Post on 16-Jul-2015
Energy Square Prosthodontics
Riverside DentalAlberta
ENERGYSQUAREDENTAL.CA
A Positive Dental Treatment Outcome is Based on a
Positive Doctor to Patient Relationship
Patient’s often present with all natural teeth
missing.
Patient wants all teeth replaced
but does not want a removable denture.
It is now possible to replace all missing
teeth with a type of denture that is
fixed to dental implants and does
not come out
Energy Square Prosthodonticswww.energysquaredental.ca
Case #1 - Before & After with Frames
3Energy Square Prosthodonticswww.energysquaredental.ca
Before frame – Patient complained about lower teeth that are infectedand unaesthetic. After frame – All the lower teeth have been replaced by a prosthesis
that is screwed down to dental implants and does not come out.
Case #1 - Before & After with Frames
4Energy Square Prosthodonticswww.energysquaredental.ca
These frames illustrate the prosthesis out of the mouth with screw Access holes. These holes are filled in once the prosthesis is screwed
down in the mouth.
•Case #2
Case #2 - Before & After with Frames
6Energy Square Prosthodonticswww.energysquaredental.ca
Before frame – Patient complained about fractured, decayed andmissing teeth in both the upper and lower jaws. After frame – The upper teeth have been restored with crowns and
bridges. The lower teeth have been restored with a fixed denturesupported by dental implants.
Case #2 - Before & After with Frames
7Energy Square Prosthodonticswww.energysquaredental.ca
Before frame – Patient complained about fractured posterior on oneside of the mouth and short and worn teeth on the other side. After frame – All the lower teeth have been replaced by a prosthesis
that is screwed down to dental implants and does not come out.
Case #2 - Before & After with Frames
Left Side
8Energy Square Prosthodonticswww.energysquaredental.ca
Before frame – Left side of the mouth illustrating fractured teeth onthe lower and existing fixed bridge on the upper jaw. After frame – Left side of the mouth illustrating the lower teeth
restored with a fixed prosthesis supported by dental implants andupper teeth restored with a new bridge supported by natural teeth.
Case #2 - Before & After with Frames
Right Side
9Energy Square Prosthodonticswww.energysquaredental.ca
Before frame – Right side of the mouth illustrating existing crowns andbridges After frame – Right side of the mouth illustrating lower fixed prosthesis
supported by implants and upper teeth restored with crowns.
•Case #3
Case #3 - Before & After with Frames
11Energy Square Prosthodonticswww.energysquaredental.ca
Before frame – Patient presents as a 45 year old male with grossly mutilatedremaining teeth that are clearly unaesthetic.
After frame – All Teeth replaced with dental implant supported prosthetics.The mandibular teeth are replaced with a fixed prosthesis screwed to 4 dentalimplants. The upper teeth replaced with a removable denture supported by 4implants.
Case #3 – Upper Teeth Replaced
12Energy Square Prosthodonticswww.energysquaredental.ca
Upper teeth replaced with an overdenture supported by 4 dental implants Note that the palate has been reduced to a “U” shaped design with metal. The patient comments favorably based on the reduction in bulk and increased
room for his tongue, improved aesthetics & speech.
Case #3 – Upper Teeth Replaced
13Energy Square Prosthodonticswww.energysquaredental.ca
Upper teeth replaced with an overdenture supported by 4 dental implants Note that the palate has been reduced to a “U” shaped design with metal. The patient comments favorably based on the reduction in bulk and increased
room for his tongue, improved aesthetics & speech.
Case #3 - Before & After with Frames
14Energy Square Prosthodonticswww.energysquaredental.ca
Before frame – Patient presents as a 45 year old male with grossly mutilatedremaining teeth that are clearly unaesthetic.
After frame – All Teeth replaced with dental implant supported prosthetics.The mandibular teeth are replaced with a fixed prosthesis screwed to 4 dentalimplants. The upper teeth replaced with a removable denture supported by 4implants.
Case #3 - Lower Teeth Replaced
15Energy Square Prosthodonticswww.energysquaredental.ca
Lower teeth replaced with a fixed prosthesis screwed to 4 dentalimplants. The fixed prosthesis combines a Zirconia framework with allceramic crowns replacing the teeth and pink ceramics replacing thegum tissue. Note screw access holes will be filled in on insertion.
Case # 3 - Lower Teeth Replaced
16Energy Square Prosthodonticswww.energysquaredental.ca
Lower teeth replaced with a fixed prosthesis screwed to 4 dentalimplants. The fixed prosthesis combines a Zirconia framework with allceramic crowns replacing the teeth and pink ceramics replacing thegum tissue. Note screw access holes will be filled in on insertion.
Case #3 - Before & After with Frames
17Energy Square Prosthodonticswww.energysquaredental.ca
Before frame – Patient presents as a 45 year old male with grossly mutilatedremaining teeth that are clearly unaesthetic.
After frame – All Teeth replaced with dental implant supported prosthetics.The mandibular teeth are replaced with a fixed prosthesis screwed to 4 dentalimplants. The upper teeth replaced with a removable denture supported by 4implants.
Case #3 – Intra-oral Lateral Views
18Energy Square Prosthodonticswww.energysquaredental.ca
Right Lateral View Left Lateral View
Case #4 - Before & After with Frames
19Energy Square Prosthodonticswww.energysquaredental.ca
Before frame – Patient presents as a 60 year old male with an existing upperdenture. The patient complains about the appearance of the denture and thatit falls out constantly.
After frame – New upper denture inserted that is supported by 2 dentalimplants.
Case #4 - Before & After with Frames
20Energy Square Prosthodonticswww.energysquaredental.ca
The patient also complains about the remaining lower teeth. The patient ismissing one front lower tooth and all the posterior lower teeth.
In the after frame, the lower teeth have been extracted and replaced with afixed screw in type of prosthesis.
Case #4 - Before & After with Frames
21Energy Square Prosthodonticswww.energysquaredental.ca
Photograph illustrating the screw access holes in the lower prosthesis. Theaccess holes have been filled with filling material to cover and conceal theholes.
Screw Access Holes
Case #4 - Before & After with Frames
22Energy Square Prosthodonticswww.energysquaredental.ca
First frame illustrates the patient’s upper jaw with two dental implants andattachments.
Second frame illustrates the corresponding attachment fixed into the patient’snew upper denture.