Appendix Treatment Plan Options Edentulous Maxilla - No treatment Disadvantage: Difficulty in cating/spcaking, continued bone loss, maintain current prosthesis (ilftting) 2. Complete upper denture Advantage: Minimal treatment, fast Disadvantage: Removable prosthesis disadvantages, difficuley in eating/speaking, palate coverage, continued bone loss 3. Implant-supported overdenture (Removable, RPS) Advantage: Removable prosthesis that “clips” in, added reeen- tion, soft tissue support isudvantage: Full denture with palate, needs to be removed some- time each day removable, lps need changed on a regular basis {additional cos), may have asociated mobility of prosthesis 4, Implant-supported overdenture (removable, RP4) Advantage: Remenable prosthesis that clipsin, horseshoe shaped (no ful palate), no soft tissue coverage, toaly implant supported Disadvantage: needs to be removed sometime cach day removable prosthesis clips need changed on a regular asis (addtional est), 5. Implanc-supported fixed prosthesis (fixed) Advantage: Fixed prosthesis (Non-Removable) increased biting force, Closest prosthesis co natural teeth Disadvantage: Usually wil require extensive bone grafting and more implants, posible need for pink porcelain or acrylic because of ‘the amount of bone los, teth will be larger (FP-2/FP-3), may not be able wo increase sof tissue support, increased expense Edentulous Mandible 1. No treatment Disadvantage: Dificaley in catinglspeaking, continued bone loss, maintain curtent prosthess (ill-fitting) 2. Complete lower denture Advantage: Minimal treatment, fat Disadvantage: Removable prosthesis, ficult in cating/speak- ing, continued bone loss 3. Implant-supporeed overdenture (Removable, RPS) Advantage: Removable prosthesis that clips in, less implants re- ‘uited, soft tissue support Disadvantage: Full dencure, needs to be removed sometime ‘ach day removable, clips need changed on a rgular basis {Additional cost), May have associated mobility 4, Implant-supported overdenture (removable, RP4) Advantage: Removable prosthesis that clips in, no sof dsue coverage Disadvantage: needs co be removed sometime exch day, remov- able, clips need changed on a regular bass (additional cost) 5. Implant-supported fixed prosthesis (Gxed), Requires more implants than RP-S Advantage: Fixed prosthesis (Non-Removable) increased biting force, Closest prosthesis to natural eeth ra16 Disadvantage: Usually will require more implants, increased ex- pense, possible need for pink porcelain or acrylic because of the amount of bone loss, teeth will be larger (FP-2/FP-3), ‘may not be able to increase soft tissue support Single Tooth Missing 1, No treatment Disadvantage: Esthetics, adjacent teth may move (tiling) su- praeruption, decreased mastication, food impaction, con- tinued bone loss, occlusal force 2, Removable Partial denture Advantage: Minimal ecatment, fast Disadvantage: Removable prosthesis, difficulty in eating/speak- ing, extensive pressure on adjacent teec/soft tissue which leads to additional tooth los, poor longe-teem success rat, increased bone loss, issue soreness 3. Fixed partial denture Advantage: Fas, esthetic, usualy no need for hard/sof tissue grafting Disadvantage: Alteration of adjacent tech, higher incidence of decay, increased endodontic treatment (15%), hygiene dif- ficulty 4, Implant-supported crown Advantage: No alteration of adjacent teeth, higher success rate than fixed partial denture (most studies >90% suc- cess rate) Disadvantage: Longer treatment time, requires bone quality and quantity esthetic issues possible Multiple Missing Teeth 1, No treatment Disadvantage: Esthetics, adjacent teth will move (iting), su- pracruption, decreased mastication, continued bone loss, food impaction, occlusal for 2. Removable Partial denture Advantage: Minizmal tcatmnent, fast Disadvantage: Removable prosthesis, difficulty in eating/speak- ing, tissue soreness, places extensive pressure on adjacent tceth/soft tissue which leads to additional cooth loss, poor Tong-texm success rate 3, Fixed partial denture (indicated) Advantage: Fast, esthetic Disadvantage: Alveration of adjacent teeth, higher incidence of decay, increased endodontic treatment (- 15%), hygiene dificuley 4, Implant-supported prosthesis Advantage: No alteration of adjacent teeth, higher success rate than fixed partial denture (most studies >90% succes rate) Disadvantage: Longer teatment time, requites bone quality and quantity, esthetic issues possible