PATIENT SPOTLIGHT: Transformative screw-retained bridge

Case: Transformative screw-retained bridge

Dr. Georges Raffoul, Coast Dental, Largo, FL DDS Laboratory, Darren Stiff, MDT

SCREW-RETAINED VERSUS CEMENT-RETAINED RESTORATIONS

Screw-retained and cement-retained restorations each have specific qualities. Your choice of which restoration will best suit the patient depends on several factors.

HOW TO ACHIEVE BEST RESULTS WITH A DENTAL IMPLANT IMPRESSION

Dental implants retain fixed and removable restorations, including single crowns, fixed bridgework, and implant-supported dentures. The technology for dental implants is well-established, and success rates are extremely high. Many dental practices have already embraced implant dentistry, and it is a significant source of revenue. As patient awareness increases, demand for the treatment will only increase.

CEMENT-RETAINED IMPLANT RESTORATIONS COMPARED TO CONVENTIONAL CROWNS & BRIDGES

Cement-retained implant restorations are extremely popular, because they offer a predictable treatment outcome for patients whose teeth are failing or have already been removed. Compared to screw-retained implant restorations, cement-retained implants provide the ideal occlusal form and are a more cost-effective treatment choice for the patient.

THE BENEFITS OF CUSTOM MILLED ABUTMENTS

Dental implant treatment is an increasingly popular solution for replacing missing teeth. As a result, more clinicians are dedicating time and resources to training in the most advanced techniques and investing in up-to-date technology.

STEP-BY-STEP INSTRUCTIONS FOR PLACING A ZIRCONIA SCREW-RETAINED BRIDGE

A zirconia screw-retained bridge is a popular choice for clinicians who wish to provide patients with the most ideal esthetics. This type of restoration offers several advantages. One of the most appealing qualities of this bridge is its easy retrievability. An easily retrievable restoration is a good solution if the patient is likely to require regular maintenance or removal of the bridge for professional cleaning. Additionally, zirconia attracts less plaque, making it easier for the patient to maintain good oral hygiene and healthy implants. Zirconia screw-retained bridges are CADCAM designed and milled, which eliminates casting distortion and offers a predictable, precision-fitting appliance.

HOW TO AVOID PERI-IMPLANT DISEASE

Dental implants are increasingly regarded as the standard treatment for partial or complete edentulism. When correctly used, dental implants provide a high level of predictability and can be utilized in a range of treatment options. Although dental implants can present a long-term solution for tooth loss, it’s possible for complications to arise, sometimes years after the implants were originally placed. Peri-implant disease is a common complication.

CROWN CEMENTATION: Tips for Reducing Excess Cement

Implant-supported restorations are either screw-retained or cement-retained. While screw-retained restorations offer easier retrievability, the screw access hole can affect esthetics. Additional problems with screw-retained restorations include screw loosening and issues with achieving a passive fit. In comparison, cement-retained restorations are generally less expensive, as they require fewer components and less chair-side time.

FACTORS TO CONSIDER WHEN RECOMMENDING ALL-ON-FOUR

Despite improved dental care over the past few decades, edentulism is still common among elderly patients. Complete edentulism, which is often a consequence of caries, poor oral hygiene, and periodontal disease, has a detrimental effect on the patient’s oral and general health and overall sense of well-being.

TREATING EDENTULOUS PATIENTS WITH ALL-ON-FOUR

The All-on-Four treatment concept was designed to help edentulous patients and those who are facing complete tooth loss. It is extremely popular, as patients can receive an immediately loaded, full-arch restoration using just four dental implants.

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