prefer a stiffer retrievable Fig. 20 cement like zinc phosphate in these cases) (Fig.19) PFM (Porcelain fused to metal) molar using 2 mini implants. (Fig. 20) PFM bridge with mini implant support (mini implant is cemented with ZOE based cement-retriev-able--You can use a glass ionomer or other permanent cement for the natural teeth) Since the implant is very rigid and there is some micro-movement of the periodontal ligament I prefer to mix a flexible cement on the implant with a rigid cement on the natural teeth, or flexible retrievable cement on all three) (Fig .21) RPD (Removal Partial Denture) with no clasps and 5 posterior implants for support.(Fig. 24) Fig. 24 Full Mouth Restorations Lifetime denture wearer initially wanted denture stabilization on the upper. Was so happy with stabil-ity of denture that she immediately changed her ion she did not have to mind and wanted a restoration remove. Zirconium roundhouse completed compared to stabilized denture with patients new smile.(Fig. 25) Fig. 25 Fig. 21 PFZ (Porcelain fused to Zirconium) bridge all implants with splinted implants (cemented with retrievable cement) (Fig.22) Fig. 22 Lifelong denture wearer hated the bulk and loss of taste with palatal coverage. Deep vestibules required large denture. After having denture stabilized and palate removed patient chose to continue to fixed zirconium roundhouse for smaller more stable restoration.(Fig.26) Removable prosthetics held in with mini dental implants Upper or lower denture stabilization with the upper denture (6 year post op) with no palate supported by mini implants.(Fig. 23) Fig. 23 Fig. 26 www.orthodontics.com Fall 2014 37
Journal of the American Orthodontic Society Fall 2014: Page 37
