LH wanted dental implants to help stabilize and retain his upper denture. He had the required bone of adequate quality and quantity. After using radiographic markers to determine implant position with a surgical guide, four implants were placed. After the implants were ready to restore, according to Osstell Resonance Frequency measurements, they were connected with a tissue bar. Limited occlusal clearance and the labial position of the anterior teeth required attachments be placed on the palatal aspect of the bar. Because the overdenture is opposed by natural teeth, a cast superstructure strengthens the overdenture and supplies housings for the nylon attachments. At 5 year recall, bone levels are excellent and the patient reports he is pleased with his ability to eat, the stability of his appearance and the durability of the prosthesis.
Robert G. Tupac, DDS, FACP, Inc., Diplomate, American Board of Prosthodontics (661) 325-1275 | www.drtupac.com 5060 California Ave., #170, Bakersfield, CA 93309