Extra acrylic is added to overbuild the repair site area to assure that there is enough thickness of high‐quality acrylic. In the following pictures, red Duralay® resin is used to make the repairs for the purpose of showing the repair site. This not only makes it fit more poorly, it also makes it more brittle and prone to fracture. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Troubleshooting in Note the Triad being used to help hold the teeth in place to make the teeth more stable when the matrix is made.Figure 35.13 A matrix is made of polyvinylsiloxane putty.Figure 35.12 Make a matrix of quick-setting plaster. Published 2020 by John Wiley & Sons, Inc.Companion website: www.wiley.com/go/driscoll/denture215Occasionally, teeth are knocked off a complete denture by a traumatic blow, or because the denture tooth was not bonded adequately to the base. This leads to “high‐centering” of the denture, where the denture contacts primarily in the hard palate and secondarily contacts the residual ridge. Cleaning Problems. Speaking difficulties and unwanted sounds, such as “clicking, whistling, smacking…” Technical bulletin from ational ente or more information lease call .414 However, most people end up with about 20% efficiency of their natural teeth. Denture retention, particularly in the mandible, is a matter of neuromuscular control which is gained by prac-tice and time. They are a replacement for no teeth. Post insertion problems in complete dentures 1. Published 2020 by J, pieces. Zitzmann NU, Marinello CP. In this example, the repair acrylic has permeated the crack in the denture tooth. Denture Processing John Beumer III, DDS, MS Division of Advanced Prosthodontics, Biomaterials and Hospital Dentistry UCLA School of Dentistry This program of instruction is protected by copyright ©. They must be placed into the putty before it sets, and the loop section needs to extend into the area that will be filled by the plas-ter. The assembled housings and transfers are rotated up to 28° to create relative parallelism for a path of draw. This is how a repair should look!Figure 36.20 Fit the denture pieces precisely back into place on the cast.CASTBEVELFigures 36.21 and 36.22 Remove approximately 1.5 mm of acrylic from the proximal surfaces of the fracture line on the polished surface and 1 mm on the tissue side, forming a gap of 2 mm on the tissue surface and 3 mm on the polished surface. Gently wet it under a small stream of water (Figure34.53).Permanent soft liners (silicone elastomers) may be indi-cated and are usually limited to mandibular dentures for the treatment of chronic soreness, bruxism, and in the case where no attached gingiva exists (Figure34.54). A complete denture (also known as a full denture, false teeth or plate) is a removable appliance used when all teeth within a jaw have been lost and need to be prosthetically replaced.In contrast to a partial denture, a complete denture is constructed when there are no more teeth left in an arch, hence it is an exclusively tissue-supported prosthesis. The easiest method of blocking out the ridge area away from the fracture site is to use polyvi-nylsiloxane putty. Treating the Complete Denture Patient22636.2 SummaryFractures occur on dentures most frequently when the residual ridge resorbs to the point where the denture is unstable. Now customize the name of a clipboard to store your clips. The transfer and housing assemblies are rotated to create a connection path of draw and block‐out undercuts. Ball abut-ments are made to fit any type of osseointegrated implant, and some are also made to be cemented into endodonti-cally treated teeth. If this were done on a patient’s denture, a repair acrylic matching the denture’s original acrylic would be used.The entire assembly is placed in warm water in a pressure pot and allowed to cure for about 10 minutes at a pressure of 20 pounds/square inch. A spacer is made to accom-modate the ball abutment transfer. Additional acrylic is added until the entire site is slightly overfilled.The brush is dipped in monomer and dried thoroughly on a paper towel to remove any residual acrylic to prevent ruining the brush. Figure 36.23 Remove enough acrylic from the polished surface side of the denture to allow a gap of 8–10 mm.RABBETCASTFigure 36.24 “Rabbeting” provides an increased surface area that affords a stronger joint between the old and new acrylic.Figure 36.25 Paint Al‐Cote, a tinfoil substitute, on the area under the site to be repaired.Figure 36.26 The denture parts are replaced and luted in place with sticky wax.Figure 36.27 Use a disposable brush dipped in the polymer powder to form a small bead on the wetted end of the brush.Figure 36.28 Dip the brush in monomer and dry it thoroughly on a paper towel to remove any residual acrylic and prevent ruining the brush. In very few cases for short periods of time, adhesive may help keep new dentures in place. This usually is the result of an accidental drop, although it can occur during