Design forms of all cases of RPD using attachments or implants



Case Design #1
1
Bilateral Free-End Distal Extension
Bilateral free-end distal extension partial dentures are most
commonly restored with resilient function attachments when
opposing natural teeth or fixed bridgework. Solid function
attachments are indicated when opposing a removable partial
or full denture. Milled lingual arms arm recommended with
solid function attachments. Double abutting is always recommended
when possible, especially when using solid function
attachments. Leave rugae open for comfort when possible.

2
Option #1 Extracoronal Resilient
or Solid
Indirect retention should be added for attachments such as
the ORS-DE or SA Anchor/Ceka, etc. Attachments such as
the Dalbo and ASC 52 have built-in indirect retention. Milled
linguals are recommended for solid/rigid attachments such as
the D 2.7, Strategy, Vario, etc.
Resilient Attachments: Dalbo or Swiss Mini, ASC 52, Swiss
Anchor, ORS-DE, Zaag RPD.
Solid Attachments: D 2.7, Strategy, Vario SG, Swiss-EX,


3
Option #2 Intracoronal Solid
Removable Partial Denture with double abutted crowns on
#6-7 and 10-11. Milled lingual arms are recommended for stability,
retention and support. A cylinder type attachment such
as the Omega-M maybe placed interproximal between 6-7
and 10-11. The male of the Omega-M attachment becomes
part of the removable milled lingual arm.
Attachments Indicated: Score PD, PT Snap, Biloc,
McCollum

4
Option #3 Implant Bridges
Bridges may be cemented over titanium post abutments or
retained with set screws. Angled Titanium Abutments may be
needed for divergent implants. Bridges may also be screw
retained using direct UCLA abutments. Hexed UCLA
Abutments may be used to make custom angled abutments.
The Score-UP placed intracoronally into #6 & #11 with or without
the U-Pin.
Implant Components: Titanium Abutment Posts Straight or
angled, UCLA Abutments, non-hexed for bridges and hexed
for custom angled abutments.
Attachments: Set Screws, Score-UP

Case Design #2
5
Unilateral Edentulous
The unilaterally edentulous arch is a common situation with
special concerns. Cross stabilization with clasps or attachments
is required when restoring more than a three-tooth
span. For unilateral removable partials without cross arch stabilization
see Case #110. Two abutments should be splinted
when possible. Milled lingual arms are recommended when
using intracoronal attachments or solid function extracoronal
attachments.

6
Option #1 Extracoronal Resilient
Removable Unilateral Partial Denture with double abutted
crowns on #10 & 11 and cross arch stabilized between #3 &
#4 with a Cross Arch Roach attachment. A resilient attachment
such as the ASC 52 or Mini Dalbo is placed on the distal
of #27. Milled lingual arms are contraindicated for resilient
designs. For comfort we recommend an open rugae on maxillary
restorations when possible.
Attachments Indicated: ASC 52, Mini Dalbo, SA Anchor, etc
on distal. Cross Arch Roach interproximal of #3 & #4.

7
Option #2 Intracoronal Solid
Removable Unilateral Partial Denture with double abutted
crowns on # 10 & #11 and cross arch stabilized with an
attachment such as the Biloc or Omega-M between #3 & #4.
Milled linguals are recommended on the abutments. For comfort
we recommend an open rugae on maxillary restorations.
Attachments Indicated: Score-PD, Biloc, PT-Snap,
McCollum, etc. For additional stability the Omega-M may be
placed interproximal. For cross arch stabilization you may
select the Biloc, Pt-Snap, McCollum etc.



8
Option #3 Implant Bridges
Bridges may be cemented over titanium post abutments or
retained with set screws. Angled Titanium Abutments may be
needed for divergent implants. Bridges may also be screw
retained using direct UCLA abutments. Hexed UCLA
Abutments may be used to make custom angled abutments.
The Score-UP placed intracoronally into #6 & #11 with or without
the U-Pin.
Implant Components: Titanium Abutment Posts Straight or
angled, UCLA Abutments, non-hexed for bridges and hexed
for custom angled abutments.
Attachments: Set Screws, Score U-P

Case Design #3

9
Posterior Unilateral Toothborne
Restorative options for this partially edentulous situation
include a one-piece bridge, segmented bridge, implant bridge,
implant single units or a removable partial denture. If abutments
are not parallel or if the posterior abutment is questionable
a segmented bridge with an intracoronal attachment
is indicated. In cases with severe tissue defect a removable
partial denture may be indicated.

