This document discusses 5 treatment options for implant-supported fixed prostheses in the mandible. Option 1 involves 4-6 implants between the mental foraminae with cantilevers posteriorly. Option 2 adds implants above the foraminae. Option 3 splints implants in one posterior quadrant to anterior implants. Option 4 splints implants across both posterior quadrants to anterior implants. Option 5 uses 3 independent prostheses replacing the anterior and bilateral posterior regions separately. The options aim to reduce complications from mandibular flexure and torsion based on factors like bone density, force, and implant number/position.
Recent advances in prosthodontics / crown & bridge courses by indian dental a...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Recent advances in prosthodontics / crown & bridge courses by indian dental a...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The primary success metric of dental implants is achieving osseointegration, which is influenced by many factors including implant design, surface treatments, as well as treatment method. Implant drilling is also a major influential factor.
Diagnosis and treatment planning in implants 2./prosthodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The primary success metric of dental implants is achieving osseointegration, which is influenced by many factors including implant design, surface treatments, as well as treatment method. Implant drilling is also a major influential factor.
Diagnosis and treatment planning in implants 2./prosthodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Prosthesis is one of the most important component of an implant. There are various prosthetic factors that must be considered for a successful implant. Few of them include prosthesis type and material, the connection between abutment and prosthesis, occlusal factors, etc.
The benefits of implant dentistry can be realized only when the prosthesis is first discussed and determined. An organized treatment approach based on the prosthesis permits predictable therapy results. Five prosthetic options postulated by Misch are available in implant dentistry. Three restorations are fixed and vary in the amount of hard and soft tissue replaced; two are removable and are based on the amount and type of support for the restoration. The amount of support required for an implant prosthesis should initially be designed similar to traditional tooth-supported restorations. Once the intended prosthesis is designed, the implants and treatment surrounding this specific
result can be established.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
Telegram: bmksupplier
signal: +85264872720
threema: TUD4A6YC
You can contact me on Telegram or Threema
Communicate promptly and reply
Free of customs clearance, Double Clearance 100% pass delivery to USA, Canada, Spain, Germany, Netherland, Poland, Italy, Sweden, UK, Czech Republic, Australia, Mexico, Russia, Ukraine, Kazakhstan.Door to door service
Hot Selling Organic intermediates
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Implant supported fixed bridge for edentulous mandible
1. Prepared by:
Botan Barzan Khafaf
MSc. Student
Supervised By:
Dr.Luqman
Hawler Medical Universtity
College of Dentistry
Conservative Dep.
2. *
*Unlike a maxillary denture, the labial flange of a mandibular
overdenture rarely is required for esthetic.
*The laboratory cost for a hybrid fixed restoration are similar to
those for a fully implant-supported overdenture . So if the fees for
these two restorations were similar, many patients would opt for a
fixed Prosthesis.
*The chair time required to fabricate an overdenture and bar is
similar to that for an implant supported fixed prosthesis.
3. *
Figure -2 : complete arch implant fixed prosthesis may be
hybrid, with denture teeth and acrylic joined to a metal substructure.
4. * Psychological: "feels like teeth”.
* Less prosthetic maintenance
(e.g., attachments, relines, new overdenture).
*Less food entrapment.
* Posterior mandibular bone gain.
5. *
Posterior mandibular bone loss
Nearly all of the bone
growth occurred
during the first year
of function.
The role:
-Maintenance and even regeneration
of posterior bone in the mandible.
-Because posterior bone loss in this region
may lead to paresthasia and even
mandibular body fracture ..
Implant Overdentures
Cantilevered fixed prostheses from anterior
implants
6. Include:
*Parafunction.
*Crown height.
* Masticatory dynamics.
* Bone density of the implanted regions.
should modify the implant
*Position Implant Number Size Design
Force factors contribute to:
1-Uncemented restorations.
2- Screw loosening.
3- Component fracture .
4- Crestal bone loss.
