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Case Presentations
Full Lower Screw Retained Implant Bridge
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<blockquote data-quote="JohnWilson" data-source="post: 28877" data-attributes="member: 213"><p>Hi Al,</p><p></p><p>Wonderful labwork and photography. I like that you have been so open in sharing these types of cases its a big learning experience for many. I know there is a tremendous amount of stress and pressure on these cases so I didn't want to put any negative thoughts out there so I waited till you finished the case to ask some questions just so I wouldn't skew your creativity and art. </p><p></p><p>1) Since this is an edontoulous arch that I am sure the patient is wearing a denture and if I remember right the doc "jam mounted" the mounting using the denture ?? How did you determine facial lip support since the patient is used to a flange on the denture? Was it "make it look pretty" and we will hope it works or did you get some info from the Dr. I assume the big class 2 you corrected was due to this fact that the Dr used the denture to mount with and requested a class 1 occlusion???</p><p></p><p>2) Since I did not see any pictures of the glass work articulated how much ant overlap did you build in? Are you planning to "Fix everything"when you do the upper?</p><p></p><p>3) Tissue contour looks superb did the client ask for it to be "Tight" to the tissue around the fixtures?</p><p></p><p>4)Is the client going to modify the Max dentition when he delivers the mand, as far as excursions and ant guidance? </p><p></p><p>Again I post these questions to stir dialog and not to judge, I have my fair share of FMR cases under my belt and I learn from everyone. </p><p></p><p>I paid my dues by doing things that came back to bite me in the ass MANY MANY times and I would hope to be able to share from these learning experiences with others.</p><p></p><p>OK thats enough for now, if this is interesting to others we can take it to the next level and talk about occ schemes and tips and tricks to bullet proof occlusion in these big implant retained/supported cases.</p></blockquote><p></p>
[QUOTE="JohnWilson, post: 28877, member: 213"] Hi Al, Wonderful labwork and photography. I like that you have been so open in sharing these types of cases its a big learning experience for many. I know there is a tremendous amount of stress and pressure on these cases so I didn't want to put any negative thoughts out there so I waited till you finished the case to ask some questions just so I wouldn't skew your creativity and art. 1) Since this is an edontoulous arch that I am sure the patient is wearing a denture and if I remember right the doc "jam mounted" the mounting using the denture ?? How did you determine facial lip support since the patient is used to a flange on the denture? Was it "make it look pretty" and we will hope it works or did you get some info from the Dr. I assume the big class 2 you corrected was due to this fact that the Dr used the denture to mount with and requested a class 1 occlusion??? 2) Since I did not see any pictures of the glass work articulated how much ant overlap did you build in? Are you planning to "Fix everything"when you do the upper? 3) Tissue contour looks superb did the client ask for it to be "Tight" to the tissue around the fixtures? 4)Is the client going to modify the Max dentition when he delivers the mand, as far as excursions and ant guidance? Again I post these questions to stir dialog and not to judge, I have my fair share of FMR cases under my belt and I learn from everyone. I paid my dues by doing things that came back to bite me in the ass MANY MANY times and I would hope to be able to share from these learning experiences with others. OK thats enough for now, if this is interesting to others we can take it to the next level and talk about occ schemes and tips and tricks to bullet proof occlusion in these big implant retained/supported cases. [/QUOTE]
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Full Lower Screw Retained Implant Bridge
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