultan.
When we are restoring patients with complete dentures, and they come in with, sometimes, a bag of many sets of dentures that have not been functional, we often wonder why would our set be any different.
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