The Fabrication of an Implant-Retained Mandibular Overdenture By Mian Bëhm In partial fulfilment of...
-
Upload
marlene-elinor-oneal -
Category
Documents
-
view
218 -
download
2
Transcript of The Fabrication of an Implant-Retained Mandibular Overdenture By Mian Bëhm In partial fulfilment of...
The Fabrication of an Implant-Retained
Mandibular Overdenture
ByBy
Mian BëhmMian Bëhm
In partial fulfilment ofIn partial fulfilment of
BTech: Dental TechnologyBTech: Dental Technology
Contents
Condition and Background InformationCondition and Background Information Possible Clinical Treatment OptionsPossible Clinical Treatment Options Possible Technical Treatment OptionsPossible Technical Treatment Options Most Suitable Treatment OptionMost Suitable Treatment Option Treatment of ChoiceTreatment of Choice Laboratory ProceduresLaboratory Procedures ReferencesReferences AcknowledgementsAcknowledgements
Condition and Background Information
Motor vehicle Motor vehicle accidentaccident
Severe back and Severe back and neck injuriesneck injuries
Class 1 Class 1 Compound Compound fracture of fracture of mandiblemandible11
Condition and Background Information
Continue
Functional problems in left condyleFunctional problems in left condyle No lip sealNo lip seal Impaired speechImpaired speech Loss of aestheticsLoss of aesthetics
Possible Clinical Treatment Options
11st st TreatmentTreatment
Removal of Removal of mandiblemandible
OsteotomyOsteotomy33
22nd nd TreatmentTreatment
Creating a new Creating a new sulcussulcus
Placing multiple Placing multiple implantsimplants
Possible Technical Treatment Options
Conventional Conventional partial denturepartial denture
Implant-supported Implant-supported overdentureoverdenture
ImplantImplant--supported supported ceramic ceramic rrestestoratorationion
Partial denturePartial denture
± ± R 400.00R 400.00
Excl. SurgeryExcl. Surgery
Special traysSpecial trays
Record Record blocksblocks
OverdentureOverdenture
± ± R 2000.00R 2000.00
Excl.Excl. Surgery Surgery ImplantsImplants Special traysSpecial trays Record blocksRecord blocks
Ceramic restorationCeramic restoration
± ± R 4300.00R 4300.00
Excl. SurgeryExcl. Surgery ImplantsImplants Special traysSpecial trays Record blocksRecord blocks
Most Suitable Treatment Option
ImplantImplant--supported ceramic restorationsupported ceramic restoration
AdvantagesAdvantages
Life-like aestheticsLife-like aesthetics
DurableDurable
DisadvantagesDisadvantages
ExpensiveExpensive
Technically challengingTechnically challenging
Little supporting structureLittle supporting structure
Treatment of Choice
AdvantagesAdvantages
Less expensiveLess expensive
Good aestheticsGood aesthetics
Restore facial profileRestore facial profile
RemovableRemovable
DisadvantageDisadvantage
Tissue wearTissue wear
Implant-supported overdentureImplant-supported overdenture
Laboratory Procedures
1.1. Impression and Impression and modelmodel
2.2. Set-up, wax-up Set-up, wax-up and duplicateand duplicate
Laboratory Procedures
3.3. Surgical stentSurgical stent 4.4. ImplantsImplants
Laboratory Procedures
5.5. 22ndnd Impression Impression and model with and model with analogsanalogs22
6.6. Wax-up with Wax-up with guide pinsguide pins
Laboratory Procedures
7.7. Wax is precision Wax is precision milled milled
8.8. Retentive balls Retentive balls are placed are placed
Laboratory Procedures
9.9. Framework is Framework is cast and cast and polishedpolished
10.10. Overdenture Overdenture placedplaced
References
1.1. Harold, W. Harold, W. Overdentures Made EasyOverdentures Made Easy, 3rd , 3rd ed. London: Quintessence Publishing Co ed. London: Quintessence Publishing Co Ltd. 1996: 105 – 13.Ltd. 1996: 105 – 13.
2.2. Southern Implants, Southern Implants, Laboratory Procedures Laboratory Procedures Manual,Manual, January 2003. January 2003.
3.3. Whaley, K. Whaley, K. Muir’s Textbook of PathologyMuir’s Textbook of Pathology, , 15th ed. 2001 : 680.15th ed. 2001 : 680.
Acknowledgements
Prof. MorkelProf. Morkel Mr MazemaMr Mazema Ms NortjMs Nortjéé Mrs WrightMrs Wright