10
Option #1 Intracoronal
Fixed bridge with divergent preparations. Intracoronal attachment
placed on distal of #6 with the possibility to convert easily
to a partial denture if the molars fail. An attachment such
as the Score BR or Score U-P is easily converted for this
purpose.
Attachments Indicated: Score-BR, Score U-P, PDC,
Beyeler, Biloc, Strauss Micro, McCollum, etc.

11
Option #2 Extracoronal Screw
Retained
Telescopic operator removable bridge with a cemented crown
on #6 with an extracoronal screw type attachment such as the
ScrewBloc or SwissBloc. A telescopic coping on #3 may also
be made incorporating a tube from the Tube & Screw
Attachment. The pontics would be attached to the telescopic
crown on #3.
Attachments Indicated: ScrewBloc, SwissBloc, Fletcher
Bloc, T-Bloc, etc. Tube & Screw Attachment.

12
Option #3 Implant Bridges
Single or splinted implant crowns over Titanium Abutment
Posts may be cemented or retained with Set Screws. Angled
Titanium abutments may be necessary for divergent implants.
Screw retained single units or custom angled abutments may
be made with the hexed UCLA cylinders. Non-hexed UCLA
cylinders are used for bridges.
Implant Components: Titanium straight or angled abutment
posts, UCLA hex type abutments for single units or custom
angled abutments. Non-hexed UCLA Abutments for splinted
crowns.
Attachments Indicated: Set Screws.

Case Design #4
13
Bilateral Toothborne
Restorative options for this partially edentulous situation
include one-piece bridges, segmented bridges, implant
bridges, implant single units or a removable partial denture. If
abutments are not parallel or if the posterior abutments are
questionable, segmented bridges with intracoronal attachments
are indicated.

14
Option #1 Intracoronal Solid
Fixed segmented bridges with Score-UP attachments in #22
& #27. If the posterior abutments are lost in the future, a
removable partial denture may be constructed. If #31 is questionable,
a Cross Arch Roach may be placed into #20 for
future resilient partial denture or a Biloc may be placed into
#20 for future solid function partial denture.
Attachments Indicated: Score-UP on #22 & #27. A Cross
Arch Roach or Biloc into #20 pontic.

15
Option #2 Extracoronal
Removable partial denture with solid or resilient attachments.
While solid function attachments are most commonly used in
this situation, resilient attachments may be selected if posterior
abutments are questionable. This would allow for conversion
to resilient function. The lingual arms on the partial denture
would have to be removed to allow resilient function.
Attachments Solid: D 2.7, Swiss-EX, Bredent, Strategy
Attachments Resilient: Dalbo or Swiss Mini, ASC 52,ORS -
DE

16
Option #3 Implant Bridges
A Titanium Abutment Post may be placed onto #20 implant
and splinted to #22 via a Score-BR or Score-UP. The implant
crown may be cemented or retained with a lingual Set Screw.
The #20 implant bridge may also be restored with a nonhexed
UCLA Abutment and Screw. Implants #27-#30 may be
restored with Titanium Posts or UCLA abutments. Angled
abutments may be necessary for divergent implants.
Implant Components: Titanium Abutment Posts, UCLA
Abutments
Attachments: Score UP or Score BR, Swiss Set Screw


Case Design #5
17
Anterior Toothborne
Since 5 teeth are missing in this example, a patient removable
restoration is recommended. If restored with implants, a
cemented or screw retained bridge may be fabricated, except
in cases with severe bone loss where a removable implant
restoration would be indicated. Palatal coverage for a removable
partial denture may be avoided with attachments placed
mesially inconjuction with milled lingual arms for stability.

