Implant position record and implant position cast: minimizing errors, procedures and patient visits in the fabrication of the milled-bar prosthesis.
This article describes a new rationale and method involved in the fabrication of a patient detachable prosthesis supported by a milled bar. This simple procedure improves prosthesis retention. The overdenture is processed directly over a milled bar, which provides an intimate relation between the bar and the acrylic resin denture base to create resistance against rotational and lateral forces acting on the prosthesis. Incorporating simple and predictable attachments, with low maintenance needs, controls resistance to dislodgment along the path of insertion of the prosthesis. The concepts used in the fabrication of the milled bar include an implant position record (IPR) and an implant position cast (IPC) to reduce the need for time-consuming procedures, such as sectioning the cast bar and soldering it to make it fit the abutments. This procedure also reduces the number of patient visits required of the completion of the prosthesis.
Hebel
K S
KS
University of Rochester Eastman Dental Center, Rochester, NY, USA. khebel@home.com
Galindo
D
D
Gajjar
R C
RC
D000044:Dental Abutments; D003735:Dental Casting Technique; D003758:Dental Implantation, Endosseous; D017267:Dental Prosthesis Design / Q000379:methods*; D017268:Dental Prosthesis Retention / Q000379:methods; D019094:Dental Prosthesis, Implant-Supported / Q000379:methods*; D003827:Denture, Complete, Upper; D003828:Denture, Overlay; D006801:Humans; D008334:Mandible; D009066:Mouth, Edentulous / Q000534:rehabilitation; D010347:Patient Care Planning; D017755:Prosthesis Fitting / Q000379:methods