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Implant Assisted RPD Overview

The document discusses implant-assisted removable partial dentures (RPDs). It notes that implants can improve support, retention, comfort and esthetics for RPDs compared to conventional RPDs. While fixed restorations are often preferred, implant-assisted RPDs offer benefits like being more conservative, requiring fewer implants that are shorter and thinner. Implants can eliminate or reduce clasping and increase stability for RPDs. The document provides examples of treatment planning, surgical placement of implants, and final restored smiles using implant-assisted RPDs.

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David Taylor
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86 views63 pages

Implant Assisted RPD Overview

The document discusses implant-assisted removable partial dentures (RPDs). It notes that implants can improve support, retention, comfort and esthetics for RPDs compared to conventional RPDs. While fixed restorations are often preferred, implant-assisted RPDs offer benefits like being more conservative, requiring fewer implants that are shorter and thinner. Implants can eliminate or reduce clasping and increase stability for RPDs. The document provides examples of treatment planning, surgical placement of implants, and final restored smiles using implant-assisted RPDs.

Uploaded by

David Taylor
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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P rojector C alibration S lide

Implant Assisted RPD


Dr. Bryan T. Harris
Terminology

-The terms implant-retained and implant


supported are inadequate and imply that the
prosthesis
is retained or supported solely by the
implants.
-Implant-assisted removable partial dentures
are also
supported by natural teeth and/or soft tissues;
retention may also involve conventional
clasping systems.
-Implants can offer many benefits for
removable dental prostheses, including
improved support, retention, comfort, and
esthetics
-Implants also can result in increased patient
satisfaction and therapeutic success.
Fixed vs. Removable

-Fixed dental prostheses, retained by


teeth or dental implants, are considered
by patients and dentists to be the ideal
treatment modality whenever possible.
-This is due to the inherently stable
nature of fixed restorations and
perceived problems with conventional
removable partial dentures.
-Despite this preference, the use of
implant supported fixed partial
dentures is not always the best method
for replacement of missing teeth.
Implant FPD
Pros Cons
-Non-removable -Cement!
-Highest Function -Non-retrievable
B e n e f i t s F o r Ve r t i c a l D e f e c t
F r a m e T r y - i n a n d Ve r i f i c a t i o n f o r f i t
Layered Ceramic W/ Pink Porcelain
F i n a l R e s t o r a t i o n s , W i t h Ve n e e r e d C e r a m i c
F i n a l R e s t o r a t i o n s , w i t h Ve n e e r e d C e r a m i c
Review of Fixed Implant Restorative Options

Need for the Pink Ceramic is


Most Expensive
increased # of challenging and
costs
Implants hygiene access?
Implant Assisted RPD’s
Implant Assisted RPD’s
Benefits of Implant Assisted RPD

• More conservative surgery


• Less implant number
needed, smaller implant
length and diameter
• 1 Locator can be substituted
for a key tooth, transitions
an arch
• Retention, reduce or
eliminate Clasps
• Stability
Treatment Planning for Implant Assisted RPD’s

• Treatment Plan

• Number of implants
Unrestorable #14
• Type of restoratation

• Need space/reduction

• Location of implants
Path of Insertion
Restorative Space
Implant Assisted RPD

-Many of the problems associated with conventional removable partial dentures can be overcome with
the proper placement and use of one or more implants.
-Such therapy can result in exceptionally stable, retentive, and esthetic restorations that are
biomechanically sound and readily maintained. As a result, implant-assisted removable partial dentures
may represent the treatment of choice in many clinical situations.
Minimal Design
Clasp-less Design
Unhappy With His Current RPD
Pre-treatment
Pre-treatment FMX
Pre-treatment Panoramic
CBCT
Compare CBCT to Panoramic
Post Treatment Maxillary Arch
Path of Inser8on

43
Post-treatment Panoramic
Old Prosthesis
New Prosthesis
Patient has failing RPD’s and seeking options
Swing-lock
Day of Surgery

• Duplicate Denture
• Immediate
Denture
• Opposing Interim
RPD
Implant Placement
Restored Smile
Review of Implant Assisted RPD’s
[email protected]

Co-Director of Graduate Prosthodontics


Department of Oral Health and Rehabilitation
University of Louisville School of Dentistry

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