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Site development interim removable dental prosthesis.

Kirk L Pasquinelli1, Alexander J Sze2, Alex J Matosian3

  • 1Assistant Clinical Professor, Postgraduate Prosthodontics, University of California San Francisco, School of Dentistry, San Francisco, Calif; and Private practice, San Francisco, Calif.

The Journal of Prosthetic Dentistry
|February 3, 2016
PubMed
Summary

Restorative dentists face challenges managing partial edentulism with tissue grafting and interim prostheses. A specialized site development interim removable dental prosthesis (SDIRDP) is described to support surgical site development and prosthetic goals.

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Area of Science:

  • Dental Implantology
  • Prosthodontics
  • Periodontology

Background:

  • Partial edentulism requires complex treatment planning, often involving hard and soft tissue grafting before implant restoration.
  • Interim removable dental prostheses (IRDPs) are used during treatment but can compromise grafted sites if not properly designed.
  • Improper IRDP design may lead to graft displacement, necrosis, and impede surgical outcomes.

Purpose of the Study:

  • To describe a technique for fabricating a site development interim removable dental prosthesis (SDIRDP).
  • To ensure the SDIRDP facilitates surgical procedures for grafted sites.
  • To maintain prosthetic goals during the site development phase for implant restoration.

Main Methods:

  • A specific technique for fabricating an SDIRDP tailored for grafted sites is detailed.
  • The SDIRDP design focuses on protecting the graft and aiding surgical access.
  • Prosthetic principles are integrated with surgical site development objectives.

Main Results:

  • The described SDIRDP fabrication technique allows for simultaneous prosthetic support and surgical site development.
  • This approach minimizes risks to the grafted tissue, such as displacement or necrosis.
  • The SDIRDP effectively bridges the gap between grafting and final implant restoration.

Conclusions:

  • A well-designed SDIRDP is crucial for successful management of grafted sites in patients with partial edentulism.
  • This technique offers a viable solution for restorative dentists to achieve both surgical and prosthetic objectives.
  • Utilizing an SDIRDP can improve outcomes for implant restorations following tissue grafting procedures.