Maxillary Implants (published 1977)   Dr. Leonard I. Linkow

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Seating a subperiosteal type implant on the hard palate still appeared promising, therefore alternatives were explored. Although anterior bladevents were inadequate alone as support for a full-arch restoration, they could be braced perhaps against dislocating forces by subperiosteal extensions over hard palatal and anterior sub-nasal bone. Thus a new trend was established. First the ridge was exposed and bladevents inserted (3,4,5). Then an impression was taken of the bladevent posts, hard palate, and subnasal ridge (6,7). The site was closed and allowed to heal (8), with the old denture carefully hollowed out to prevent traumatizing the bladevents until the subperiosteal portion of the toroplant (9,10) could be made and fitted over the re-exposed site. Cement was placed inside the copings of the subperiosteal framework that fitted over the bladevent posts (11,12,13). After the issues healed over the combined implants (14), the palateless denture was inserted (16,17). Note that the denture (15) incorporates internal clips for the modified bar.

1 The palateless maxillary denture inserted
2



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