Defining available restorative space for implant overdentures

With careful restorative planning and surgical placement, dental implants can be used to support and retain a wide range of esthetic prostheses. When implant planning or surgical executions are less than ideal, however, the resulting restorative space can be a significant obstacle to successful treatment. The aim of this article is to describe the use of a customized anterior bar to support a partial overdenture prosthesis for a youthful patient with a high smile line and a limited restorative space of 6 mm. Details of the treatment and an illustration of the customized design are also presented.

mentioning

confidence: 99%

Management of Challenging Esthetic Anterior Cases with Limited Restorative Space: A Clinical Report

Afify

Haney

2018

“…Clinical procedures that aid in improving the restorative space available for implant overdentures include: alveoloplasty, subcrestal implant placement, occlusal vertical dimension (OVD) restoration occlusal plane repositioning, and the use of low profile attachments such as Locators (Zest Dental Solutions, Carlsbad, CA) . Subcrestal implant placement helps gain vertical restorative space at the location of the implants; however, this leads to the development of a tall mucosal cuff, necessitating the use of tall abutments to minimize soft tissue irritation and impingement during prosthesis insertion and removal.…”

mentioning

confidence: 99%

Subcrestal Implant Placement and Recontouring Soft Tissue Using the Erbium YAG Laser to Manage Restorative Space in Implant Overdentures

Massad

Wicks

Ahuja

et al. 2018

Self Cite

“…Ahuja and Cagna defined the restorative space as a space bounded by the occlusal plane, supporting tissues of the edentulous jaw, facial tissues, and tongue . This restorative space is important when evaluating the space for restoring missing teeth; however, the space needed for the retentive components is not the same as the space needed for the tooth arrangement.…”

mentioning

confidence: 99%

“…The retentive component space should be carefully evaluated after the wax try‐in stage of making the removable prosthesis. Several authors recommend using a silicone putty matrix covering the denture teeth as well as the polished surface of the denture and sectioning the matrix in the facio‐lingual direction to evaluate the space . A silicone matrix made from the occlusal and polished surfaces may mislead the clinician because it includes the space needed for the denture teeth.…”

mentioning

confidence: 99%

A Technique to Evaluate the Space for Retentive Components under a Removable Prosthesis

Hsu

2015

Space analysis for retentive components is a critical part of a treatment plan for an implant-retained prosthesis. This article describes a technique to evaluate the retentive component space between the mucosa and intaglio surface of a removable prosthesis. This technique uses a silicone mold to represent the relieved space. Two silicone matrices are fabricated over the silicone space replica as a reference for selecting or fabricating retentive components for the implant-retained removable prosthesis.