Gregor-Georg Zafiropoulos1*, Evangelos Sotiropoulos2, Tae Ho Yoon3 and Moosa Abuzayda3
1Private practice limited in Periodontology, Duesseldorf, Germany
2Senior Dental Technician, Dental Laboratory, College of Dental Medicine, MBRU, Dubai
3Associate Professor, Dept. of Prosthodontics, College of Dental Medicine, MBRU, Dubai
Received: 09 June, 2017; Accepted: 11 July, 2017; Published: 12 July, 2017
Gregor-Georg Zafiropoulos, Luegallee 70, 40545 Duesseldorf, Germany, E-mail:
Zafiropoulos GG, Sotiropoulos E, Yoon TH, Abuzayda M (2017) The use of a customized mounting guide for Implant-Prosthetic Restoration of the Fully Edentulous Arch. J Dent Probl Solut 4(3): 054-057.
© 2017 Zafiropoulos GG, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Dental implants; Dentures; Mounting guide; Implant prosthodontic
Reconstruction of fully edentulous arches with implant-retained dentures requires thorough planning and precise registration of the interocclusal relationship, to achieve a successful treatment outcome. This technical report describes three representative approaches from a cohort of 89 fully edentulous arches in 69 patients who were treated with the described mounting guide technique. A technique of using a duplicated denture as a guide is described, which allows for the accurate transfer of the occlusal relationship and vertical dimensions, while facilitating the full-arch restoration process with implant-retained fixed or removable dentures and reducing the number of required in-office sessions.
The reconstruction of the fully edentulous arch with implant-retained dentures requires thorough planning that it should provide the correct vertical height and the maxilla-mandibular relationship (MMR), while being esthetically acceptable [1,2]. This process of restoration would represent a major challenge for the clinicians .
The aim of this report was to describe an uncomplicated as well as accurate technique to obtain MMR transfer, occlusal relationship, and maintain (or keeping) initial esthetics. By this way, it enables the production of a full denture initially that can serve as a template for reconstruction of the final fixed or removable implant-retained full-arch restoration.
Between January 2001 and December 2014, a total of 89 fully edentulous arches (54 maxillae and 35 mandibles) of 69 patients (37 females and 32 males; mean age: 56.6 ± 9.2 years, age range: 38–75 years) were treated in the private office by one of the authors with the technique described herein (Figure 1). All patients who had been referred for multiple tooth extractions due to advanced periodontal disease and implant treatment were nonsmokers and in good general health. Three representative cases were selected for detailed presentation here. The surgical procedures are not described in the present report.