19
Option #1 Intracoronal
Removable Partial Denture with double abutted crowns on
#5-6 and #12-13. Intracoronal attachments are placed mesially
with milled linguals. A cylinder type attachment such as the
Omega-M may be placed interproximal between #5-6 and
#12-13. If possible, do not cover the rugae area unless there
is a palatal defect. This design maximizes patient comfort.
Attachments: Score-PD, Biloc, PT-Snap, McCollum, etc.
Omega-M interproximal.

20
Option #3 Implant Bridges
Titanium Abutment Posts may be placed onto the implants
and splinted to #6 and #12 with a Score-BR or Score-UP. A
screw retained bridge may also be fabricated non-hexed
UCLAAbutments. Angled Ti Abutments or custom cast Hexed
UCLA Abutments may be necessary for divergent implants.
Implant Components: Titanium Abutment Posts straight or
angled, Non-hexed UCLA Abutments for bridge, Hexed UCLA
cylinders for custom angled abutments.
Attachments: Score UP or Score BR

Case Design #6

21
Anterior-Posterior Toothborne
The restorative options for this situation include a one-piece
fixed bridge, a segmented bridge; implant restorations (single
units or splinted) or removable partial denture in cases with
severe tissue defect. For cases with divergent abutments, a
segmented bridge is necessary. Intracoronal or extracoronal
locking attachments may be utilized. The attachments may be
lockable or standard.

22
Option #1 Intracoronal
Segmented fixed Bridge restoration with locking or standard
intracoronal attachments on the mesial of #21 and #28.
Abutments #20-21 and #28-29 are cemented prior to cementing
the anterior segment.
Attachments Locking: Score-UP
Attachments

23
Option #2 Extracoronal
Segmented fixed Bridge restoration with extracoronal locking
attachments or extracoronal standard attachments on the
mesial of #21 and #28. Abutments #20-21 and #28-29 are
cemented prior to cementing the anterior segment.
Attachments Locking: SwissBloc, ScrewBloc, Fletcher bloc,
T-Bloc
Attachments Standard: PDC, Score-BR or Beyeler inverted,
ScrewBloc without the screw.

24
Option #3 Implants
Titanium Abutment Posts may be placed onto the implants
and splinted to #24 and #25 with inverted cylinder attachments.
Screw retained segmented bridges may also be fabricated
with the non-hexed UCLA Abutments. Angled Ti
Abutments or custom cast Hexed UCLA Abutments may be
necessary for divergent implants.
Implant Components: Titanium Abutment Posts straight or
angled, Non-hexed UCLA Abutments for bridge, Hexed UCLA
cylinders for custom angled abutments.
Attachments: Omega-M, Interlock


Case Design #7
25
Combination Toothborne
The restorative options for this situation include a one-piece
fixed bridge, segmented bridges; implant restorations (single
units or splinted) or removable partial denture in cases with
severe tissue defect. For cases with divergent abutments,
segmented bridges are necessary. Intracoronal or extracoronal
locking attachments may be utilized. The attachments
may be lockable or standard.

26
Option #1 Intracoronal Solid
Removable Partial Denture with fixed bridge from #5 to #11.
Intracoronal attachments and milled linguals on #5 & #11.
Conventional clasps or milled linguals on #2 and #14. Plunger
attachments such as the Hannes Anchor, SwissTac or Tach-
EZ are an alternative to conventional intracoronal attachments.
Keep rugae open for comfort if possible.
Attachments Indicated: Score-PD with a Score UP female,
PT-Snap, Biloc, etc or Hannes Anchor, SwissTac or Tach-EZ
plunger attachments.

27
Option #2 Extracoronal
Removable Partial Denture, fixed bridge between #5 and #11
with distal extension attachments and telescopic copings on
#1-2 and #14-15. Should any of the molars fail, the restoration
is easily modified. Milled linguals may be fabricated on #5 and
#11
Attachments Indicated: Mini Dalbo or Swiss Mini, ASC 52,
Swiss Anchor, Strategy, Bredent, D2.7, etc.

