Done by :

Yusur sh. Zaidan

Hawraa dhurgam
Mariam haitham
Lana salah

OVERDENTURE
Supervised by: Afiaa Latif
Introduction
An overdenture is a denture prosthesis supported by
implants, so they remain stable and in place. It offers a
natural smile that allows to comfortably eat, laugh, and
smile without the worry of a denture moving around .

An overdenture can ultimately improve a person's quality

of life by acting as natural teeth , Overdenture implants
can be fixed in place or removable depending on the
needs and budget. Both types are significantly more
comfortable and esthetic than a regular denture and help
to improve a person's oral health by preventing further
bone loss and supporting nutritional needs.
Types of Overdentures
01. Implant-Supported
Overdentures

Implant-supported dentures are a type of overdenture

that uses four or six implants screwed into the
mandibular and maxillary jawbone. They help retain the
existing bone to prevent further deterioration. This will
help to improve bone stability and offer a more
youthful appearance.

An implant-supported overdenture typically requires

two minor procedures: one to place the implant into
the jawbone and one to uncover the implant so a
custom prosthetic can be fabricated. It can be
removed when it's time to sleep or when it needs to be
cleaned by the patient.
Types of Overdentures
02. Fixed Implant-Supported
Overdenture

A fixed implant-supported overdenture is similar to a

removable one, but it is locked in place by screws and
cannot be removed by the patient. It would need the
dentist to gently unscrew the prosthetic to remove it ,
This option offers a person the greatest, permanent
support for the edentulous patient.

The only downside is it is typically the most expensive

option as it needs four dental implants and uses
screws as abutments.
 Types of Overdentures
03. Bar Retained Implant-
Supported Overdentures

A bar-retained implant-supported overdenture uses a

bar attached to thedenture that helps clip onto the
implants. It allows the denture to clip on and off the
implants as needed but offers more security than a
conventional denture. Most people will only remove
the overdenture to clean and sleep.

04. Ball Retained Implant-Supported Overdentures

Ball retained implants are an excellent solution for the lower arch, where usually two or four
implants are inserted in the jaw bone. A ball retained overdenture is one where the
abutment that connects from the implant to the denture is ball-shaped. It provides stability
and improved functionality compared to a traditional denture . Additionally, ball
attachments make it easier to clean and simple to change parts if replacements are needed.
Types of Overdentures
05. Overdenture
Partials
Sometimes people are missing only a few teeth and
need a partial denture. Similar to a full denture, it is
usually removable and comes with some drawbacks
like putting pressure on existing neighboring teeth. An
overdenture partial does exactly what a complete
implant-retained denture does. It replaces teeth with
one or more implants, making them easier to clean.
There is also less worry about it slipping. An
overdenture partial helps distribute chewing forces
more equally and gives a natural appearance
compared to a traditional partial denture.
Advantages
1. Overdentures provide increased support and stability afforded by natural
teeth retained as abutments, preserve residual ridges by retention of
natural teeth and usually receive favorable response from the patient.

2. Minimal discomfort and interference with function.

3. When it is used as interim prosthesis it allows the dentist ample

opportunity to evaluate the response of the abutments and supporting
tissues to an overdenture and to observe the effect of corrective oral
hygiene procedures.

Disadvantages
As the immediate Overdentures are made of conventional denture base resins,
they are not as strong as those reinforced with metal casting and are more
prone to breakage.
Indications
01 Few remaining teeth unsuitable for fixed or removable partial dentures.

02 Remaining teeth present with unhealthy periodontal condition.

03 Patients with class II or class III Angles classification.
04 Patients presenting abnormal jaw size large maxillary or mandibular bone defects.
The construction of over-denture is an alternative line of treatment to single
05 dentures opposing few natural teeth.
Patients presenting congenital defects as cleft palate, microdon tia, amelogenesis
06 or dentinogenesis imperfect or partial anodontia.
07 Congenitally missing teeth.
Contraindications
01 poor oral hygiene.

