Implants
Implant restorations require the same goals as general restorative dentistry, a demand to restore a patient to normal function,esthaetics,comfort and health. This is regardless of atrophy, disease or injury to the stomagnetic system. Although significant advances in implant technology have made many aspects of this specialty routine ,long term success hinges on the same basic restorative principles ;stable occlusion, healthy joints, and supporting structure.
We encourage through pretreatment planning of final restorations before surgery, especially for comprehensive full arch and combination cases. We strongly recommend particular attention to be paid to the anterior dominates of phonetics ,the envelope of function, posterior neutral zone, determination of proper vertical dimension and centric relation.

Fixed
These may be single(s) or multiple units, up to a full arch case, and are among the most predictably successful restorations in dentistry. The impression should be taken at fixture level using the open tray technique. In the lab, we make the custom abutments from a full contour waxup.The custom abutments may be titanium ,gold, all ceramic, or even gold with a ceramic base, depending on the situation. Many different variations of design and materials are possible.

Removable
Also referred to as fixed/removable since fixed work is involved with the implants, and the restorations superstructure with the teeth is removable by the patient for cleaning. These designs will include the largest variety, with more or fewer implants involved, and an almost endless number of bars, magnets and attachments available. These cases may be implant or tissue supported.

Fixed /Detachable
These are also sometimes referred to as “Hybrid” cases, since the design is somewhat between a fixed and a removable .These cases are implant supported ,Screw retained and thus removable, but only by the doctor ,not the patient. They are typically used on the lower arch, ideally with five implants, placed in the anterior and premolar region, with the restoration cantilevered distally depending on the Anterior/posterior (A/P) spread of the implants.