28
Option #3 Implant Bridges
Segmented bridge with operator removable pontics and
implant section. Score-UP attachments may be placed on the
mesial of #6 and #11 and distal of #5 and #11. Implant crowns
may be made with straight or angled Titanium Abutments or
UCLA Abutments.
Implant Components Indicated: Straight or Angled Titanium
Posts or UCLA abutments.
Attachments Indicated: Score-UP or Large Omega-M,
PDC or Score-BR.
The attachments may be inverted on #24 and #26.


Case Design #8
8-1
Combination Toothborne
The restorative options for this situation include a one-piece
fixed bridge or segmented bridge and removable partial denture.
For cases with divergent abutments, segmented bridges
are necessary. Implant restorations (single units or splinted).
Intracoronal or extracoronal locking attachments may be
utilized. The attachments may be lockable or standard.

8-2
Option #1Extracoronal Resilient
Resilient removable partial denture and one-piece or segmented
bridge with extracoronal attachments on distal of #21
and #29. Attachments such as the Omega-M or Beyeler may
be used to segment bridge for divergent abutments if necessary.
Attachments, Partial Denture: Dalbo or Swiss Mini, ASC 52,
Swiss Anchor, Strategy, DE-ORS etc.
Attachments, Segmented Bridge: Omega M, Interlock, etc.

8-3
Option #2 Intracoronal Solid
Removable Partial Denture and bridge with plunger attachments
on #21 & #29. Linguals of splinted units are milled.
Cylinder attachments such as the Omega-M maybe placed
interproximal between #21-22 and #27-28-29.
Attachments, Partial Denture: Hannes Anchor, SwissTac,
Tach EZ, etc
Attachments Interproximal: Omega-M

8-4
Option #3 Implant Bridges
Fixed bridge with operator removable pontics and implant
section. The Score-UP attachment may be placed on the
mesial of #6 and distal of #29. The implants may be restored
with Titanium Abutment Posts or UCLA Abutments. Set
Screws may be used with the Titanium Abutment Posts.
Implant Components Indicated: Straight or Angled Titanium
Posts or UCLA abutments on implants.
Attachments indicated: Score-UP, Swiss Set Screw or regular
Set Screws placed lingually to the titanium posts.

Case Design #9
9-1
Unilateral Edentulous
The unilaterally edentulous arch is a common situation with
special concerns. Cross stabilization with clasps or attachments
is required when restoring more than a three-tooth
span. For unilateral removable partials without cross arch stabilization
see Case #110. Two abutments should be splinted
when possible. Milled lingual arms are recommended when
using intracoronal attachments or solid function extracoronal
attachments.

9-2
Option #1 Intracoronal Solid
Removable Partial Denture, fixed bridge with attachment on
distal of #11 and milled lingual arm. Cross arch attachments
in #4 pontic with milled linguals on #3-#5. For unilateral
removable partials without cross arch stabilization see Case
#110.
Attachments indicated: For #11: Score-PD, PT-Snap, Biloc,
McCollum, etc. In pontic #4: Biloc, Pt-Snap, Beyeler,
McCollum, etc.

9-3
Option #2 Extracoronal Resilient
Removable Partial Denture, fixed bridge with a resilient cross
arch attachment on distal of #11 and resilient Cross Arch
Roach attachment into #4 pontic. For unilateral removable
partials without cross arch stabilization see Case #110.
Attachments indicated: For #11: Dalbo or Swiss Mini, ASC
52, Swiss Anchor, etc. For #4: Cross Arch Roach

9-4
Option #3 Implant Bridge
Fixed-removable bridge with an extracoronal lockable or standard
attachment on #11. Titanium Abutment Posts or UCLA
abutments on the implants.
Implant Components Indicated: Titanium Post or direct
UCLA abutments.
Attachments Iindicated: SwissBloc, Screw-Bloc, T-Bloc,
Fletcher Bloc or Score-UP on #11


Case Design #10
10-1
Unilaterally Edentulous Free-End
Options to restore this situation include: A removable partial
denture with intracoronal or extracoronal attachments and
cross arch stabilization in the form of clasps on the dentulous
quadrant. A unilateral partial denture with a locking attachment
such as the May's or Swiss Mar without cross arch stabilization.
Implant single or splinted units.


