DentaltownUK April 2017 - 67

Prosthodontics

Message Board

Glad to hear several would use the spare tire concept and place an extra implant or two. The
more failures I have over time the more I use this concept. n

almunk
Member Since: 12/17/05
Post: 18 of 25

11/24/2016

I agree with trying to use the lateral positions. If there was a good way to get six implants
in using the lateral positions, then I would feel much more comfortable-but that doesn't look
very promising. n

6D1R3
Member Since: 03/02/06
Post: 19 of 25

11/25/2016

At that age he needs as many implants as you can get in there. I also see no point in loading
only some of them. Why? Give the man the best prosthesis you can, the more load distribution
the better. Don't worry about more implants being more complicated, that's the lab's job to give
you the best solution, it will not complicate your life. All-on-four only will. n

Uwe Mohr MDT
Member Since: 01/10/05
Post: 20 of 25

11/25/2016

I think the point was you don't need to necessarily load the extra implants for the temporary
prosthesis. But for most of us doing these cases, picking up two more implants at the time of
conversion really isn't a big deal for our prosthodontist or restorative dentists comfortable in
these full-arch cases.
I'll still argue that six isn't always better than four. But for this guy's age, I'd probably be
going with six if anatomically possible. n

Bifid Uvula
Member Since: 05/17/06
Post: 21 of 25

11/25/2016

Two more implants are a pain in the butt for my immediates because I am usually doing
the pickup/conversion with just me and a lab guy. This is why I usually only pickup four for the
temp hybrid as long as they all torque >35. n

toofache32
Member Since: 08/10/04
Post: 22 of 25

11/25/2016

I recently spoke with Drs. Parel and Tarnow about this (on separate occasions) and it seems
that the literature supports the extra implants only in particular situations. Since Dr. Parel was
involved w/ ClearChoice centers doing tons of these, they've tried to find common denominators with their failures.
Some factors to consider placing more implants are (but not limited to):
* Opposing natural dentition
* Low-FMA
* Bruxism
* Larger males
Not that any one of these would be an exclusion for four implants, but certainly if you have
a patient with all these factors, then you'd probably be better off adding one or two "emotional"
implants. In my opinion, the best alternative for these additional "emotional" implants are the
pterygoid implants to eliminate cantilevers. n

knife
Member Since: 03/14/12
Posts: 24 & 25 of 25

Share your opinion online!
Search: "Large Implant"
How would you have treatment planned this case? To share your advice,
go to dentaltown.com and search the message boards for "Large
Implant." This thread will be the top result.

dentaltownuk.com \\ APRIL 2017

67


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Table of Contents for the Digital Edition of DentaltownUK April 2017

Cover
Meet the Team
Mike Gow
Industry News
Howard Speaks
International Dental Show
Through the Keyhole: Surgery—Home and Away
What's on Dentaltown
Golden Nuggets
Continuing Education
BACD: Rise of Cosmetic Dentistry
3-D Printing
Google: Leading Cause of Truth Decay
General Practice: Message Board
Time Out
Probing Report
Eating Disorders
Physiotherapy in the Treatment of Craniomandibular, Craniofacial and Craniocervical Disorders
Prosthodontics: Message Board
Plan Z
Online Marketing
Product Profile
Finance: Message Board
Lifestyle Section
Student Section
Poll
The European Society of Hypnosis
Wish List
DentaltownUK April 2017 - Cover
DentaltownUK April 2017 - Cover2
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DentaltownUK April 2017 - 4
DentaltownUK April 2017 - Meet the Team
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DentaltownUK April 2017 - Mike Gow
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DentaltownUK April 2017 - Industry News
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DentaltownUK April 2017 - 15
DentaltownUK April 2017 - Howard Speaks
DentaltownUK April 2017 - 17
DentaltownUK April 2017 - International Dental Show
DentaltownUK April 2017 - 19
DentaltownUK April 2017 - 20
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DentaltownUK April 2017 - 22
DentaltownUK April 2017 - 23
DentaltownUK April 2017 - Through the Keyhole: Surgery—Home and Away
DentaltownUK April 2017 - 25
DentaltownUK April 2017 - 26
DentaltownUK April 2017 - 27
DentaltownUK April 2017 - What's on Dentaltown
DentaltownUK April 2017 - Golden Nuggets
DentaltownUK April 2017 - 30
DentaltownUK April 2017 - 31
DentaltownUK April 2017 - Continuing Education
DentaltownUK April 2017 - 33
DentaltownUK April 2017 - BACD: Rise of Cosmetic Dentistry
DentaltownUK April 2017 - 35
DentaltownUK April 2017 - 3-D Printing
DentaltownUK April 2017 - 37
DentaltownUK April 2017 - 38
DentaltownUK April 2017 - Google: Leading Cause of Truth Decay
DentaltownUK April 2017 - 40
DentaltownUK April 2017 - 41
DentaltownUK April 2017 - General Practice: Message Board
DentaltownUK April 2017 - 43
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DentaltownUK April 2017 - Time Out
DentaltownUK April 2017 - 49
DentaltownUK April 2017 - Probing Report
DentaltownUK April 2017 - 51
DentaltownUK April 2017 - Eating Disorders
DentaltownUK April 2017 - 53
DentaltownUK April 2017 - 54
DentaltownUK April 2017 - 55
DentaltownUK April 2017 - Physiotherapy in the Treatment of Craniomandibular, Craniofacial and Craniocervical Disorders
DentaltownUK April 2017 - 57
DentaltownUK April 2017 - 58
DentaltownUK April 2017 - 59
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DentaltownUK April 2017 - Prosthodontics: Message Board
DentaltownUK April 2017 - 63
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DentaltownUK April 2017 - Plan Z
DentaltownUK April 2017 - 70
DentaltownUK April 2017 - 71
DentaltownUK April 2017 - Online Marketing
DentaltownUK April 2017 - 73
DentaltownUK April 2017 - 74
DentaltownUK April 2017 - 75
DentaltownUK April 2017 - Product Profile
DentaltownUK April 2017 - 77
DentaltownUK April 2017 - Finance: Message Board
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DentaltownUK April 2017 - Lifestyle Section
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DentaltownUK April 2017 - Student Section
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DentaltownUK April 2017 - Poll
DentaltownUK April 2017 - The European Society of Hypnosis
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DentaltownUK April 2017 - Cover3
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