The DMD and MDT Learning Blog: 2012

Patients who have long standing bridges, tend to have bone loss, tissue loss and most importantly tooth loss. As time passes Reconstructing a patient's mouth is not an easy task. Here are the difficulties one runs into:
1)Cost of the Procedure: Prosthetic costs Sky Rocket due to the rising costs of Gold
2) Timing of the Procedure: These patients are not used to walking around without teeth ever and more importantly are not responsive to wearing a removable prosthesis
3) Large Reconstructions on Implants: When doing these cases Metal Support can get expensive and Porcelain can chip very easily. Over time these are not easy to do and to fix.
4) Transition of the tooth borne to implant borne prosthesis

So we need an approach. Here is the Patient at initial presentation

Consult is done and patient requests only fixed. We discuss options and immediate load is prescribed. Patients do not want to wear dentures during the healing period. Whenever they due they are pressed for healing time, they put pressure on the office and doctor. Not a good situation. With fixed temporaries they are better then when they came in and they are happy on the way out. Impressions are taken for BIOTEMPS to be Fabricated.

Biohorizons implant used due to thin tissue patient has and the LASERLOK feature to maintain tissue.

Biotemp is fabricated as open trench and placed in an essix retained for use as surgical guide and abutment height adjustment guide. palate lets us know if it is seated.