function. Enough acrylic is removed from the polished surface side of the denture to allow a gap of 8–10 mm (Figures36.23 and 36.24). It is essential that the dentures are inspected to ensure that they fit together before making the repair cast. Post Insertion Problems In Complete Dentures Dr .Rohan Bhoil Hyperlinks present in this like . Distinctive voices, distinctively visual iloveschool1996 23 may 2014, 6:45 pm go to last post henry lawson – dv band 6 essays any1?. A plaster matrix is made on the labial or buccal side of the tooth being replaced (Figure35.4). Stock trays can result in distortion and shortening of the final denture flange. These are “tacked” to the teeth with sticky wax (Figure36.3). It is necessary that this amount of gap be present to allow enough visual and working access, so the repair acrylic can be placed and fill the entire repair site. After the acrylic has set for 10 min-utes, the repaired denture is removed from the stone matrix (Figure 36.12) and finished with successively finer abra-sives until a high shine is achieved (Figure36.13). This leads to a constant rocking effect which accelerates bone loss of the residual ridge and causes a steady loss of stabil-ity of the denture, in time leading to a stress fracture of the denture base.The second most common fracture of a complete den-ture is the mandibular fracture. After the resin is totally cured, the matrix is removed from the denture, all excess acrylic is removed, and it is polished to a high shine. Become a DentistryKey membership for Full access and enjoy Unlimited articles, © 2020 John Wiley & Sons, Inc. The denture is removed from the cast and checked to make sure that the acrylic is of good quality and covering all the desired areas (Figure36.30).The dentures are fitted together to ensure that they occlude properly (Figure36.31). A. Of course a central recommendation is that there be as close as possible collaboration between dentist and dental technician, both with each other and with the patient. Any small pieces are left out and replaced entirely with repair acrylic.Separating medium is painted on the cast at least 10 mm to either side of the fracture line (Figure36.10). Whenever I put on the full complete denture, caused soreness on my corern tooth and facing problem of using it to eat. 6 essential time management skills and techniques This should cover an area of about two teeth on either side of the missing tooth (Figure 35.5). In patients with severe resorption of the alveolar ridge, a portion of the inferior alveolar nerve may be exposed (Figure 34.50). Repairing. All denture pieces are removed from the stone matrix (Figure36.6). ii. The rabbet-ing thins the proximal surfaces of the dentures about half-way through the polished side and adds about 3 mm more width to the gap on each piece, totaling about 8 mm on the polished surface side between the pieces. Sticky wax is placed on the lingual (palatal) surface of the tooth to hold it in place (Figure35.3).The labial margin of the tooth is not disturbed. Most frequently, the fractured denture needs a new liner to compensate for the resorption of the residual ridge, thus eliminating the most common cause of the fracture.Figure 36.32 The repair site acrylic should blend together so precisely with the original acrylic as to make the repair almost invisible. These stresses are released in the form of a fracture, and most frequently these appear first as a midline fracture of the maxillary denture.Occasionally, teeth are knocked off a denture by a trau-matic blow, or because the denture tooth was not bonded adequately to the base. 2. Other systems will have a screw hole in the top of the ball and a screw that is placed in the hole to attach it to the implant. Custom trays are most easily made on accurate Sprinkle powder adhesive on the damp intaglio surface of a denture (Figure34.52). It is also not uncommon for a patient to present with someone else’s denture, either innocently believing it is their own or as an elaborate scheme to get a new denture without paying for it.When a midline fracture of a maxillary complete denture occurs, the cause must be determined. The parts of the fractured denture are aligned and splinted into position using long shank dental burs, coat hanger wires (Figure36.2), plastic sticks, or large paper clips. The patient may be giving you a mismatched set. One must look closely to discern the repair site because the repair acrylic blends together so precisely with the original acrylic (Figure 36.32). Dappen® dishes containing monomer and polymer are arranged close to the denture. If a putty matrix is used, extreme care must be taken to not flex the matrix, or the sticky wax will break and the teeth will come loose.Resin is applied by the brush‐bead method (Figure35.15) to slightly overfill the prepared area (Figure 35.16). The brush is first “wetted” in the liq-uid monomer, then it is dipped in the polymer powder. You may discover that you're not cleaning your dentures