Full Arch Dental

Implants Treatments

• Who is a candidate? • diagnostics & planning • step-by-step process • treatment package & fee structure • biohorizons ‘teeth express’ • innovative laboratory processes

F i x e d I m p l a n t - S u p p o r t e d H y b r i d P r o s t h e s i s

o p t i o n s f o r f u l l y e d e n t u l o u sremovable

over-denturefixed

hybridfixed

bridge

cost

r e m o v a b l e o v e r - d e n t u r e - m i n i i m p l a n t s•the least costly option •patient does not mind a removable prosthesis •enhances prosthesis retention •enhances function •good aesthetics •helps to preserves bone •longevity?? •a great service for the denture-handicapped patient with significant budget limitations

r e m o v a b l e o v e r - d e n t u r e

•the least costly option •patient does not mind a removable prosthesis •enhances prosthesis retention •enhances function •provides great aesthetics •preserves bone •relatively inexpensive to repair and maintain •can always be ‘upgraded’

f i x e d h y b r i d•more costly •patient wants a fixed prosthesis •already has bone and tissue loss •excellent prosthesis support •optimal function •provides great aesthetics •preserves bone (total implant-supported) •more costly to repair and maintain

f i x e d b r i d g e

•most costly •patient wants a fixed prosthesis •has normal bone and soft tissue •most resembling natural teeth look and feel •preserves bone (total implant-supported) •most costly to repair and maintain

pat ient-specif ic recommendat ions

❓

•emotional•desires

F i x e d I m p l a n t - S u p p o r t e d H y b r i d P r o s t h e s i s

all-on-4 all-on-6all-on-5

s e l e c t i o n c r i t e r i a ?

smaller arch size lower occlusal loads

posterior atrophy when grafting is not possible

larger arch size higher occlusal loads available post bone or when it can be grafted

medium arch size moderate occlusal loads

posterior atrophy

i m p l a n t p l a c e m e n t s c e n a r i o s

immediate delayed•non-periodontally involved teeth •adequate bone is present •primary stability can be achieved

•periodontally involved teeth •inadequate bone (need grafting) •primary stability can not be achieved

l o a d i n g o p t i o n s

immediate delayed

•excellent implant primary stability •compliant patient •load can be controlled

•poor implant stability •non-compliant patient •excessive load can not be controlled

t r e a t m e n t d e s i g n o p t i o n s

conventional fully digital•wax-up •stone models •conventional interim denture and its conversion

•digital wax-up and design •cam / cad prosthesis guide, bone cutback guide, implant placement guide, interim prosthesis, and final prosthesis

t r e a t m e n t c o s t & a c c e p t a n c e ?

designing a treatment package for specific segment of patients

who want this treatment but have limited budget

t r e a t m e n t c o s t & a c c e p t a n c e ?

•they must have an explicit need for it •treatment must have emotional and lifestyle impact •treatment cost has to be clear and transparent •it must be affordable •they must build great confidence in the team •treatment must be aligned with their expectations in longevity

for patients to accept such treatments…

t r e a t m e n t c o s t

goal should be to make treatment cost transparent,

inclusive, easy to understand, and have payment options to

make it feasible

t r e a t m e n t p a c k a g eR E M O V A B L E

t r e a t m e n t p a c k a g eF I X E D

Full Arch Dental Implants

Treatments

www.facialart.com/dentalimplants