IN THE NAME OF GOD

IMPLANT SUPPORTED

FIXED RESTORATONS

OF MAXILLA AND MANDIBLE

Presented by: Dr farzaneh hosseinkhezri

THE COMPLETELY EDENTULOUS MANDIBLE

Treatment plans for fixed restorations

FORCE FACTORSThe amount of force transmitted to an implant-fixed prosthesis is similar to RP-4

MANDIBULAR DYNAMICS

1. Medial movement

2. torsion

IMPLANT TREATMENT

OPTIONS

TREATMENT OPTION 1: THE BRANEMARK APPROACH

TREATMENT OPTION2

TREATMENT OPTION3

TREATMENT OPTION 4

TREATMENT OPTION 5

COMPLETELY EDENTULOUS

MAXILLA

Treatment plans for fixed restorations

MAXILLA DYNAMICS

PREMAXILLA ARCH FORM

SQUARE ARCH

OVOID ARCH

TAPERED ARCH

TREATMENT PLANNING SEQUENCE

DIAGNOSTIC CASTS

•Evaluate the residual bone•Analyze maxillomandibular relationships.•Diagnostic wax up•Check proper fixture location, alignment, and relation to remaining teeth.•Surgical templates to guide surgical fixture installation.

SURGICAL GUIDE

A clear resin template made from diagnostic wax upObjectives of surgical guide:1. Delineate the embrasures2. Locate the implant within the

restoration contour3. Align implant with the long axis of the

restoration.4. Identify the level of the emergence

position from the soft tissue

PROVISIONAL DENTURES

IMPRESSION MAKING

HYBRID PROSTHESIS

THE END