Dental News - Functional and esthetic overdentures

Marco Montanari / DDS

Fri. 5 January 2018

save

The removable denture may seem an outdated rehabilitation. However, it is the foundation on which all prosthetic procedures are based; therefore, it is imperative to know it and to follow its constructive steps when restoring the patient’s oral cavity to obtain an esthetic result not only of the smile but of the whole face.

The possibility to anchor a denture to teeth/roots or implants enables the benefits of a removable prosthesis in terms of soft-tissues support, oral hygiene and the greater stability associated with the use of retentive attachments.

Preserving roots for the anchoring of a denture provides several strategic advantages, including the maintaining of the alveolar bone (for preserving the periodontal ligament), proprioception and physiological masticatory dynamics (Scotti R. et al., 2003).

After an endodontic treatment, different types of post attachments can be applied into the roots. These attachments can be identified as spherical attachments and low profile attachments.

Spherical attachments (Pivot Block Normo and Micro and Pivot Flex, Rhein83, Italy, www.rhein83.com) are good anchoring devices because of their self-aligning capacity, small dimensions (in particular for the Micro sphere) and ability to compensate severe divergences between the roots (Flex). Today’s spherical attachments have further evolved into the low-profile Pivot OT Equator (Rhein83). This new attachment maintains the same diameter and retentive capacity as the Pivot Block Normo sphere but has a substantially smaller vertical size (only 2.2 mm, including the retentive cap and the housing).

These attachments are recommended when there is the need of a good anchorage for denture but the available prosthetic space is reduced. The Pivot OT Equator, thanks to its sandblasted pin, ensures greater retention inside the root canal, and the nitride surface improves the resistance of the attachment and reduces the wearing process over time.

The morphology of the OT Equator attachment has been validated for more than 10 years by clinical procedures and scientific studies performed on implant-denture rehabilitations (Montanari et al., 2015-2016).

For all these reasons, I believe that the Pivot OT Equator is the most effective and reliable overdenture retentive post currently on the market.

Contact Rhein83

For more information, contact American Recovery-Rhein83 USA Attachments at (914) 633-6363 or www.rhein83usa.com.

Tags:

To post a reply please login or register

Porcelain laminate veneers: an excellent option to correct esthetic and functional problems

Today, the number of elective esthetic dental procedures being performed continues to rise. This phenomenon is due to several reasons. Increased patient ...

Caries removal and esthetic direct composite restorations

When treating a carious lesion, it is critical to identify and remove only infected tooth structure, avoiding the needless removal of healthy tissue. Past ...

Esthetics, prosthetics, periodontics, implants and bisphosphonates

Controversy involving the oral cavity and the effects of using bisphosphonates is causing an obstacle for dentists to help patients achieve optimal health. ...

Meeting an anterior esthetic challenge

This article illustrates recent advancements by Glidewell Laboratories to improve the esthetic properties of BruxZir Solid Zirconia restorations. As the ...

Silence snoring with ‘NIGHTLASE’ and cutting-edge laser esthetic applications

Of the commercially available hard- and soft-tissue lasers, the Fotona Lightwalker dual laser wavelengths of Nd:YAG and Er:YAG have high efficacy and ...

Sound surgical strategy can improve both patient comfort and esthetic results

NEW YORK, N.Y., USA: One of the benefits the exhibit floor of major conferences such as the Greater New York Dental Meeting offer is the ability to ...

Immediate implantation and provisionalization: Single-tooth restoration in the esthetic zone

Anterior tooth loss and restoration in the esthetic zone is a common challenge in dentistry today. The prominent visibility of the area can be especially ...

New Legacy angled overdenture abutments expand options

New Legacy angled overdenture abutments provide unmatched versatility at approximately half the cost of comparable abutments for greater overdenture ...

The sand, the sea and the ACP

The American College of Prosthodontists is taking Southwest Florida by storm from Wednesday through Saturday. The JW Marriott Marco Island will host this ...

Esthetic management of adjacent maxillary central incisors: Extraction, immediate placement and immediate provisionalization

A medically and periodontally stable 50-year-old woman presented with failing #8 and #9 teeth that exhibit asymmetry, lack of interdental papilla and a ...

Education

Live webinar
Mon. 27 January 2025
12:30 PM EST (New York)