Implants in the mandible

• Removable denture on 2-3 implants
• Removable denture on a retentive bar
• Fixed denture " all on 4 "
• Conventional fixed prosthetic denture

Complete denture on implants

Dentures on implants may be removable or fixed meaning they can be removed or stay in place permanently in the mouth.

The choice is determined by the number of implants, their positions as well as the patient's preference and habits. The available options may vary according to oral anatomical conditions, health hygiene, manual dexterity and cost.

Removable denture with "Ball" attachments in the mandible

Advantage

1. Easy oral hygiene maintenance
2. Once in place, it is supported by both the soft tissue and implants
3. Increased confort and denture stability during mastication
4. Easy removal
5. Stabilises bone loss to the mandible around the implants
6. Typically 2-3 or 4 implants are suggested for this type of treatment modality

Removable mandibular denture on implants with a bar

Advantage

1. Removable to facilitate oral hygiene
2. It is implant supported, stable, rigid and solid
3. Gives the illusion of having a fixed dentition but with the advantage of removal for oral hygiene maintenance
4. Requires 4-5 implants joined to a titanium bar

Conventional fixed denture to the mandible

Advantage

1. Resembles the natural dentition
2. It is rigid, fixed, stable and supported by the implants
3. Requires 4-5-6 implants, all joined by a titanium bar
4. Mastication is greatly improved and mandibular bone resorption stabilised

Fixed denture "all on 4" in the mandible

Advantage

1. Requires only 4 implants
2. The 2 posterior implants are angled to avoid mental nerve which is often superficial and the unsupported posterior extensions of denture is reduced
3. A fixed temporary acrylic denture is placed the same day as the dental implants
4. A fixed acrylic denture with a titanium bar is placed 6 months later

Prosthetic denture on implants in the maxilla

• Remouval prosthetic denture
• Remouval prosthetic denture on bar
• Fixed conventional prosthetic denture

Advantages

1. Stability and confort
2. Palate is free there by enhancing taste
3. Increases masticatory forces which increases chewing capacity, better digestion of foods and increased long term muscle tone
4. The retentive capacity can be varied or modified according to the patient's demands or preferences
5. Easy maintenance since it can be removed for oral hygiene maintenance

Removable denture prosthesis on bar in the opper maxilla

Advantages

1. The denture is fixed onto a bar which links 4-6 or 8 implants
2. This greatly increases denture stability
3. This approach requires sufficient space
4. It re-establishes a good lip support
5. The palate is free
6. This solution is removable therefore facilitates daily oral hygiene maintenance
7. This solution gives stability, confort and esthetics to the patient

Conventional fixed prosthetic denture in the maxilla

Advantages

1. Generally on 6-8 implants
2. This solution resembles the most the natural dentition
3. Teeth ,ay be in ceramic with pink porcelaine to imitate the gingiva
4. Re-establishes confidence, esthetics and function thus improving the quality of life of the patient

Complete dental rehabilitation

It is the sum total of dental treatments required in both the maxilla and the mandible to help re-establish function and esthetics the entire dentition.