7. Parafunction
*F. transmitted to implant fixed prosthesis (IFP)
F.Transmitted to implant supported overdenture(IOD)
*Mandibular Overdenture maybe removed at night
( risk of parafunctional overload ) but at the same time most of
Man. eden. Pts. also have eden. Maxilla.
*parafunctional bruxism and clenching may cause
problems in the implant support system and
prosthesis.(bilateral splinting).
So : the number of implants required to restore a fixed prosthesis may
be similar to a fully implant-supported overdenture.
9. MEDIAL MOVEMENT
*Medial convergence Masticatory muscles
Stable. Movement toward medline on opening
Distal to foraminae
Between mental
Foraminae
Attachment of internal
pterygoid muscle on the
medial surface of mandible
10. *
Medial Movement
Distortion
Mouth opening, Max.in Protrusive movement
28% or 12 mm mouth opening
*Amount of movement varies Density & volume
Of bone &site of
question
*Amount of mand. Flexure toward medline :
- 800microM in first molar region .
- 1500 microM at ramus-to-ramus sites .
* Hobkirk stated that :Fixed dental implant prosthesis, medial
convergence up to 41MicroM.
depend on
Medial Movement
Distortion
11. Torsion
*Parasagittal bending of the human jaw during unilateral biting
(Marx ,1994) .
*Distal to the foraminae.
*Mandible with implant prostheses measured up to
19 degrees of dorsoventral shear. (Hobkirk et al,2000) .
*The torsion during parafunction is caused primarily by forceful
contraction of the masseter muscle attachments.
12. *
• Jaw flexure is a primary cause of posterior implant
loss in full arch mandibular prostheses.(Miyamoto et
al,2003).
• Body of the mandible flexes more when the size of the
bone decreases.
13. *Bilateral rigid post. mandibular splinting in a full-arch restoration are
subject to a considerable buccolingual force on opening and during
parafunction.
*Man. Flexure and torsion 10-20% more that tooth movement.
*In complete mandibular subperiosteal implants, pain upon opening
was noted in 25% of the patients at the suture removal appointment
when a rigid bar connected molar-to-molar regions.
* When the connecting bar was cut into two sections between the
forarminae, the pain upon opening was eliminated immediately.
Apical Movements Lateral movements
Tooth 28 56-108
Implant 5 10-60
14. *
full-arch splinted restorations joining bilateral molar implants in the
mandible should not be a tx. of choice??
*Consequences :
1. Bone loss around the implants.
2. Loss of implant fixation.
3. Material fracture (implant or prosthesis components).
4. Unretained restorations.
5. Discomfort upon opening.
*So to prevent these complications related to the flexure or torsion of
the mandible:
Implants placed in front of the
foraminae and splinted
together
Implants in one posterior
quadrant joined to anterior
implants
15. *
• Why the posterior bone gain in edentulous patients restored
with cantilevered prostheses from anterior implants may be a
consequence of the mandibular flexure and Torsion ?
• Because the bite force may increase 300% with an implant
prosthesis compared with a denture, the increased torsion
may stimulate the posterior Mandibular body to increase in
size .
(Reddy et al, 2002 ; Wright et al , 2002).
16. *IMPLANT TREATMENT OPTIONS FOR
FIXED RESTORATIONS
*Treatment Option 1: The Branemark Approach
The placement of four or six anterior root forms between the mental
foraminae and a distal cantilever off each side to replace the posterior
teeth.
oResulted in an 80% to 90% implant survival for 5 to 12 years after the
first year of loading.
treatment of choice from 1967 to 1981 with the Branernark system"
17. *important criteria when four to six implants:
Arch form(square, oval or tapering) .
Position of the mental foraminae
(distal implant position).
*The most common number of implants used today in the Branernark
treatment option is five ??
Allows as great an A-P spread as six implants, so that if bone loss
occurs on one implant , the loss would not automatically affect the
adjacent implant site.
18. * Treatment Option 1
*Distance from the center of the most anterior implant to a line
joining the distal aspect of the two most distal implants on each side
is called the A-P distance or the A-P spread” .
