Sometimes also, in a totally edentulous mandible, fig. 59, prepared for a full subperiosteal implant, fig. 60, because of a poor fit anteriorly, those struts were removed from the implant, fig. 61. The implant still in one piece fitting around the arch does not lose any of its overall retention, fig. 62. To give necessary support for the fixed bridge a double posted blade is inserted anteriorly, fig. 63. After healing of the soft tissues, fig. 64, the completed prosthesis is ready for cementation, figs. 65, 66, 67. A final x-ray, fig. 68.

Fig. 69 shows a combination of natural teeth, blades and a uni-lateral subperiosteal implant.

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