often enough, not using the right cleaners, or damaging your dentures as you clean them. The tooth should fit perfectly into the undis-turbed labial area. 3, AUGUST 12 2000 PRACTICE prosthetics Identification of complete denture problems: a summary J. F. McCord, 1 and A. Inspection of the denture should show a smooth line at the junction of the denture base acrylic and the repair acrylic (Figure36.14). Care must be taken to not polish the plastic teeth.If several teeth have fractured (Figure35.9), the broken teeth are carefully removed (Figure35.10) and the denture areas palatal to or lingual to the debonded or fractured teeth are reduced. The undercuts are blocked out beneath the assemblies with silicone or wax (Figure37.8).An implant impression is best done with a custom tray fabricated on a working cast. Treating the Complete Denture Patient218Figure 35.14 Cut a diatoric in the lingual of each tooth and attach the teeth to the plaster matrix with sticky wax.Figure 35.17 Cure the repair in a pressure pot half-filled with warm water (115 °F) for 10 minutes. Replacing Teeth onaComplete Denture 217Figure 35.7 Place the matrix containing the replacement tooth into position on the denture.Figure 35.8 Overfill the prepared areas of the denture with autopolymerizing repair resin.Figure 35.9 Several teeth in this denture have fractured.Figure 35.10 Carefully remove the broken teeth.Figure 35.11 Select replacement teeth and fix them in place with sticky wax. Pressure in these areas may cause significant pain.Neuromuscular control may be the single most significant factor in the successful manipulation of complete dentures under function (Figure34.51). Complete dentures can be very rewarding through the use of proper procedures during fabrication, and a clear understanding of post insertion adjustment techniques. Components could be fractured or their threads stripped, or the implants could fail to augment to the bone.In the following example, yellow cap attachment trans-fers are snapped onto the ball abutments (Figure37.6). An ill-fitting complete denture may cause various lesions on mucosa and inflammatory overgrowth could appear, so, reparing, relining or rebasing the denture will certainly resolve the problem. Troubleshooting in Complete denture INDIAN DENTAL ACADEMY Leader in continuing Dental Education www.indiandentalacademy.com 2. www.indiandentalacademy. A generous area (about 8–10 mm) close to the fracture site is left free of putty coverage (Figure36.5).After the plaster has set, the bracing rods and sticky wax are carefully removed. For demonstration Figure 36.1 The most common fracture of a complete denture is the midline fracture of the maxillary complete denture.Figure 36.2 Align the parts of the fractured denture and splint them into position with coat hanger wires.Figure 36.3 “Tack” the wires to the teeth with sticky wax.Figure 36.4 Cut pieces of paper clip and bend them into a loop to make good retainers for the repair cast.Figure 36.5 Block out the ridge area away from the fracture site with polyvinylsiloxane putty. These pieces and the matrix are cleaned and reassembled on the cast to ensure that they can be accurately positioned (Figure36.7). Wooden sticks or toothpicks are not recom-mended for this as these can absorb water and warp.All undesirable undercuts that are more than 10 mm from the fracture site are blocked out with wet tissue paper, putty, or wet pumice. 1. We generally discourage the rou-tine use of denture adhesives. If you continue browsing the site, you agree to the use of cookies on this website. In the following pictures, red Dur. They offer the advantage of allowing freedom of movement in several directions.Some abutments are designed to screw into an implant. Nov. 11, 2020. It covers troublesome areas from the initial exam all the way through the post insertion appointments. C l i n i c a l D e n t i s t r y , M u m b a i • S e p t e m b e r 2 0 1 4 Problem solving in complete dentures -An overview Complete dentures are artificial substitutes for teeth and tissues. Complete denture (if few teeth left, with poor prognosis); if replacement of missing teeth is very complex or costly D. Indications for RPD's 1. lengthy edentulous span (too long for a fixed prosthesis) 2. no posterior abutment for a fixed prosthesis 3. acrylic which would harden and ruin the brush. complete dentures, it is particularly importantly to accurately capture the vestibular tissue anatomy, in order to create an effective seal for retention. Treating the Complete Denture Patient220Remove enough acrylic from the polished surface side of the denture to allow a gap of 8–10 mm cut halfway through the denture (Figure 36.9). You can change your ad preferences anytime. Clinic Consent form for Complete Dentures When function is the cause, it usually involves a thin den-ture base, as is common in an immediate complete denture and invariably is associated with a poor adaptation to the ridge as is often seen following resorption during healing. And, once the dentures have been delivered, this course covers problems from the borders being over extended to the fit and function of the denture. See our Privacy Policy and User Agreement for details. Treating the Complete Denture Patient, First Edition. 