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Medical Forum / General / Dentistry / March 2005

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IMPLANTS:UPPER ARCH OVERDENTURES VS NON-REMOVABLE BRIDGE ??

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LOLA - 23 Mar 2005 21:53 GMT
I have to have all upper teeth removed, and I am considering overdentures (
removable with a couple of implants) or non-removable bridge supported by 6
- 8 implants. Do any of you have experience with either type? I have no
experience with dentures. Are the non-removable like real teeth?
There is a big difference in cost. Is it worth it?
Any thoughts would be appreciated.
NOYB - 23 Mar 2005 22:27 GMT
>I have to have all upper teeth removed, and I am considering overdentures (
> removable with a couple of implants) or non-removable bridge supported by
[quoted text clipped - 3 lines]
> There is a big difference in cost. Is it worth it?
> Any thoughts would be appreciated.

If I could afford it, I'd get the non-removable implant-supported crown and
bridge.  If I couldn't afford it, I'd get the implants with milled
telescopic copings and a spark erosion denture.  The dentures that I've seen
made this way are absolutely rock-solid in the mouth 10-years
post-insertion.
LOLA - 23 Mar 2005 22:39 GMT
Excuse my ignorance, but what are telescopic copings and spark erosion
dentures? Is this different from an overdenture or a regular denture? Thanks
NOYB - 23 Mar 2005 22:59 GMT
> Excuse my ignorance, but what are telescopic copings and spark erosion
> dentures? Is this different from an overdenture or a regular denture?
> Thanks

It's a type of overdenture.  The lab makes milled copings (aka--Konus
crowns) that go on the implants.  Spark erosion is a process that makes a
very precise fitting coping that sits on top of the Konus crowns.  The spark
erosion formed coping is part of the denture, and when you put the denture
over the milled crowns, the fit is so precise from parallelism, that there's
no movement of  the denture.
Jonesy - 24 Mar 2005 04:56 GMT
and also here to learn more about implanted dentures >>>>>
http://www.perio.org/consumer/proto2/healthygums8.htm?g
CWatters - 24 Mar 2005 16:22 GMT
> > Excuse my ignorance, but what are telescopic copings and spark erosion
> > dentures? Is this different from an overdenture or a regular denture?
[quoted text clipped - 3 lines]
> crowns) that go on the implants.  Spark erosion is a process that makes a
> very precise fitting coping that sits on top of the Konus crowns.

I've met spark erosion technology in the computer industry (used to make
moulds and texture plastic panels). I'm curious how the 3D data points are
generated for a denture? Is there some kind of in-the-mouth 3D scanner
that's used for this?
NOYB - 24 Mar 2005 18:44 GMT
>> > Excuse my ignorance, but what are telescopic copings and spark erosion
>> > dentures? Is this different from an overdenture or a regular denture?
[quoted text clipped - 9 lines]
>Is there some kind of in-the-mouth 3D scanner
> that's used for this?

I don't know the laboratory specifics, but I'm sure you could contact Dental
Arts Lab in Peoria, Illinois if you want to know more.
Roy Brown - 25 Mar 2005 00:30 GMT
| > > Excuse my ignorance, but what are telescopic copings and spark erosion
| > > dentures? Is this different from an overdenture or a regular denture?
[quoted text clipped - 8 lines]
| generated for a denture? Is there some kind of in-the-mouth 3D scanner
| that's used for this?

The ones I have seen are set up manually.
Jonesy - 24 Mar 2005 04:47 GMT
I am also investigating implanted dentures...
It mentions milled crowns down the bottom  here (photos are included >>
 www.oral-implant.com/implants-examples.htm
StovePipe - 24 Mar 2005 06:26 GMT
> www.oral-implant.com/implants-examples.htm

Thanks for that link!
SP
Signature

Finally: take out the TRASHH

Roy Brown - 24 Mar 2005 09:18 GMT
I missed the original post. If cost is a factor one might get the implants need
for a fixed bridge placed first. Use a few of those for an implant supported
denture. Then at a later date use the rest of the implants for a fixed
appliance.

Signature

Roy
rem NADA to reply

| >I have to have all upper teeth removed, and I am considering overdentures (
| > removable with a couple of implants) or non-removable bridge supported by
[quoted text clipped - 9 lines]
| made this way are absolutely rock-solid in the mouth 10-years
| post-insertion.
LOLA - 24 Mar 2005 17:48 GMT
I'm not sure how economical that would be in the long run. The only saving
really would just be the permanent bridge part. Plus having paid for an
overdenture to use in the interim.
Having no experience with dentures of any kind, I'm trying to determine
which way to go. Does anyone have either an overdenture or a whole set of
implants in an arch? Would appreciate any input about the experience, or
the experience of someone you know.
Don't want to go to an overdenture to find I should have gone to a non-
removable implant supported bridge. Or go to the bridge to find it's not
what I thought.
Thanks
Jonesy - 29 Mar 2005 06:03 GMT
Hi, I asked about that but was discouraged by more than one  implant
specialist who saidthey often have to remove and replace implants later
when a full bridge is made  -- something to do with proper spacing.
For that reason it is not economical and also time consuming and more
expensive.
LOLA - 29 Mar 2005 22:55 GMT
That's very interesting. That is the first time that I've heard that. I've
been to 2 dentists and neither mentioned that...some oversight( could it be
the $$$?).
Did they give you any idea why that would be true? I would hate to go thru
all this and find out it doesn't holdup.

Has anyone else been told this? If so, please let me know.
                   Thanks!...lola
Roy Brown - 30 Mar 2005 06:32 GMT
A good diagnostic wax up with surgical stent or transitional denture should help
them place the implants optimally in the first place allowing for future
treatment.

Signature

Roy
rem NADA to reply

| Hi, I asked about that but was discouraged by more than one  implant
| specialist who saidthey often have to remove and replace implants later
| when a full bridge is made  -- something to do with proper spacing.
| For that reason it is not economical and also time consuming and more
| expensive.
 
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