denture fixed supported by implants

Energy Square Prosthodontics

Riverside DentalAlberta

ENERGYSQUAREDENTAL.CA

A Positive Dental Treatment Outcome is Based on a

Positive Doctor to Patient Relationship

Patient’s often present with all natural teeth

missing.

Patient wants all teeth replaced

but does not want a removable denture.

It is now possible to replace all missing

teeth with a type of denture that is

fixed to dental implants and does

not come out

Energy Square Prosthodonticswww.energysquaredental.ca

Case #1 - Before & After with Frames

3Energy Square Prosthodonticswww.energysquaredental.ca

Before frame – Patient complained about lower teeth that are infectedand unaesthetic. After frame – All the lower teeth have been replaced by a prosthesis

that is screwed down to dental implants and does not come out.



These frames illustrate the prosthesis out of the mouth with screw Access holes. These holes are filled in once the prosthesis is screwed

down in the mouth.

•Case #2



Before frame – Patient complained about fractured, decayed andmissing teeth in both the upper and lower jaws. After frame – The upper teeth have been restored with crowns and

bridges. The lower teeth have been restored with a fixed denturesupported by dental implants.



Before frame – Patient complained about fractured posterior on oneside of the mouth and short and worn teeth on the other side. After frame – All the lower teeth have been replaced by a prosthesis

that is screwed down to dental implants and does not come out.


Left Side


Before frame – Left side of the mouth illustrating fractured teeth onthe lower and existing fixed bridge on the upper jaw. After frame – Left side of the mouth illustrating the lower teeth

restored with a fixed prosthesis supported by dental implants andupper teeth restored with a new bridge supported by natural teeth.


Right Side


Before frame – Right side of the mouth illustrating existing crowns andbridges After frame – Right side of the mouth illustrating lower fixed prosthesis

supported by implants and upper teeth restored with crowns.

•Case #3



Before frame – Patient presents as a 45 year old male with grossly mutilatedremaining teeth that are clearly unaesthetic.

After frame – All Teeth replaced with dental implant supported prosthetics.The mandibular teeth are replaced with a fixed prosthesis screwed to 4 dentalimplants. The upper teeth replaced with a removable denture supported by 4implants.

Case #3 – Upper Teeth Replaced


Upper teeth replaced with an overdenture supported by 4 dental implants Note that the palate has been reduced to a “U” shaped design with metal. The patient comments favorably based on the reduction in bulk and increased

room for his tongue, improved aesthetics & speech.

Case #3 – Upper Teeth Replaced


Upper teeth replaced with an overdenture supported by 4 dental implants Note that the palate has been reduced to a “U” shaped design with metal. The patient comments favorably based on the reduction in bulk and increased

room for his tongue, improved aesthetics & speech.





Case #3 - Lower Teeth Replaced


Lower teeth replaced with a fixed prosthesis screwed to 4 dentalimplants. The fixed prosthesis combines a Zirconia framework with allceramic crowns replacing the teeth and pink ceramics replacing thegum tissue. Note screw access holes will be filled in on insertion.

Case # 3 - Lower Teeth Replaced


Lower teeth replaced with a fixed prosthesis screwed to 4 dentalimplants. The fixed prosthesis combines a Zirconia framework with allceramic crowns replacing the teeth and pink ceramics replacing thegum tissue. Note screw access holes will be filled in on insertion.





Case #3 – Intra-oral Lateral Views


Right Lateral View Left Lateral View



Before frame – Patient presents as a 60 year old male with an existing upperdenture. The patient complains about the appearance of the denture and thatit falls out constantly.

After frame – New upper denture inserted that is supported by 2 dentalimplants.



The patient also complains about the remaining lower teeth. The patient ismissing one front lower tooth and all the posterior lower teeth.

In the after frame, the lower teeth have been extracted and replaced with afixed screw in type of prosthesis.



Photograph illustrating the screw access holes in the lower prosthesis. Theaccess holes have been filled with filling material to cover and conceal theholes.

Screw Access Holes



First frame illustrates the patient’s upper jaw with two dental implants andattachments.

Second frame illustrates the corresponding attachment fixed into the patient’snew upper denture.

Health & Medicine

denture fixed supported by implants