*When five anterior implants are placed the cantilever should not
exceed 2.5 times the A-P spread, with all other stress factors
(e.g., parafunction, crown height, masticatory musculature
dynamics, opposing arch), being low if not it is contraindicated.
19. *
*Tx. option 1 depends greatly on patient force factors, arch form,
and the number, size, and design of the implants.
* indications:
1. Patients with low force factors.
2. Old female wearing an upper denture, with abundant anterior
bone.
3. crown height inferior to 15 mm .
4. Tapered or ovoid mandibular arch.
5. Posterior Segments of inadequate height for endosteal implant
placement.
20. Treatment Option 2 : Additional implants above the mental
foraraminae, because the mandible flexes distal to the foramen.
*Avantages:
1- The number of implants may be increased to seven (increases
implant surface area).
2- The A-P spread for implant increased, even when the total implant
number is five.( reduces the Class 1 lever forces generated from
the distal cantilever).
3- The length of the cantilever is reduced dramatically because the
distal most implant is placed one tooth more distal.
21. Treatment Option 2
Indication: Presence of available bone in height and width over the
foraminae.(usually is located 12 mm above the inferior border of the
mandible) So requires implants of reduced height .
The key implant positions are :
*2PMs,canines and the central incisor or midline position. The two
optional implant sites are 1PMs.
*A minimum recommended implant height of 9 mm and a greater
Diameter or an enhanced surface area design are recommended to
compensate for the reduced length.
22. Treatment option-3
*Implants in one posterior section may be splinted to anterior
implants.(5-7 implants).
*The key implant positions are: the 1M (on one side only), the
bilateral 1PM positions, and the bilateral canine. The secondary
implant position is the 2PM on the same side as the molar implant
and the central incisor (midline) position.
23. *
*Is a better option than anterior implants with bilateral cantilevers
for several reasons:
When one or two implants are placed distal to the foraminae on one
side and are joined to anterior implants between the foraminae, a
considerable biomechanical advantage is gained.
Number of implants may be the same as opt. 1 or 2, the A-P spread
is 1.5 to 2 times greater, because on one side the distal aspect of the
last implant now corresponds to the distal aspect of the 1M.,but it it
only one cantilever.
*Increased force factors: 6-7 implants indicated.
25. Treatment option-4
*Two 1M, two 1PM and two canine sites. Secondary implants may be
added in the 2PM sites and/or the incisor (midline).
*All implants in the anterior and one posterior side are splinted together
for a nine-unit fixed prosthesis. The other posterior segment is
restored independently with an independent three-unit.
Indications:
*When force factors are great or the bone density is poor.
*When the body of the mandible is Division C-h and subperiosteal or
disk-design implants are used for posterior implant Support.
26. Treatment option-4
Advantages :
*Primary advantage is the elimination of cantilevers.As a result,
risks of uncemented restorations and occlusal overload are
reduced.
*The prosthesis has two segments .(installation &repair)
Disadvantages:
*Need for abundant bone in both mand. Post. regions .(not like tx 5)
* Additional costs(need of 1-4 add. Implants).
27. *Treatment option -5
*Three independent prostheses rather than one or two.
*The anterior region of the mandible may have (4-5) implants.
*(8) implants may also have a secondary implant in the midline.
*The key implants are in the two 1M, the two 1PM, and two canine
regions. Secondary positions are the two 2PM and central.
*the posterior restorations extend from first molar to first premolar
and an anterior restoration replaces the six anterior teeth.
28. Indications:
When force factors are severe (but it is rarely used).
When the posterior mandible is C-h bone volume and a
circumferential subperiosteal or disk-design implant is used as the
2PM and 1M implant abutment supports.
The decrease in the bone volume of the posterior mandible
increases the flexure and torsion. As a result, three independent
prostheses are warranted.
Greater mandibular body movement is because of parafunction.
Smaller segments for individual restorations in case one should
fracture or become uncemented.
29. *Treatment option -5
*Disadvantages:
*the greater number of implants required. (8 or add. Central)
*This treatment option has the greatest need for available bone
Rarely are more than nine implants required, regardless of the bone
density or force factors present .