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Considerations for a staged approach in implant dentistry
Howard J Drew1, Talal Alnassar, Kenneth Gluck
1Department of Periodontics, University of Medicine and Dentistry, Newark, NJ 07101-1709, USA. drewhj@umdnj.edu
Quintessence International (Berlin, Germany : 1985)
|January 20, 2012
Summary
A staged approach to full-arch reconstruction offers patients a fixed provisional prosthesis throughout treatment, avoiding the challenges of removable temporary options. This method enhances patient comfort and esthetics during implant osseointegration.
Area of Science:
- Dentistry
- Oral Surgery
- Prosthodontics
Background:
- Full-arch and partial reconstructions present significant clinical and patient challenges.
- Traditional methods involve tooth extraction, implant placement, and a temporary removable prosthesis during osseointegration, causing patient distress.
Observation:
- A staged approach involves strategic extractions and implant placement while retaining some teeth for a fixed provisional prosthesis.
- This provisional prosthesis is initially tooth-supported and later converted to implant-supported.
Findings:
- The staged approach provides patients with a fixed provisional prosthesis throughout the entire treatment duration.
- This protocol requires meticulous periodontal and prosthetic evaluation and a collaborative team approach.
Implications:
- This method mitigates functional, emotional, and esthetic challenges associated with removable prostheses.
- The staged approach can be successfully applied to full-arch, sextant, or quadrant dental rehabilitations.