10-2
Option #1 Extracoronal or
Intracoronal
Removable Unilateral Partial Denture with natural teeth and
an intracoronal or extracoronal attachment on #29. Double
clasping on #19 and #20 or Double Ackers Clasp interproximal
of #19 & #20.
Attachments Extracoronal: D 2.7, Strategy, Bredent SG,
Hannes-Anchor, SwissTac, Tach-EZ etc.
Attachments Intracoronal: Score-PD, PT-Snap, Biloc,
McCollum, etc


10-3
Option #2 Extracoronal Without
Cross Arch Stabilization
Removable Unilateral Partial Denture with double abutted
crowns on #28 & #29. No more than three teeth should be
restored with this concept. The May's is a locking attachment
with a lever latch. The latch usually opens from the lingual.
The Swiss Mar has a rotational path of insertion hooking
mechanism.
Attachments Indicated: Swiss Mar - Gilmar, May's
Attachment.

10-4
Option #3 Implant Bridges
Single or splinted units may be cemented over straight or
angled Titanium Post Abutments or retained with Set Screws.
Single or splinted units may be screw retained using direct
UCLA abutments. Hexed UCLA Abutments may be used to
make custom angled abutments.
Implant Components: Titanium Abutment Posts Straight or
angled, UCLA Abutments, non-hexed for bridges and hexed
for custom angled abutments.
Attachments Indicated: Swiss Set Screw or regular set
Screws

Case Design #11
11-1
Combination Toothborne
The restorative options shown for this situation include a onepiece
fixed bridge and removable partial denture or implant
restorations. A telescopic coping may be made on #2 to allow
for a future conversion in the event that #2 is extracted.

11-2
Option #1 Intracoronal Solid
Removable Partial Denture with fixed bridge #6 - #12.
Intracoronal attachments and milled linguals on #6 & #12. An
Omega-M may be placed interproximal of #6-7 and #11-
12.Plunger attachments such as the Hannes Anchor,
SwissTac or Tach-EZ are an alternative to conventional intracoronal
attachments. A telescopic coping may be made on #2
with plunger attachment placed mesially.
Attachments Indicated: Score-PD, PT-Snap, Biloc, etc. or
Hannes Anchor, SwissTac or Tach-EZ plunger attachments.


11-3
Option #2 Extracoronal
Removable Partial Denture, fixed bridge between #6 - #12
with distal extension attachments and telescopic copings on
#2. Should the molar fail, the restoration is converted to a
resilient partial denture. Milled linguals may be fabricated on
#6 and #12 and removed for future conversion if necessary.
Attachments Indicated: Mini Dalbo or Swiss Mini, ASC 52,
Swiss Anchor, etc.

11-4
Option #3 Implant Bridges
Splinted crowns on #11-12 with Omega-M on mesial and
Score-UP on distal of #12. Crowns #8-10 splinted with
Omega-M male on distal of #10. Implant crowns may be
made with UCLA Abutments or straight or angled Titanium
Abutments, retained with Set Screws.
Implant Components Indicated: Straight or Angled Titanium
Posts or UCLA abutments.
Attachments Indicated: Score-UP or Large Omega-M, PDC
or Score-BR
The attachments may be inverted on #11 and #12.


Case Design #12
12-1
Two Remaining Teeth or Implants
Bilateral
With only two abutments, options are limited to a removable
partial denture or overdenture. The abutments may remain
individually or joined with a bar for a clip overdenture or partial
denture. If the natural abutments are not crowned, Hannes
Anchor or Swiss-Tach attachments may be utilized in the partial
denture.
If the abutments are crowned and joined with a bar, distal
guide planes should be made for indirect retention. Post &
Core copings may also be joined with a bar.

12-2
Option #1 Resilient Extracoronal
Partial Denture
A removable partial denture is fabricated with plunger type
attachments such as the Hannes Anchor, Swiss-Tach or Tach-
EZ. Crowns are made with mesial rests and distal guide
planes. The mesial rest provide occlusal stop and reciprocation
for the plunger. Small dimples are prepared into the guide
plane to receive the plungers. The plastic castable females
may be cast into the crowns for the Hannes Anchor.

