great amazing work!! thanks for sharing! 2 quick Qs: 1-are you worried for any cantilever effect with the top denture seeing how the maxillary over denture spreads back to the molar areas? or that concept is only applicable with fixed implant restoration (ie all on four) because your over denture rests on the gums. 2-what is the point of the metal stops in your denture? thanks again for sure a great presentation hope to see more. Dr Mo
Hey thank you, the putt remounts give you an opportunity to make a new maxillary cast if you want one to make occlusal adjustments on the articulator instead of intra-orally.
You can make it shorter if you prefer. Just confirm with your lab that the material they pick has appropriate height for strength. For maxillary restorations, I do worry about having space between the gingiva and the restoration because air escape could alter the speech.
In this video, I demonstrate how to do implant bar over denture cases from diagnosis, treatment plan and treatment sequence. This is a great restoration for those patients who do not have enough implants for fixed and if you do not want the restoration being totally supported by the gingiva. Please follow up with questions, would love to hear from you! -Derek
I agree. My surgeon was not able to get a fourth and the patient did not want to undergo grafting procedures. If I could have gotten a fourth implant in, I just would have made a fixed restoration instead.
very clear explanation. enjoy seeing your cases
great amazing work!! thanks for sharing!
2 quick Qs:
1-are you worried for any cantilever effect with the top denture seeing how the maxillary over denture spreads back to the molar areas? or that concept is only applicable with fixed implant restoration (ie all on four) because your over denture rests on the gums.
2-what is the point of the metal stops in your denture?
thanks again for sure a great presentation hope to see more.
Dr Mo
Good work, from mexico.
carlos botello thank you!
Derek Gatta, I want to learn more of porcelain crow with metal
carlos botello I am not familiar with that technique.
thank u for the nice presentation.. how do the putty remount and what is the rationale
Hey thank you, the putt remounts give you an opportunity to make a new maxillary cast if you want one to make occlusal adjustments on the articulator instead of intra-orally.
Does the bar needs to be that tall in height? can it be shorter at gum area leaving some space for cleaning?
You can make it shorter if you prefer. Just confirm with your lab that the material they pick has appropriate height for strength. For maxillary restorations, I do worry about having space between the gingiva and the restoration because air escape could alter the speech.
In this video, I demonstrate how to do implant bar over denture cases from diagnosis, treatment plan and treatment sequence. This is a great restoration for those patients who do not have enough implants for fixed and if you do not want the restoration being totally supported by the gingiva. Please follow up with questions, would love to hear from you!
-Derek
Great Presentation I usually use 4 implants in upper what is the rational for three?
I agree. My surgeon was not able to get a fourth and the patient did not want to undergo grafting procedures. If I could have gotten a fourth implant in, I just would have made a fixed restoration instead.