02 Interarch space inadequate to accept the denture and the abutments.

03 mentally and/or physically handicapped.
periodontally involved remaining teeth
a-Class III mobility that is due to the loss of alveolar bone that cannot be
corrected.
04 b-Soft tissue and osseous defects.
c-Inadequate zone of attached gingiva.
d-Excessive reduction of the adjacent residual alveolar ridge as a result of
elimination of osseous defects.
e-Patients who will not keep the retained teeth free of plaque
Classification
According to method of abutment preparation:
1) Tooth supported
a. Non Coping
b. Coping-Short -Long
c. Attachments -Stud-Bar Magnets

2) Implant supported(Based on type of over denture)

a. Immediate transitional
b. Interrupt denture
c. Permanent or Definitive denture
Classification
Immediate over denture

Constructed prior to preparation & ready for insertion

after preparation & reduction. It enhances patient's
ability and adaptability to wear dentures , Interim over
denture Used for patients in transition or preparation
phase until permanent overdenture is constructed ,
Remote or Definitive over denture Conventional
complete over denture is constructed over one or
more abutment teeth. Could be made entirely of
acrylic resin or in conjunction with metal bases.
Procedure of construction over
denture
1. Screw open tray impression copings onto the implants. Connect all the
implant copings together with GC Pattern Resin or similar material. Take an
open-tray, fixture-level impression. Make certain soft tissue details is the
same as taking a denture impression. See this video for more on impression
copings and techniques.

2. Send the impression to the laboratory to make the initial cast that is used
to fabricate a verification jig to confirm accuracy of the impression and cast,
and for initial jaw relation records.
Verification jig cast
3. First in Step 3, the verification jig is used to check the accuracy of the
impression and master cast. If it does not fit precisely and seat passively, the
jig is cut into segments, screwed onto the implants and reconnected with GC
Pattern Resin. A new master c ast will need to be made. Second, a wax rim
placed onto this jig is used in exactly the same way a base plate with a wax
rim is used when fabricating a denture. Using the wax rim, establish the ideal
anterior tooth length, labial position for lip support, 9 occlusal plane, vertical
dimension and midline.

4. Take a face bow transfer and bite registration record in CR at the vertical
dimension of occlusion. Take an impression of the mandibular arch with a
polyvinyl impression material.
Verification jig cast
5. Return all items to the lab. The lab mounts the casts. A diagnostic wax-up
is completed of the teeth and soft tissue as needed.

6. Try in the initial bis-acryl prosthesis to confirm anterior tooth length,

form, arrangement, midline, occlusal plane, vertical dimension and
occlusion. Make any adjustments that are necessary.

7. Provisional prosthesis is inserted for one to two months to guide soft

tissue around the abutments and confirm the esthetics and function. After
everything is deemed acceptable, The lab fabricates a provisional
prosthesis based on the desired changes. The initial bis-acryl try-in
prosthesis may be used for the provisional prosthesis if no changes are
made.
Verification jig cast
8. Take an impression of the provisional for information. Take a bite registration
record if there is inadequate anatomy to hand articulate the cast. The cast of
the provisional will be mounted to the already mounted opposing cast.

9. Custom impression copings are fabricated for each implant site. They are
used to accurately transfer the new soft tissue contours. Connect all the
impression copings together with GC Pattern Resin and take an opentray,
fixture-level impression. Make certain the soft-tissue detail is the same as
taking a denture impression. Send all items to the lab.

10. If there was a new impression taken, the laboratory pours the 10 impression
to make the master soft tissue cast. A verification jig is fabricated by the
laboratory to confirm the accuracy of the impression.
Verification jig cast
11. The clinician does a try-in of the verification.

12. The clinician screws the provisional onto the master cast and mounts
it on the articulator by hand or with the bite registration that was taken.
Now the master cast and cast of the provisional are mounted to the
same opposing cast.

13. The lab fabricates the metal framework.

14. The clinician does the try-in of the metal framework.

Verification jig cast
15. The chosen ceramic is applied to framework and returned to the
clinician for try-in. It is critical that the casts (wax-up, provisional and
master) are cross-mounted, so the provisional cas t can be used to
determine tooth position, occlusal plane and occlusion.

16. The final glazing of the ceramic is completed by the laboratory and
returned to the clinician.

17. The clinician inserts the definitive prosthesis

 Thank you
very much!
Reference:
https://www.newmouth.com/dentistry/restorative/dentures/
overdenture/
https://www.speareducation.com/spear-review/2015/08/steps-
forfabricatio n-of-an-implant-supported-prosthesis