12-3
Option #2 Stud Type Overdenture
A stud type overdenture is fabricated over endodontically
treated roots with stud type attachments. Direct or indirect
stud type attachments are available. The titanium attachments
such as the Uni Anchor or Direct ORS are placed
directly into he root without a casting. Indirect attachments
such as the Dalla Bona, Castable ORS, Rothermann, etc. are
incorporated onto a cast post & core coping.
Direct Attachments: Uni-Anchor, Direst ORS, Zest or Zaag
Indirect Attachments: Dalla Bona, Castable ORS-OD,
Rothermann, OT Cap, Bredent Uni, Mini BK, etc.


12-4
Option #3 Implant Stud Type
Overdenture
The Direct Dalla Bona or Direct ORS (O-Ring System) function
as individual attachments providing retention and resilient
function. The titanium male elements are screwed directly into
the implants and are available in various heights corresponding
to the tissue depth. The Dalla bona females are adjustable
while the ORS O-Rings are easily replaceable.
Implant Stud Attachments: Dalla bona, ORS (O-Ring
System)


Case Design #13
13-1
Posterior Edentulous - 3 Implants
The restorative options for this situation include implant
crowns with posterior pontics or implant crowns and a precision
partial. The implant crowns may be cemented over
Titanium Abutment Posts or screw retained with UCLA
Abutments. A locking attachment such as the Score-Up is recommended
to join the implant sections with the natural abutments
crowns. Another option is a posterior partial denture
with stud type attachments on the implants


13-2
Option #1 Implant Crowns with
Pontics
The implant crowns may be cemented over Titanium
Abutment Posts or screw retained with UCLA Abutments.
Temporary cement is recommended for the Titanium
Abutment Posts. A locking attachment such as the Score-Up
is recommended to join the implant sections with the crowns
over the natural abutment crowns. The Score-UP resists lateral
forces and provides retrievability.
Implant Components: Titanium Abutments Posts Straight or
Angled, UCLA Abutments. Attachments: Score-UP


13-3
Option #2 Implant Crowns &
Precision Partial Denture
To provide full posterior occlusion, implant crowns and a precision
partial with resilient extracoronal attachments made be
fabricated. A locking attachment such as the Score-Up is recommended
to join the implant sections with the crowns over
the natural abutment crowns.
Implant Components: Titanium Abutments Posts Straight or
Angled, UCLA Abutments
Attachments: Intracoronal: Score-UP

13-4
Option #3 Partial Denture with Stud
Type Attachments
As an alternative to crowing the implant abutments, stud type
attachments may be
connected to the implants as retentive elements. A precision
partial denture with resilient function may be fabricated. A
wide palatal strap for the framework design is recommended
when possible for patient comfort. The attachment length is
selected to correspond to the tissue depth.
Implant Components: Dalla Bona or ORS (O-Ring System)

Case Design #14

14-1
Unilaterally Edentulous - 4 Implants
The restorative options for this situation include implant single
crowns or bridge or patient removable restoration in cases of
severe tissue defect. The implant crowns may be cemented
over Titanium Abutment Posts or screw retained with UCLA
Abutments. Angled Ti Abutments or custom cast Hexed UCLA
Abutments may be necessary for divergent implants.

14-2
Option #1 Implant Crowns - Single or
Bridge
The implant crowns may be cemented over Titanium
Abutment Posts or screw retained with UCLA Abutments.
Angled Ti Abutments or custom cast Hexed UCLA Abutments
may be necessary for divergent implants. Set Screws may be
used as an alternative to cementing over Titanium Abutment
Posts.
Implant Components: Titanium Abutment Posts straight or
angled, Non-hexed UCLA Abutments for bridge, Hexed UCLA
cylinders for custom angled abutments.


