and precision elements to aid the success of the denture. Accurate primary impressions and mounted study models are essential planning aids for the prosthetic rehabilitation. Aesthetics can also be assessed and addressed at this stage, considering modifications such as composite augmentation to correct tooth dimensions and paths of insertion for minimising dead spaces.
Implants
Implants may well form part of definitive pre-prosthodontic treatment. Restoratively driven assessment, case selection and planning are essential in order to maximise success. Following the stabilisation of existing oral disease, an optimised prosthesis should be constructed in order to assess aesthetic and functional acceptability and define the ideal prosthetic envelope. This can help to plan the implant positions and trajectories. The restoration of two mandibular parasymphyseal implants with overdenture abutments is discussed in Chapter 41.
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