What is the Best Way to Insert a Full-Arch Fixed Partial Denture?

posted in Restoration of Dental Implants, advice

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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?








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4 Responses to “ What is the Best Way to Insert a Full-Arch Fixed Partial Denture? ”

  • Robert56 April 28th, 2009

    Return it to the lab for refabrication and see why they did it that way

  • A. Romanowsky DDS April 28th, 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 April 29th, 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, FAAIP, Dipl.ABOI/ID April 29th, 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.

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