![]() ![]() This author’s practice includes physiological treatment planning for edentulous patients. The use of a full conventional denture or an over-denture, leads to further atrophy of their alveolar bone 3 – 5 resultant in loss of future function, creating a pool of unsatisfied patients seeking alternative treatment options to the conventional full maxillary denture or the maxillary over-denture. In some cases, patients have been informed that they may not even be candidates for implant treatment at all. Patients who are missing their maxillary teeth, are often treatment planned with a removable implant retained, tissue-supported prosthesis (an over denture), secondary to limited residual alveolar bone and concerns about aesthetics and phonetics. Treatment of the edentulous maxilla with a fixed prosthesis presents with a set of unique problems. Each design fulfills the aesthetic, phonetic, and hygienic demands of the patient. Three principal designs for an implant-supported fixed maxillary prosthesis exist and are explored. 1, 2 However, the edentulous maxilla warrants special consideration and will be the focus of this chapter. The use of fixed, implant-supported prosthesis in the edentulous mandible has been well studied. The increased acceptance and understanding of the benefits of dental implants by the health care profession, as well as the general public, demand that consideration be given to developing guidelines for the treatment planning of edentulous patients using dental implants as a fixed, implant-supported prosthesis. ![]()
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