REMOVABLE FALSE TEETH FOR THE UPPER JAW

K. F. Chow BDS., FDSRCS July 19th, 2010
If you are placing 5 conventional implants, you might as well place one more to make it 6 and have a fixed prosthesis. A fixed prosthesis will be more reliable than a removable one because there will be less pulling and pushing of the implant during removal and placement if a removable is used.
And some will also convince you that 4 is enough….all on four.
But if you are placing minis for a removable prosthesis, then place 6 for balance, three on each side between the centrals to the premolars. Place the longest you can and bicortical if possible, because the maxillary bone is softer….and therefore more piling is needed….yeah…like building a house….see.
Bone augmentation is unnecessary and very difficult, as is suggested by Dr Richard Hughes. To raise the height of the maxillary ridge, you will have to use a titanium mesh with bone graft mixed with bone marrow…..and it will take a much longer time, incur more pain to the mouth as well as the pocket.
Go with minis and forget about the bone graft as there will be adequate aesthetics with an acrylic prosthesis with plenty of pink acrylic to fill up the deficiencies.

Komentar

Posting Komentar

Postingan populer dari blog ini

NARROW DIAMETER DENTAL IMPLANTS: POSTED IN OSSEONEWS

K. F. Chow BDS., FDSRCS   says: October 23, 2009 at 11:26 am THE CASE FOR NARROW DIAMETERS/MINIS/REDUCED DIAMETERS/ MINIMIZED DENTAL IMPLANTS/MOSTDIS Narrow diameter dental implants are being increasingly used not only to stabilize dentures but also for long term applications like crowns and bridges. I agree with Carl in that there is no such thing as an absolute contraindication in medicine. Even botox which will kill you if injected into your bloodstream is used ingeniously and judiciously to extend the youthful looks of people. The key word is “judiciously”. Know your medicine well and know what you want to do with it and then you can apply it safely and usefully. It is significant that one of the doyens of implant dentistry has recognized that narrow diameters have their uses especially in narrow ridges and in suitable bone. I started out with conventionals and with the advent of minis, incorporated them into my treatment planning and in many complex cases have successfully integra
Baca selengkapnya

Numbness After Implants | OsseoNews Discussions on Dental Implants

Numbness After Implants | OsseoNews Discussions on Dental Implants : "Dr Amayev September 11th, 2006 No matter what kind of surgeons you are anything could happen .Of course we must try to ovoid any possible complication to our patient and treat them with respect but sometimes complication may happen. In order to avoid any possible complication we should just stop what we are doing as been previously mention by Dr Kfchow. I don’t believe that there is a dentist or another type of medical professional or any other profession who never had a complication. We all humans and if we did something we have to try to resolve and help that patient in any possible way if we can. From what Lerry or Ben told us, I don’t know you are a doctors or not but if you are it seems like you both the best and never had any complications in your practice. If you didn’t I am very happy for both of you. Never say this may not happen to you ,look in a future you still practicing. Think about that. May be yo
Baca selengkapnya

NARROW DIAMETER DENTAL IMPLANTS

K. F. Chow BDS., FDSRCS   November 13th, 2009 Thanks for the kind words guys. While I am yet feeling elated and therefore a little brash, let me push the debate a little further. We all know that the transmucosal passage of the dental implant when compared to the transmucosal passage of an actual, real, original living tooth is actually a pathetic imitation of the real thing. The real thing has a nice epithelial attachment with a nice drain around the tooth constantly flushed with antibacterial substances and prohealth nutrients for the gingivae. Not only that the gingival cuff has circular fibres, connective tissue to tooth fibres, bone to tooth fibres , connective tissue to bone fibres etc. that gives each tooth a nice firm resilient yet elastic cuff around the it. Go review your periodontology texts and see for yourself. The dental implant has only a pseudo epithelial attachment and a few if any specialised soft tissue fibres and at best is actually an iatrogenic and pat
Baca selengkapnya