Tooth Loss And Implants



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		Tooth Loss And Implants

Dr. Richard Shanaman, P.C. : Tooth Loss And Implants

Dr. Richard H. Shanaman, P.C.
1719 Penn Ave
Wyomissing Hills
Reading, PA 19609
info@drshanaman.com
(610) 678-4531

Lower Fixed-Detachable Prosthesis
Case 1: This patient lost her teeth in her 20's. Because the bone loss on the lower jaw was much worse than the upper jaw, a fixed bridge first described by the Branemark group in Sweden was placed on the lower jaw.
Fortunately, the bone loss on the upper jaw was not as severe. Using bone regeneration, implants were placed that could be restored as a crown & bridge type prosthesis.

Bar-Retained Overdenture

Case 2

Here, an alternative implant prosthesis is used which often requires implants. This removable prosthesis can be used for both the upper and lower jaw.

In this example of an upper overdenture, a custom-made gold bar is made to attach to the implants with screws. A denture that does not require plastic to cover the palate as in a traditional denture, is fabricated to hold fast to the bar.

Ball Attachment Overdenture

Case 3

This case also shows an alternative implant prosthesis requiring less bone and only two to three implants. As in Case 2, this approach, involving a removable prosthesis, can be used on the upper or lower jaw.

Implants Without Bone Regeneration

Case 4

If a tooth or teeth are lost and most of the bone remains, implant placement can help preserve the bony ridge and bone regeneration is not required. In the top example, the implant replacing the molar was accomplished a few months after extraction of the tooth.

In the bottom example, both molars were replaced with implants before excessive bone loss occured.

Crown and Bridge Prosthesis

Case 5

Even if all teeth have been lost, but dentures have not been worn for too long a period of time, sufficient bone can remain to place implants and restore them with a crown and bridge type prosthesis. Note the natural appearance of these implant bridges in both the lower and upper jaw.

Bone Grafting

Case 6

Should tooth replacement with implants be accomplished after significant bone loss, regeneration (bone graft) will be required. It may be possible to grow enough bone so placing and restoring implants can proceed as if bone had never been lost.

Bone Grafting

Case 7

Observe the narrow lower ridge which was made wider using bone regeneration at the time of implant placement. This allowed for a natural-looking emergence of the implant crowns from the gum.