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. 2016 Oct;28(4):203-208.
doi: 10.1016/j.sdentj.2016.05.003. Epub 2016 Oct 18.

Preserving esthetics, occlusion and occlusal vertical dimension in a patient with fixed prostheses seeking dental implant treatment

Abdulaziz Al Baker  1 , Syed Rashid Habib  1 , Mohammad D Al Amri  1
Affiliations

Preserving esthetics, occlusion and occlusal vertical dimension in a patient with fixed prostheses seeking dental implant treatment

Abdulaziz Al Baker et al. Saudi Dent J. 2016 Oct.

Abstract

The preservation of esthetics and occlusal vertical dimension is critical in patients with existing full-arch tooth-retained fixed prostheses. This clinical report describes the provision of a maxillary immediate complete denture in a patient with a maxillary full-arch fixed dental prosthesis over nonviable teeth. The existing fixed dental prosthesis was used in the fabrication of the maxillary immediate complete denture to preserve esthetics. The technique involved recording and preservation of the occlusal vertical dimension and occlusion of the existing prosthesis. The technique is simple, quick, cost-effective and less challenging clinically and technically.

Keywords: Dental implants; Esthetics; Fixed partial dentures; Immediate dentures; Occlusal vertical dimension; Occlusion.

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Figures

Figure 1
Figure 1
Preoperative frontal view of the maxillary fixed prosthesis.
Figure 2
Figure 2
Pretreatment panoramic radiograph.
Figure 3
Figure 3
Recording the occlusal relation with the silicone index.
Figure 4
Figure 4
Removal of the maxillary fixed prosthesis.
Figure 5
Figure 5
Extracted teeth along with the prosthesis.
Figure 6
Figure 6
Maxillary arch after extractions and implant placement.
Figure 7
Figure 7
Verification of vertical dimension of occlusion.
Figure 8
Figure 8
Recording interarch relationship using the old prosthesis and silicone bite registration.
Figure 9
Figure 9
Alginate wash impression of the maxillary arch.
Figure 10
Figure 10
Intaglio surface of immediate complete denture.
Figure 11
Figure 11
Occlusal and polished surfaces of maxillary immediate complete denture.
Figure 12
Figure 12
Frontal view of maxillary immediate complete denture.
Figure 13
Figure 13
Preoperative (left) and post-treatment (right) photographs.
See this image and copyright information in PMC

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