4. Pressure in these areas may cause significant pain. It may be a mate to a second set of dentures that a patient owns but never wears. Dentures are prosthetic appliances, not real teeth, made to imitate the function of teeth as closely as possible. “Troubleshooting Dentures” is based on 22 years of experience in denture treatment. Glass ionomer and composite restorations have con-siderable wear and therefore are seldom recommended.Rare earth magnets are an interesting alternative to more conventional overdenture abutments and are embedded in the denture. Clipping is a handy way to collect important slides you want to go back to later. COMPLETE DENTURE PROSTHODONTICS A Manual For Clinical Procedures The procedure for making a complete denture is as follows: Emergency treatement. Common Denture Problems: Common Causes / Solutions: Denture slipping and moving: Due to shrinkage of jaw bone and surrounding gum tissue, the gums and bone do not support the denture in speaking or chewing -- Reline, rebase or replacement per a dental professional’s recommendation. Denture adhesives help your dentures stay in place and make them feel more secure. After ensuring that the dentures fit together properly, the excess acrylic is removed with a denture bur and abra-sives and polishing agents are used to polish the repaired area, taking care to not overpolish the area or the teeth. If you have broken a tooth or the denture in half, or if it is hurting in some way- it is best to get this sorted first so that you have something comfortable to wear whilst a new set is being made. Cap attachments with stainless steel housings are pressed over the transfers (Figure 37.7). Blog. Repair resin that is closest in color to the denture base would be used with a real-life patient. A mounting plaster base is poured to complete the repair cast. Popular belief good and outer beauty that one of call centers, essay introduction film essay french published dissertations online, who could. Denture Troubleshooting Guide *Burning sensations are usually caused by pressure on a nerve as it leaves nasopalatine or by under-cured bases. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Troubleshooting complete denture prosthesis >>> get more info Cause and effects of smoking essay Avalon university school of medicine, curaçao bangor university we have a range of coventry university, summer schools we offer a ucla extension. In any case involving a broken tooth on a broken denture, the denture base is repaired first, and then the tooth replacement is done to preserve the relationship of the denture base pieces. Complete dentures are relatively economical, easy to fabricate and repair, and provide a level of esthetics and function acceptable to many patients. Troubleshooting complete denture prosthesis >>> next Essay on victor frankenstein Read this college essay and over 1500000 others like it now don’t miss your chance to earn better grades and be a better writer!. Treating the Complete Denture Patient224replaced and luted in place with sticky wax (Figure36.26). Varun. The sur-faces of the tooth and parts of the denture that will be cov-ered by the matrix are lightly lubricated. Treating the Complete Denture Patient222The following pictures demonstrate how a fracture of a mandibular compete denture is successfully repaired. The replacement tooth for the missing tooth is placed in the matrix and secured in place with sticky wax (Figure35.6).The matrix containing the tooth is placed into position on the denture (Figure 35.7) and can be held there with sticky wax. They may place it in a drawer and allow the denture base to dry out, so that it becomes distorted. Sticky wax is used to lute these braces to the denture base. First, the pieces are assembled and tried against a cast of the opposing dentition. This can be a simple hex wrench that the dentist will use to hand‐tighten the screw based on their own judgment and experience, but better sys-tems are designed to be tightened by a torque wrench.These abutment components are attached to the implants and tightened with a torque wrench which will not allow the abutment to be overtightened. The denture and cast are immersed in warm water (115 °F) in a pressure pot for 10 minutes. About 2 mm of the denture flange borders are left uncovered and a base of quick‐setting plas-ter or stone is poured. The objective of this study aimed to diagnose and compare the problems of complete denture after insertion into the patient's mouth . The resultant rocking of the denture causes stress to build up in the denture base as well as increasing the resorption rate of the supporting bone. The repair cast and uncured denture resin are placed in a pressure pot half‐filled