In past articles, I have discussed the importance of evaluating patient cases when intending to treat using an implant-supported prosthesis for full arch cases. In this week's article, I will focus on cases that require a removable prosthetic option.
As always, the importance of the diagnostic workup cannot be over exaggerated. Final prosthetic treatment plans should never be promised to patients until after all of the diagnostic steps and measurements have been completed. All too often we see cases that start out with a pre-defined specific prosthetic appliance accepted by the patient, even before the first impression is taken. This can present a challenge if the patient’s expectations are directed towards a result that is different from that which is possible in reality. This can cause stress all the way around.
With that word of caution, I will discuss the workflow for a case that appears to be an implant-assisted removable prosthetic case. Virtually all of the diagnostic steps will be the same for other restorative options for edentulous cases.
We will discuss the following areas:
A. Patient records that will create the foundation for diagnostic decisions and fabrication of prosthetics.
- Evaluating and determining that an implant-supported removable prosthetic is the best choice.
- Impressions, bite records, face-bow, other records that are useful
B. What criteria drive the case toward a removable prosthetic?
C. The difference between an implant-supported and an implant-retained prosthetic.
D. The evaluation process, using bite blocks and teeth set-ups as a diagnostic tool, not just as part of the fabrication process.
- Facilitating the decision-making process in order to establish the best prosthetic options
E. Surgical options, implant placement, bone reduction, AP spread.