These are before and after cases of patients with conventional or implant supported complete dentures.
Conventional Complete Denture & Hybrid Implant Supported Complete Denture
As a result of poor denture fabrication, poor occlusion design, long standing negligence, patient had developed what is called, “Kelly’s Syndrome”. This is a challenging condition in dentistry that requires significant knowledge in prosthodontics, experience along with advanced educations and surgical skills.
Upper and Lower Implant supported Over-Dentures supported by different types of dental implants. (Sub-periosteal and root form implants connected with a bar and ball attachments).
This 84 year old patient had not had any maintenance treatments since her dental implants were placed and restored nearly 30 years ago. The lower over-denture was lost 4-5 years ago and was never replaced. The upper over-denture was significantly worn down leaving holes in the denture. The gum tissue was diseased ( inflamed and bleeding), dental implants were mostly exposed through thin recesses oral tissue. She had been rejected by some dentists to treat her due to complexity of her case on the one hand and significant cost of comprehensive treatment on the other. After Talking to patient a couple of times to discuss the treatment plan, a middle ground was fount to treat the patient with minimal compromise in treatment, keeping the cost down and improve the function and aesthetics (which was her main concerns).
Patient conditioned was stabilized and a new set of over-dentures were fabricated to improve her cosmetic and functional concerns.
Conventional upper Complete Denture and lower Teeth Supported Over-Denture
This patients came to see me to improve the condition of her failing bridge and denture and requested for an option other than dental implants. The decayed teeth in the lower arch under an existing bridge were retained, shortened and covered with Gold Copings to protect them from caries. Then two attachments were connected to two teeth to help retain the lower over-denture ( prevent movements during chewing). This procedure would replace the need for dental implants and save patient money and implant surgery.
Attention to details to rearrange the teeth in ideal position to follow her lower lip curvature significantly improve the appearance of the denture and gave the patient a life like teeth unlike the fake teeth arrangement of her old denture.
Conventional Complete Denture and Implant Supported Over-Denture
Patient was unhappy with her dentures, because they were loose. She was not aware of the poor aesthetics of the old dentures, until new ones were made. The upper complete denture is a complete denture with acceptable stability, however, the lower denture was stabilized with two dental implants in the front of the jaw. It has been proposed by many academic institutions to have two implant retained over-dentures as standard of care for people without teeth in their lower jaw. The difference in retention and stability of the denture in unbelievable.
Conventional lower Complete Denture and Upper Implant Supported Over-Denture
Patient came to see me to repair her “old” broken lower denture. The denture was not thick enough to be strong enough. I recommended her to let me make a new set of dentures and i had a metal reinforcement built inside the denture to prevent future fractures. Arrangement of denture teeth were also idealized to improve the aesthetics.