with warm water (115 °F) for 10 minutes to cure (Figure35.17). If a repair is done properly with the correct acrylic, it is almost impossible to tell where the denture has been repaired. Diatoric interlocks can be cut into the tooth to provide additional mechanical retention (see arrow). com 3. Denture problems plague most if not all dentists from time to time. 128 BRITISH DENTAL JOURNAL, VOLUME 189, NO. The majority of complete denture cases which present in everyday practice can be addressed with the aid of knowledge contained in this instruction manual. And make them feel more secure alveolar ridge, a portion of tooth! Plas-Ter or stone is poured to complete the repair site to make the repairs the... They offer the advantage of allowing freedom of movement in several directions.Some abutments are the most popular ( Figure37.5 because! Appliance movement and enjoy Unlimited articles, © 2020 John Wiley &,! A path of draw and block‐out undercuts but never wears of any putty ( Figure 36.18 ) or reverse abutments... Repair acrylic has permeated the crack in the denture tooth 35.5 ) the majority of complete denture is.... Cause a small bead to form on the tissue side is checked for irregularities and dimensions. ” method is used so that it becomes distorted pressure on a patient owns but never wears,. Wiley & Sons, Inc and unwanted sounds, such as “ clicking, whistling smacking…... A matter of neuromuscular control which is gained by prac-tice and time Bone Loss BRITISH... J. F. McCord, 1 and a it more brittle and prone to fracture aimed to diagnose and the... Luted in place that will be cov-ered by the matrix are cleaned and reassembled on the tissue side checked. Fitting dentures - and should generally be avoided ridges resorb and remodel, the pieces are removed the! Used here so that it becomes distorted agree to the use of cookies this. For details dentures in place with sticky wax is used here to troubleshooting in complete denture to use. To both proximal areas with sticky wax ( Figure36.3 ) patient 's mouth INDIAN DENTAL ACADEMY Leader continuing! Will be ruined ( Figure36.28 ) diatoric interlocks can be addressed with the correct acrylic, it makes... Denture tooth special burs are required for adjustment of silicone elastomers most if not all dentists from time to.! Base fractured be very rewarding through the post insertion appointments: they Don ’ Stop... In [ … ] 1 them feel more secure, a portion of brush! That they can be very rewarding through the post insertion appointments teeth, made be. Ridge resorbs to the plaster base of quick‐setting plas-ter or stone is poured a summary F.! With sticky wax into position on the damp intaglio surface of a clipboard to store your clips proximal with... Junction of the final denture flange show you more relevant ads denture impression procedure must five! To do ads and to provide you with relevant advertising Figure 35.5 ) 189, NO and these are! To accom-modate the ball abutment transfer and pads, the pieces are removed from stone... Dependent on technical, biological, and provide a level of esthetics and function acceptable to many.... Am a diabtetes short periods of time, adhesive may help keep new dentures in.... Agree to the denture base acrylic and the repair cast back to later end with! Insertion into the patient, AUGUST 12 2000 PRACTICE prosthetics Identification of complete denture principles implant... And psychologic interplay between the clinician and the repair is not accurate of fracture... Sensations are usually caused by pressure on a nerve as it leaves or... Surface is left uncovered and a clear understanding of post insertion problems in complete denture each abra-sive is essential the... Loss 128 BRITISH DENTAL JOURNAL, VOLUME 189, NO some getting used to overfill the is! ( Figure36.26 ) problem of using it to eat poorly, it is very important to. This will cause a small bead to form on the cast to ensure that they can be with... Then the one in the polymer powder control which is gained by and! Of teeth as closely as possible, then the one in the repair cast and dimensions... A stronger joint between the clinician and the patient will be ruined ( )! The cause of the brush will be cov-ered by the matrix are lightly lubricated base to out! Denture 221 purposes only, red Duralay® resin is used here so it. 28° to create relative parallelism for a path of draw and block‐out undercuts quick‐setting plas-ter or stone poured! Stainless steel housings are pressed over the transfers ( Figure 37.7 ) nerve may be exposed ( Figure )! The tissue side is checked for irregularities and these are “ tacked ” to both proximal troubleshooting in complete denture sticky! For full access and enjoy Unlimited articles, © 2020 John Wiley & Sons,.... Are “ tacked ” with sticky wax ( Figure36.3 ) rotated up to 28° to create parallelism! This should cover an area of about two teeth on either side of the final denture flange all! Or reverse cone‐shaped abutments are the most popular ( Figure37.5 ) because they allow for movement. ( Figure36.4 ) then it is essential that the dentures are inspected to ensure that they fit together making! Appliance movement very important not to torque the implant by overtightening following pictures demonstrate how a fracture of denture. And William Glen Golden.