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Management of the Edentulous Patient

Joseph Carpentieri, DDS, and Gary Greenstein, DDS, MS

March 2021 Issue - Expires Thursday, February 29th, 2024

Inside Dental Technology

Abstract

For an edentulous patient who does not wish to cope with mastication impairment associated with a conventional denture, either in the maxilla or mandible, function can be restored with a fixed or removable implant-supported prosthesis. This article addresses management of situations when it is preferable to restore an edentulous arch with a removable implant-supported prosthesis. The differences in treatment planning concepts as they relate to the maxillary and mandibular arches are highlighted, and advantages of a bar-retained overdenture versus unsplinted implant-supported overdentures are discussed. A logical sequential approach to case management is delineated starting with determining tooth position after casts are articulated.

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Table 1: Comparison of Intraoral Factors Favoring Either Fixed*
or Removable Prosthesis2

Table 1

Table 2: Comparison of Extraoral Factors Favoring Either Fixed*
or Removable Prosthesis2

Table 2

Table 3: Minimum Vertical Space Required for Various Types of Prostheses23

Table 3

Table 4: Summary of Implant Overdenture Concepts

Table 4

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CREDITS: 1 SI (Laboratory)
COST: $8.00
PROVIDER: AEGIS Publications, LLC
SOURCE: Inside Dental Technology | March 2021

Learning Objectives:

Disclosures:

The author reports no conflicts of interest associated with this work.

Queries for the author may be directed to jromano@aegiscomm.com.