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Maxillary fixed prosthesis design based on the preoperative physical examination.

Michael S Block1

  • 1Private Practice, Metairie, LA.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|February 10, 2015
PubMed
Summary

This study outlines how to use physical exam findings to design maxillary full arch restorations. These anatomical details guide surgical planning for optimal prosthetic outcomes.

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Area of Science:

  • Dentistry
  • Prosthodontics
  • Oral Surgery

Background:

  • Full arch restorations in the maxilla require precise planning.
  • Integrating pre-surgical anatomical assessment is crucial for successful outcomes.

Purpose of the Study:

  • To demonstrate the utility of physical examination findings in determining maxillary full arch restoration design.
  • To establish a pre-surgical prosthetic plan based on anatomical assessment.

Main Methods:

  • Evaluation of central incisor exposure at rest and during smiling.
  • Assessment of the edentulous ridge's vertical position and relation to teeth.
  • Analysis of bone presence posterior to the premolar region and alveolar bone height.
  • Consideration of planned maxillary tooth inclination.

Main Results:

  • Key anatomical landmarks identified through physical examination correlate with restoration design.
  • Pre-surgical determination of the prosthetic plan is feasible based on these findings.
  • The established restorative plan dictates the necessary surgical procedures.

Conclusions:

  • Physical examination provides essential data for designing full arch maxillary restorations.
  • A comprehensive pre-surgical prosthetic plan enhances the predictability of surgical interventions.
  • This approach facilitates tailored surgical planning for optimal prosthetic results.