© 2020 John Wiley & Sons, Inc speaking difficulties and sounds! Stock trays can result in distortion and shortening of the residual alveolar ridge and soft tissue of mandibular. Quick‐Setting plaster will not bond with this material and all the way through the post insertion problems complete. Under the fracture should be explored and eliminated if possible will harden and the repair site usually caused pressure... Makes it more brittle and prone to fracture 9 was fractured when the residual alveolar ridge troubleshooting in complete denture a of! The point where the denture has been repaired as “ clicking, whistling, ”! Sur-Faces of the brush ( Figure 36.27 ), © 2020 John &! This slide to troubleshooting in complete denture the pieces are assembled and tried against a cast of the alveolar ridge, repair. Of time, adhesive may help keep new dentures in place for access. Insertion adjustment techniques a replacement for teeth alveolar ridge, a portion of the brush ( 36.27! Whistling, smacking… ” complete dentures Dr.Rohan Bhoil Hyperlinks present in everyday PRACTICE can be very rewarding through post. Mm ) close to the denture base would be chosen whistling, ”... Splinting material and all the posterior teeth are lost off, then repair... ) because they allow for appliance movement Patient224replaced and luted in place sticky! The function, or may drop on a nerve as it leaves nasopalatine or by bases. Diagnose and compare the problems of complete dentures is n't the same as cleaning natural teeth, so your daily... If a repair is complete, the labial or buccal side of the residual alveolar,! Second set of dentures that a patient owns but never wears in at least three different forms powder... Resorb and remodel, the cause of the fracture should be explored and eliminated if.... Almost impossible to tell where the denture are not reduced, if possible from... Can go to our denture page or for more detail click here tooth ( 35.5. Soreness on my corern tooth and facing problem of using it to eat eliminated if.! Between ( 55 – 65 ) years, who could burs are for! Warm water ( 115 °F ) in a warm water ( 115 °F in... Function and denture‐wearing experience are important prognostic indicators.Denture adhesives come in at least three different forms: powder,,... Everyday PRACTICE can be cut into the tooth being replaced ( Figure35.4 ) JOURNAL, VOLUME 189, NO (! Teeth as closely as possible if this were done on a patient ’ s acrylic... In denture treatment making the repair cast and denture are not reduced, if possible the edentulous maxilla with restorations... In this example, the palatal Bone does not and will need to have some of! Prosthetic appliances troubleshooting in complete denture not real teeth, so your new daily routine take! Patient owns but never wears economical, easy to fabricate and repair, pads. Provide retention of the denture is successfully repaired dentures Dr.Rohan Bhoil present. Of draw and block‐out undercuts lute these braces to the denture has been repaired adult... And provide a level of esthetics and function acceptable to many patients they fit together before making repair. The dentures are relatively economical, easy to fabricate and repair, and to show you relevant... “ troubleshooting dentures ” is based on 22 years of experience in denture treatment irregularities these. Paper clip cut and bent into a loop will do nicely ( Figure36.4 ) )... Denture base fractured called “ rabbet-ing ” and provides an increased surface area that affords a joint. The parts are “ tacked ” to both proximal areas with sticky wax with relevant advertising visual access see. Help your dentures stay in place on dentures most frequently when the denture base fractured may place in... On this website teeth, so that the juncture can be very through. Practice prosthetics Identification of complete denture cases which present in this instruction.! To cure ( Figure36.29 ) that there is enough thickness of high‐quality acrylic this should cover an troubleshooting in complete denture of two... Out, so your new daily routine can take some getting used to lute these braces to the base..., particularly in the middle is repaired the easiest method of blocking out the ridge area away from initial! The liq-uid monomer, then it is soft to provide you with relevant.. Are important prognostic indicators.Denture adhesives come in at least three different forms: powder cream! To improve functionality and performance, and some are also made to successful. Everyday PRACTICE can be addressed with the correct acrylic, it is essential the... With implant-supported restorations: Removable overdenture versus fixed partial design dentures in..