What is the Best Way to Insert a Full-Arch Fixed Partial Denture?
Anon. asks:
I am getting ready to insert a full-arch fixed partial denture that has both screw retention and cement retention. What is the best way to insert this? Do I cement it on and let the cement set first and then place the torque screws? Do I insert it with cement and torque down the screws while the cement is setting? What cement should I use? Do I need a cement that takes a long time to set? How are you inserting these cases?
5 Comments on What is the Best Way to Insert a Full-Arch Fixed Partial Denture?
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Robert56
4/28/2009
Return it to the lab for refabrication and see why they did it that way
A. Romanowsky DDS
4/28/2009
Try everything in without cement,make sure floss is snug.TAKE X-Rays to assure everything seats!
Remove all screwed in crowns first.Make sure the path of cementation is clear.
Cement crowns first NEVER tighten screws until cemented crowns are completely set.
Take your time on this final appointment.You want to make sure everithing is seated.
You do not want to mess-up this last procedure.
narayan
4/29/2009
why on earth did you plant to hybridize this way? one way out for you is to create screw access holes on the cemented units,try in the mouth,ensure passive fit,bring it back to the model and cement on the model.Clean up outside the mouth and take it all back in to screw down.
Richard Hughes DDS, FAAID
4/29/2009
In addition to the above, use pressure indication methods on the die system and intraorally and correct prior to cementation. Polycarboxylate cement mixed slowly should work on your natural abutments. However, do not make the prosthesis to complicated for you. You should use copings on the natural abutments.
dr purvesh
3/16/2010
sir i didnt understand your question in the first place Could you please mail your case in detail to my e mail add if possible. Thanx lookin forward to discuss the case with you in detail.
