IM0110

12 I I case report _ implant placement Fig. 1_Locators supported upper overdenture. Fig. 2_Casted bar supporting maxil- lary upper removable partial denture. Fig. 3_Titanium-milled bar. Fig. 4_Spark erosion milled bar. Fig. 5_Overdenture with a bilateral swivel. Fig. 6_Full upper fixed crown and bridge. implants1_2010 _Abstract Implant-supportedtherapyforthepatientwith an edentulous maxilla is dependent on several treatment planning issues. The factors that deter- mine the choice of treatment include the follow- ing: _The general health of the patient. _The goals of the patient, such as the need for re- movalofthepalatalportionoftheprosthesis,in- creased stability when chewing, or the desire for a fixed prosthesis. _Theaestheticrequirementsofusingacrylictore- store the soft tissue profile of the patient. _Availability of bone in the anterior and posterior maxilla. _Financial considerations. _Consent for bone grafting deficient sites, includ- ing considerations of bone harvest site morbid- ity. Treatment planning is usually initiated at the restorativedentist’soffice.Thisincludesestablish- ing the patient’s goals for the outcome he or she desiresatthecompletionofimplanttherapy.Once these goals are set, the surgeon is seen and an as- sessment of bone availability is performed. After the amount of bone needed is determined, with Dental implants—Treatment options for compromised clinical situations Part II—The edentulous maxilla Author_Suheil M. Boutros, USA Fig. 4 Fig. 5 Fig. 6 Fig. 1 Fig. 2 Fig. 3

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