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The simplest approach is to place two implants in the lower anterior area. These
implants are restored with over denture attachments.
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The lower denture fits over these attachments in a ball and ring relationship. The
advantage to this approach is that it requires the least amount of therapy. This
disadvantage to this approach is that the prosthesis may rotate anterior posterially
when you bite on food with the front teeth. However, even with two implants the
prosthesis is infinitely more stable than your full lower denture.
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To eliminate the problem of rotation of a lower over denture placed on two implants,
two additional implants are added. This approach provides a much more stable, functional
base for the prosthesis.
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The prosthesis attaches to the four implants with ring assemblies. The advantage
to this approach is that it does not require placement more than four implants or
fabrication of a fixed bridge. The disadvantage to this approach is that you still
remove the prosthesis to clean around the implants. However, this prosthesis is
as comfortable and stable as a fixed bridge in function.
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If you desire a final result which you do not remove from your mouth at any time
and which is shaped like natural teeth, six implants are placed in the lower arch
and restored with a fixed bridge. [Click the picture to see where the implants
are placed beneath the fixed bridge.]
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