Full arch dental implant program for patient with completelyh missing teeth: Kazemi Oral Surgery and Dental Implants in Bethesda, MD specializing in dental implants

1. Full Arch
Dental
Implants
Treatments

2. • Who is a candidate?
• diagnostics & planning
• step-by-step process
• treatment package & fee structure
• biohorizons ‘teeth express’
• innovative laboratory processes
F i x e d I m p l a n t - S u p p o r t e d H y b r i d P r o s t h e s i s

3. o p t i o n s f o r f u l l y e d e n t u l o u s
removable
over-denture
fixed
hybrid
fixed
bridge
cost

4. r e m o v a b l e o v e r - d e n t u r e - m i n i i m p l a n t s
•the least costly option
•patient does not mind a removable prosthesis
•enhances prosthesis retention
•enhances function
•good aesthetics
•helps to preserves bone
•longevity??
•a great service for the denture-handicapped
patient with significant budget limitations

5. r e m o v a b l e o v e r - d e n t u r e
•the least costly option
•patient does not mind a removable prosthesis
•enhances prosthesis retention
•enhances function
•provides great aesthetics
•preserves bone
•relatively inexpensive to repair and maintain
•can always be ‘upgraded’

6. f i x e d h y b r i d
•more costly
•patient wants a fixed prosthesis
•already has bone and tissue loss
•excellent prosthesis support
•optimal function
•provides great aesthetics
•preserves bone (total implant-supported)
•more costly to repair and maintain

7. f i x e d b r i d g e
•most costly
•patient wants a fixed prosthesis
•has normal bone and soft tissue
•most resembling natural teeth look and feel
•preserves bone (total implant-supported)
•most costly to repair and maintain

8. patient-specific recommendations
❓
•emotional
•desires

9. F i x e d I m p l a n t - S u p p o r t e d H y b r i d P r o s t h e s i s
all-on-4 all-on-6all-on-5

10. s e l e c t i o n c r i t e r i a ?
smaller arch size
lower occlusal loads
posterior atrophy when
grafting is not possible
larger arch size
higher occlusal loads
available post bone or
when it can be grafted
medium arch size
moderate occlusal loads
posterior atrophy

11. i m p l a n t p l a c e m e n t s c e n a r i o s
immediate delayed
•non-periodontally involved teeth
•adequate bone is present
•primary stability can be achieved
•periodontally involved teeth
•inadequate bone (need grafting)
•primary stability can not be
achieved

12. l o a d i n g o p t i o n s
immediate delayed
•excellent implant primary stability
•compliant patient
•load can be controlled
•poor implant stability
•non-compliant patient
•excessive load can not be
controlled

13. t r e a t m e n t d e s i g n o p t i o n s
conventional fully digital
•wax-up
•stone models
•conventional interim denture and
its conversion
•digital wax-up and design
•cam / cad prosthesis guide,
bone cutback guide, implant
placement guide, interim
prosthesis, and final prosthesis

14. t r e a t m e n t c o s t & a c c e p t a n c e ?
designing a treatment package
for specific segment of patients
who want this treatment but
have limited budget

15. t r e a t m e n t c o s t & a c c e p t a n c e ?
•they must have an explicit need for it
•treatment must have emotional and lifestyle impact
•treatment cost has to be clear and transparent
•it must be affordable
•they must build great confidence in the team
•treatment must be aligned with their expectations in longevity
for patients to accept such treatments…

16. t r e a t m e n t c o s t
goal should be to make
treatment cost transparent,
inclusive, easy to understand,
and have payment options to
make it feasible

17. t r e a t m e n t p a c k a g e
R E M O V A B L E

18. t r e a t m e n t p a c k a g e
F I X E D

19. Full Arch
Dental Implants
Treatments
www.facialart.com/
dentalimplants