International Dentistry - Vol. 12, No. 2 - 50

CASE REPORT

Evaluating the fit of removable dentures
with magnification systems
Gualtiero Mandelli1 and Carlo Borromeo2

Nowadays, implant-supported prostheses are used more and more in people's daily
routines and removable prostheses in case of large rehabilitation offer aesthetic and
functional advantages especially when support of the soft tissues is necessary. In this
article, much attention will be given to the analysis and the design of the prosthesis in
order to achieve predictable and repeatable results. During the construction of the structure
and superstructure the microscope will be critical to achieve the maximum precision.

Introduction
Removable prostheses are increasingly being used in everyday practice; in many cases
you can achieve excellent functional aesthetic results even in the presence of a reduced
number of implants, mostly when the patient wishes a stable total rehabilita-tion without
the insertion of many implants. After the construction of a total temporary prosthesis in the
lower jaw and the evaluation of all the problems and expectations of the patient, it is
planned to produce a full denture anchored to a bar screwed on four implants (Fig. 1).

Step by step procedure
In the first phase, after the implant surgery guided by a replica of the temporary
restoration, the definitive impression was taken with a set-up created to restore aesthetics
and function (Fig. 2). During the try-in, the template that was prepared in the laboratory

1

Dr Gualtiero Mandelli
Visiting Professor at
Specialisation School in
Orthodontics, University of
Brescia, Italy.
Private practice, Lombardia,
Italy.

2

Carlo Borromeo, DT
Dental Laboratory Borromeo,
Italy.

Fig. 1: Lower removable prosthesis anchored
with a CAD/CAM milled cobalt chromium bar
with 2 degree of inclination with micro screwed
attachments, with a cast cobalt chromium
superstructure and incorporated in the resin.

50 INTERNATIONAL DENTISTRY - AUSTRALASIAN EDITION VOL. 12, NO. 2

Fig. 2: After preparing the master model
mounted in the articulator, the teeth set-up is
executed looking for the aesthetics and the
function without worrying about the position
and the type of the implants.



Table of Contents for the Digital Edition of International Dentistry - Vol. 12, No. 2

Contents
International Dentistry - Vol. 12, No. 2 - Cover1
International Dentistry - Vol. 12, No. 2 - Cover2
International Dentistry - Vol. 12, No. 2 - Contents
International Dentistry - Vol. 12, No. 2 - 2
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International Dentistry - Vol. 12, No. 2 - Cover3
International Dentistry - Vol. 12, No. 2 - Cover4
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