Duration: 57 minutes, 34 seconds

Author: Dr. Edmond Bedrossian

A Systematic Surgical and Restorative Plan for Treatment of the Edentulous Patient with a Fixed Prosthesis

When it comes to treating edentulous patients with a fixed prosthesis, having a systematic approach is essential for achieving successful outcomes. This article explores the various aspects involved in the treatment planning phase, highlighting the importance of collaboration between the surgical team, restorative team, and laboratory technician. We will also address common misconceptions and challenges associated with providing a fixed prosthesis for edentulous patients.

The Significance of Collaboration

Collaboration between the surgical team, restorative team, and laboratory technician is crucial in the pre-treatment planning phase. This ensures that all aspects of the procedure are taken into consideration, leading to a more predictable and successful outcome. By working together, the teams can address any potential issues and tailor the treatment plan to meet the specific needs of each patient.

The Limitations of the Edentulous Maxilla

One of the challenges faced in treating edentulous patients is the presence of the maxillary sinus and nose. These anatomical structures can limit the available bone for implant placement, making treatment planning more complex. However, with advancements in surgical techniques and implant design, it is possible to overcome these limitations and provide patients with stable and functional fixed prostheses.

Implant-Retained Overdentures vs. Fixed Implant-Supported Prostheses

The lecture argues against the use of implant-retained overdentures and favors the use of fixed implant-supported prostheses. While overdentures may be a viable solution for some patients, long-term stability and patient satisfaction are better achieved with fixed prostheses. The ability to restore oral function and aesthetics is greatly enhanced with fixed prostheses, providing patients with a more natural and comfortable experience.

Challenging Common Beliefs

There is a common belief that providing a fixed prosthesis for edentulous patients is challenging due to inadequate lip support, speech difficulties, and compromised oral hygiene. However, advancements in materials, techniques, and implant design have debunked these beliefs. With proper treatment planning and execution, it is possible to overcome these challenges and provide edentulous patients with a fixed prosthesis that meets their functional and aesthetic needs.


By following a systematic approach to treatment planning for edentulous patients with a fixed prosthesis, collaboration between the surgical team, restorative team, and laboratory technician is facilitated, leading to successful outcomes. The limitations of the edentulous maxilla can be overcome with advancements in implant technology. It is important to challenge common beliefs and provide patients with the best possible treatment options. With a comprehensive plan and careful execution, edentulous patients can enjoy the benefits of a stable and functional fixed prosthesis.

Frequently Asked Questions

1. Are fixed implant-supported prostheses suitable for all edentulous patients?

Fixed implant-supported prostheses are suitable for most edentulous patients. However, each case is unique and requires thorough evaluation and treatment planning to determine the most appropriate solution.

2. How long does the treatment process take?

The treatment process for edentulous patients with a fixed prosthesis can vary depending on individual factors. It typically involves multiple stages, including surgery, implant placement, and prosthetic fabrication, which can span several months.

3. What are the advantages of a fixed prosthesis compared to removable options?

A fixed prosthesis offers superior stability, functionality, and aesthetics compared to removable options. It eliminates the need for daily removal and provides a more natural and comfortable experience for the patient.

4. Will a fixed prosthesis feel like natural teeth?

While a fixed prosthesis may not provide the exact same sensation as natural teeth, it is designed to closely mimic the look, feel, and function of natural teeth. Patients can expect a significant improvement in their ability to bite, chew, and speak.

5. How should I care for a fixed implant-supported prosthesis?

Proper oral hygiene is crucial for maintaining the health and longevity of a fixed implant-supported prosthesis. Regular brushing, flossing, and professional dental cleanings are essential. It is also important to schedule routine follow-up visits with the dental team for regular maintenance and monitoring.

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