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I recently commented (in a wonderful post by @denturequeen) that Hader Bars can be an extremely useful option in certain situations. Here is one of them.
Why did I make a removable prosthesis here utilizing a Hader Bar? Especially with 5 implants and a very favorable A-P spread? Below are my reasons, what would you have done?

1. Why removable rather than fixed? I choose removable when a flange is needed for proper lip support (the situation here), and when patients prefer/ request it. Yes, these patients do exist! And it’s usually for reasons like it’s what they are used to or they want better access for hygiene.
2. Why not individual stud-type attachments such as Locator abutments? Some studies suggest lowest implant survival rates with unsplinted dental implants utilized with overdentures in maxillary bone (this has also been my experience). Studies also show highest implant survival rates with splinted implants. And the situation here was a maxilla with very low bone density.
3. Why a Hader Bar? While I typically use Locators attachments for my overdentures, Locators placed on a milled bar (see second pic) consume more vertical height than a Hader Bar. For Locator, there is the minimum bar height plus the Locator height and then the housing as well, while the Hader Bar itself already has the retentive element in its design and no additional housing needed. It’s much shorter! And Hader clips are very retentive and hold up very well over time.
#proshodontics #prosthodontist #prosthetics #dentist #denture #dentures #implants #dentalimplants #implantdentistry #implantology #overdenture #removablepros #removableprosthetics #dentallab #dentallaboratory #denturetechnician # digitaldentistry #bestofprosth

Based on literature, implant loss would be the greatest in implant supported overdentures. This implant was lost after 18 years of service. For sure, improper force load as well as negligence in oral hygiene and required maitenance led to mucositis and eventually periimplantitis. Just like other dental treatments, maitenance is playing a big role in having a successful outcome. #periimplantitis #implants #implantfailure #overdenture #implant #dentalimplants #mucositis #hygiene #dentistry #dentist #dentalphoto #dentalphotography #odontologia #stomatology #itsabummer #prosthodontics #removablepros #removableprosthodontics #prosthodontist #pooya_soltan_zadeh_dds

2017 has been an interesting year and I’ve learned a lot. Work wise it has been stressful and busy but this comes with lab life. I have good vibes for the new year and I’m looking forward to seeing what 2018 has in store πŸ˜€πŸ––πŸΌ #dental #dentallaboratory #dentaltechnician #dentaltechnology #dental #try #in #tryin #wax #waxup #setup #fullupper #teeth #technician #tooth #contour #odontologia #zahn #pic #pics #photo #pros #removeable #removablepros #removableprosthetics #finish

Avadent Biofuntional try-in (BTI). This is a set of maxillary fixed complete denture/overdenture out of milled PMMA. There are 3 temporary abutments also bonded into the maxillary one for a better stability and final assessments/adjustments before ordering the definitive products. #digitaldentistry #digitaldentist #identistry #avadent #3d #digitaldentures #dentures #fullmouth #fullmouthrehabilitation #removableprosthetics #removablepros #prosthesis #fixedpros #fixedprosthodontics #3d #cadcamdentistry #cadcam #dentustry #photography #dentalphotography #dentalphoto #prosthodontics #proslife #prosthlife #dentist #prosthodontist #pooya_soltan_zadeh_dds

All-in-one ! This is a Wagner EZ Fit try-in for making a CAD-CAM (Avadent) denture. After the denture bases and teeth were milled, the anterior teeth would be seperated and reset in Eclipse wax. The mandibular posterior would be in wax as well. In this way, the dentist would be able to check the fit, function, esthetics, phonetics and jaw relationship, all in one appointment. This step is very instrumental to reach to a predictable and esthetic outcome. #digitaldentures #digital #identistry #identist #cadcam #cadcamdentistry #odontologia #stomatology #dentistry #avadent #avadentdentures #denture #tooth #denturetryin #digitaldentures #photography #dentalphoto #dentalphotography #prosthodontics #prosthodontist #removablepros #removableprosthodontics #removableprosthetics #completedenture #proslife #prostho #prosthlife #esthetics #removable #prosthetics #pooya_soltan_zadeh_dds

Radiographic template is of great value in digital treatment planning of implant placement. In edentulous patients, we can duplicate their existing dentures in Barium sulfate and take the CBCT. As it has been always said over and over, implant surgery should be done prosthetically driven!
#implants #implant #surgery #radiographic #template #templates #oralsurgery #odontologia #stomatology #dentistry #identistry #digitalplanning #plantosucceed #removablepros #removableprosthetics #prosthodontics #dentist #prosthodontist #pooya_soltan_zadeh_dds

Todays job: no implant? no problem! πŸ“·βœŒπŸΌπŸŽ¨

Got accuracy? At H&A we go the extra mile to build in predictability, precision and accuracy for our patients. Here we are using a custom impression trays for treatment. This one for a patient with a partially edentulous lower arch. When seated it fits perfectly on the lower incisal edge and single posterior stop but can still rotate backwards. By closing into the pre-established registration on the outside she will seat the tray precisely so it lifts leaving exactly a 3-4mm space for impression material! The fabrication of this was inspired by my colleague & friend from Stuttgart, Germany, Dr Nordbert Salenbauch and his new book with Jan Langner on partial dentures, Stable Base. Unfortunately the entire book is in German so I can’t read a sentence!... but the photography of the sequencing is amazing! ▫️▫️▫️ #partialdenture #dentaltips #partiallyedentulous #accuracymatters #precision #missingteeth #accuracy #intentionaldental #removabledentistry #germaninfluence #oldschooldentistry #creativedentistry #dentistry #removablepros #removableprosthetics #speardentist #jillhansendds #hansenassociates

When the what you love most about dentistry meets what you most loathe...
#orthodontics x #rpd #removablepros #dentalstudent #whyamievenhere #takemebacktoortho

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