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Medical Forum / General / Dentistry / April 2008

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Talking of Implants..............

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Tom & Linda - 25 Mar 2008 00:52 GMT
..........Whats the minimum a person can get away with, without the need for bridges, overdentures etc?
I had to have all my teeth out recently (all except the back 2 which were "unerupted" so weren't touched by dentist) and am finding
it hard to get along with these here dentures, and i dont think i ever will, tbh.
So i am looking at getting implants, with abutment(?) teeth inbetween. The cost of a full 30 implants is prohibitive. Is there a
maximum "span" of abutments that could be more or less permenently bonded to said implants, so as to keep costs down?

T&L
Tom & Linda - 25 Mar 2008 05:18 GMT
> ..........Whats the minimum a person can get away with, without the need for bridges, overdentures etc?
> I had to have all my teeth out recently (all except the back 2 which were "unerupted" so weren't touched by dentist) and am
[quoted text clipped - 3 lines]
>
> T&L

I meant to say without the need for *REMOVABLE bridges

T&L
Amatus Cremona - 25 Mar 2008 11:00 GMT
Depends on the size of jaws, the height of the bone, the width of the jaws,
the relationship between the upper and lower jaws, the quality of the bone,
etc.  Some people can get by with 6-8 implants upper and 6-8 implants lower.

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Amatus

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> ..........Whats the minimum a person can get away with, without the need
> for bridges, overdentures etc?
[quoted text clipped - 7 lines]
>
> T&L
Mark & Steven Bornfeld - 25 Mar 2008 16:08 GMT
> Depends on the size of jaws, the height of the bone, the width of the jaws,
> the relationship between the upper and lower jaws, the quality of the bone,
> etc.  Some people can get by with 6-8 implants upper and 6-8 implants lower.

    Yes, but we should be clear--the move is to MORE fixtures in some areas
rather than less, esp. in type III bone.  I have done a 3-unit bridge in
the anterior maxilla supported by 2 implant fixtures, but this won't get
the workout a molar bridge would get.
    I think that with 6-8 implants esp. in the upper you are probably
talking about premolar occlusion.  Do you agree?

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Amatus Cremona - 25 Mar 2008 16:23 GMT
Yes !

With only 6 implants, I would prefer a bar retained overdenture.

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Amatus

/

>> Depends on the size of jaws, the height of the bone, the width of the
>> jaws, the relationship between the upper and lower jaws, the quality of
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>
> Steve
Mark & Steven Bornfeld - 25 Mar 2008 16:36 GMT
> Yes !
>
> With only 6 implants, I would prefer a bar retained overdenture.

Me too.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Dartos - 25 Mar 2008 20:57 GMT
Even a horse shoe shaped upper with 6 O-rings can be quite
stable and retentive.

D

>> Yes !
>>
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>
> Steve
Amatus Cremona - 25 Mar 2008 23:25 GMT
yup

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Amatus

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>
> Even a horse shoe shaped upper with 6 O-rings can be quite
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>>
>> Steve
Dr Chan - 26 Mar 2008 07:11 GMT
> Yes !
>
[quoted text clipped - 28 lines]
>
> - Show quoted text -

I would normally only place 2 implants for mandibular overdentures and
a maximum of 4 for the maxilla. Bars are not necessary if the implants
are placed parallel. Stud abutments and a variety of O-rings can
provide variable levels of retention. Though the O-rings need to be
changed periodically, they are a far more economical solution for
middle income patients here in Asia. I'm not sure what the standard is
in the US. For elderly patients, I find that fewer are often better as
these patients may lack the dexterity to insert a complex prosthesis.

http://www.luckyplazadental.com
New Age Cosmetic Dentists (Singapore)
Amatus Cremona - 26 Mar 2008 11:10 GMT
For the patient with some residual ridge remaining, 2-3 Locator Abutments
work great.  But, for the patient with no vertical ridge left at all, you
need more.

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Amatus

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On Mar 25, 11:23 pm, "Amatus Cremona" <Nic...@sottovocce.com> wrote:
> Yes !
>
[quoted text clipped - 32 lines]
>
> - Show quoted text -

I would normally only place 2 implants for mandibular overdentures and
a maximum of 4 for the maxilla. Bars are not necessary if the implants
are placed parallel. Stud abutments and a variety of O-rings can
provide variable levels of retention. Though the O-rings need to be
changed periodically, they are a far more economical solution for
middle income patients here in Asia. I'm not sure what the standard is
in the US. For elderly patients, I find that fewer are often better as
these patients may lack the dexterity to insert a complex prosthesis.

http://www.luckyplazadental.com
New Age Cosmetic Dentists (Singapore)
Dartos - 26 Mar 2008 22:42 GMT
In my part of the world, the usual number of implants to retain
a denture is zero....

;-(
D

> I would normally only place 2 implants for mandibular overdentures and
> a maximum of 4 for the maxilla. Bars are not necessary if the implants
[quoted text clipped - 7 lines]
> http://www.luckyplazadental.com
> New Age Cosmetic Dentists (Singapore)
Mark & Steven Bornfeld - 26 Mar 2008 22:55 GMT
> In my part of the world, the usual number of implants to retain
> a denture is zero....

    I imagine that goes for the vast majority of areas of the world,
including mine--if people are "lucky" enough to have access to even that.

Steve

> ;-(
> D
[quoted text clipped - 10 lines]
>> http://www.luckyplazadental.com
>> New Age Cosmetic Dentists (Singapore)

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Newbie@bix.nex - 27 Mar 2008 04:02 GMT
>> In my part of the world, the usual number of implants to retain
>> a denture is zero....
[quoted text clipped - 6 lines]
>> ;-(
>> D

Same here.
Dr Chan - 01 Apr 2008 01:30 GMT
> In my part of the world, the usual number of implants to retain
> a denture is zero....
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>
> - Show quoted text -

Same for the vast majority of my denture cases too, but some patients
have low ridge but want better retention, so overdentures are
indicated.

http://www.luckyplazadental.com
New Age Cosmetic Dentists
Dr Chan - 26 Mar 2008 00:44 GMT
> ..........Whats the minimum a person can get away with, without the need for bridges, overdentures etc?
> I had to have all my teeth out recently (all except the back 2 which were "unerupted" so weren't touched by dentist) and am finding
[quoted text clipped - 3 lines]
>
> T&L

I've managed to do full lower arch implant supported fixed bridges
with just 6 implants and 6 pontics.
oN - 26 Mar 2008 10:54 GMT
What kind of implant you need: metal, or zirconium?
All the best,
Proka
> ..........Whats the minimum a person can get away with, without the need
> for bridges, overdentures etc?
[quoted text clipped - 7 lines]
>
> T&L
 
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