A New Design for a Hybrid Prosthesis Supported by Osseointegrated Implants: Part 1. Technical Aspects
Eric Lothigius, DDS, LDS/Jan-lvan Smedberg, DDS, LDS/Vincent De Buck/ Krister Nilner, DDS, LDS, PhD
PMID: 1843498
Maxillary prosthetic restorations on osseointegrated implants are often problematic because of implant location, orientation, and need for lip support. A new design for a hybrid maxillary prosthesis that will provide good esthetics and phonetics, as well as ensure optimum conditions for oral hygiene and patient comfort, is proposed. The design includes separate support, lateral stabilization, and retention. Support is derived from elevated areas at the midline and on the extensions of a bar screwed to dental implants ad modum Brånemark. Lateral stabilization is obtained by a removable framework closely fitting the bar. Four precision attachments provide adjustable retention without influencing support. Technical aspects of the procedure are described. (INT J ORAL MAXILLOFAC IMPLANTS 1991;6:80-86.)
Key words: endosseous implant, overlay denture, precision attachment, prosthesis design
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