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Dr Paul Moore. Dr Paul Browne. Dr Ian Wellings. Dr Emily Clarke. Gate Dental Clinic, Dock Road, Galway. Telephone: 091 547 592. Email: info@gateclinic.com www.gateclinic.com

IMPLANT RETAINED OVERDENTURES

TWO CLICKS MAKE EVERY DAY A BETTER DAY


Dr Paul Moore. Dr Paul Browne. Dr Ian Wellings. Dr Emily Clarke. Gate Clinic, Dock Road, Galway. 091 550944, www.gateclinic.com

Thank you for your interest. This booklet is to provide you with enough preliminary information to help you become familiar with the concept of overdentures. It also contains answers to frequently asked questions. Please feel free to call us anytime. We appreciate this opportunity to introduce ourselves and look forward to providing you with quality dental care. We want you to know that in our office you can expect to be treated with respect at all times. We strive to deliver the best diagnosis and treatment that dentistry has to offer. We believe that these goals can be met through a continuous and open dialogue between you and our entire team. We encourage you to involve yourself in your own treatment and to ask questions throughout our relationship. In our opinion, an informed and involved patient is most likely to achieve the highest level of health, and we look forward to working with you to achieve this goal. CONTENTS

What is an Overdenture? What are the Benefits of an Overdenture? Evaluation Construction of Initial Denture Properties of Denture Design Implant Options for Overdentures

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Dr Paul Moore. Dr Paul Browne. Dr Ian Wellings. Dr Emily Clarke. Gate Clinic, Dock Road, Galway. 091 550944, www.gateclinic.com

Evaluation Consultation Appointment This is your chance to tell us what you would like and for us tell you what you could consider. We will ask you what problems you have with your current dentures. We will ask you for your medical history and details of any drug therapy you are on or medicines you may currently be taking. We will examine your gums and old denture and if appropriate take a cat scan to determine your options and costs. We will be able to discuss the possibility of two implants or more and whether you would like a Removable Overdenture or a Fixed Bridge.

Radiographic Assessment With modern three dimensional imaging we can view the available bone and simulate the placement of dental implants to explore the best combination of implant types and dimensions. This information can then often be transferred to a guide for implant placement allowing us to place the implant as a “closed� procedure requiring no incisions or sutures. This reduces the risk of any post-operative swelling or discomfort. Using the best size implant in the best location, maximises your chance of success.

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Dr Paul Moore. Dr Paul Browne. Dr Ian Wellings. Dr Emily Clarke. Gate Clinic, Dock Road, Galway. 091 550944, www.gateclinic.com

Construction of the Initial Denture Before we place the Implants we have to know where to place the teeth. Usually we will make an initial denture to determine the appearance and function of the final implant solution.

Construction of the Denture. 1.First impressions will be taken to make a customised tray. 2.This will allow an accurate second impression from which the technician will begin the build up of your denture. 3.We will then take measurements to determine the height of your “bite” and position the top and bottom arches in relation to one another and determine the lip support and position of the teeth. At this appointment we can choose the colour and shape of your teeth and discuss how we might position and angulate the front teeth to look like real teeth relative to your age. 4.After the technician has set the teeth in their provisional position, we can “try in” or preview how the final denture might look. This gives both us and yourself the chance to change any aspect of the denture before going to the final phase. 5. The finished denture can be fitted and minor adjustments to the biting surface can be completed at this visit.

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Dr Paul Moore. Dr Paul Browne. Dr Ian Wellings. Dr Emily Clarke. Gate Clinic, Dock Road, Galway. 091 550944, www.gateclinic.com

Properties of Denture Design Our ambition for you is for no one to know your teeth are not your own. We want to mimic the appearance of real teeth. Colour: should reflect the natural colour related to your age. Bight white teeth, although a nice idea can be a give away. By choosing high quality denture teeth we can have a blend of natural colours, with a translucency to reflect your age. Positioning: By altering the angulation and avoiding the ”small white and even” look, we can disguise the unnatural look of the standard denture. This will depend completely on you and your requirements. But we will guide you to achieve the appearance that suits you. Material: Now developments in materials give a durability and hardness to resist the wear and tear of daily function. Combined with layered colour technology this means that the teeth “age” better with time. Function and Design: The biting surfaces and manner in which the top and bottom teeth slide will contribute to the requirements for efficient chewing. Gums: Sculpting the gums and adding the surface texture, contour and colour characteristics can add to the illusion that your dentures are actually your own teeth. With such attention to detail and we can achieve our goal.

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Dr Paul Moore. Dr Paul Browne. Dr Ian Wellings. Dr Emily Clarke. Gate Clinic, Dock Road, Galway. 091 550944, www.gateclinic.com

Implant Options for Overdentures Locator Attachments: Two or Four Implants to click to a lower denture. Cost effective and relatively simple, this protocol has been proven to be a tremendous advantage to patients wearing full lower dentures. This concept can either be retrofitted to existing well designed recent dentures, or ideally used in conjunction with new custom designed dentures

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Dr Paul Moore. Dr Paul Browne. Dr Ian Wellings. Dr Emily Clarke. Gate Clinic, Dock Road, Galway. 091 550944, www.gateclinic.com

Implant Options for Overdentures

Bar Retained Overdenture Using Four Implants a Titanium bar can be fitted, splinting all the implants together to form a rigid support that a denture can fit onto. This is more commonly used for the upper teeth where the splinting effect of the bar will protect the Implants from excessive loads. Easy to maintain with regular hygiene visits.

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Dr Paul Moore. Dr Paul Browne. Dr Ian Wellings. Dr Emily Clarke. Gate Clinic, Dock Road, Galway. 091 550944, www.gateclinic.com

Implant Options for Overdentures A Fixed Implant Bridge Where possible patients often choose to have a fixed solution. In this scenario 4 or more implants are placed and the teeth are screwed on to the implants directly. The number of implants required will be determined by many factors. Such as the available bone, the load distribution, the oposing dentition

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Overdentures