14-3
Option #2 Patient Removable Milled
Unilateral
For cases with significant tissue defect or bone loss, a patient
removable milled restoration is indicated. A milled bar is constructed
incorporating the abutment cylinders. A metal sleeve
is fabricated to fit over the milled bar. Plunger attachments
such as the Hannes Anchor may be luted to the sleeve and
positioned to engage dimples prepared on the milled bar.
Implant Components: UCLA or Abutment Cylinders and
Screws.
Attachments: Micro Hannes Anchor, Mini Pressomatic, etc

14-4
Option #3 Patient Removable Milled
-Locking Attachment
For cases with significant tissue defect or bone loss, a patient
removable milled restoration is indicated. A milled bar is constructed
incorporating the abutment cylinders. A metal sleeve
is fabricated to fit over the milled bar. Ball Attachments such
as the Bredent SG or Strategy may be placed lingually. The
female element would be incorporated into the sleeve. A locking
attachment such as the SwissLoc or Lew may be utilized
to lock the restoration.
Implant Components: UCLA or UMA Abutments
Attachments: SwissLoc, Lew, MK1, etc.


Case Design #15
15-1
Unilateral Posterior Edentulous - 1
Implant
The restorative options for this situation include a segmented
bridge using an intracoronal locking attachment such as the
Score-UP, or and extracoronal locking attachment such as the
SwissBloc or ScrewBloc. A Patient removable partial denture
may be an option utilizing a stud attachment such as the Dalla
Bona or ORS.

15-2
Option #1 Segmented Bridge with
Intracoronal Locking Attachment
A segmented bridge using an intracoronal locking attachment
such as the Score-UP attachment may be fabricated. The
implant crown may be made with UCLA Abutment or Straight
or Angled Titanium Abutment. The implant section may be
cemented over the Titanium Abutment Post with provisional
cement.
Implant Components indicated: Straight or Angled Titanium
Post or Non-Hexed UCLA Abutment.
Attachments indicated: Score-UP

15-3
Option #2 Segmented Bridge with
Extracoronal Locking Attachment
A segmented bridge using an extracoronal locking attachment
such as the SwissBloc or ScrewBloc attachment may be fabricated.
The implant crown may be made with a Non-Hexed
UCLAAbutment or Straight or Angled Titanium Abutment. The
implant section may be cemented with provisional cement.
Implant Components Indicated: Straight or Angled Titanium
Post or Non-Hexed UCLA Abutment.
Attachments Indicated: SwissBloc, ScrewBloc, T-Bloc,
Fletcher Bloc

15-4
Option #3 Patient Removable Partial
Denture
A Patient removable partial denture may be an option utilizing
a stud attachment such as the Dalla Bona or ORS. An
Intracoronal such as the Biloc or McCollum or an extracoronal
attachment such as the Strategy or Bredent SG may be incorporated
into the Crown. A milled lingual arm is recommended.
Implant Components Indicated: Dalla Bona, ORS (O-Ring
System)
Attachments Intracoronal: Biloc, McCollum, PT-Snap, etc.
Attachments Extracoronal: Strategy or Bredent SG


Case Design #16
16-1
Partially Edentulous -2 Implants
The restorative options for this situation include a screw
retained telescopic bridge fitting over copings and Titanium
Abutment Posts, a similar telescopic bridge utilizing the
Score-UP, or a patient removable partial denture with intracoronal
attachments, milled lingual arms and stud type
attachments on the implants.

16-2
Option #1 Screw Retained
Telescopic Bridge
Telescopic copings are made on #19 & #27. The threaded
metal tube of the Tube & Screw attachment in cast into the
copings. The Tube & Screw metal collar is cast into the final
crowns. An alternative is to drill and tap the female threads
into the copings. The Implant crowns may be made with
UCLA Abutments or straight or angled Titanium Abutments.
Attachments: Tube & Screw Attachment
Implant Components Indicated: Straight or Angled Titanium
Posts or UCLA Abutments.

16-3
Option #2 Telescopic Bridge using
Locking Attachment
The Score-UP attachments are cast into #19 & #27.The
Score-UP female may be placed intracoronally into the
crowns or the Score-UP males may be inverted and placed
extracoronally with the females fitting upside down in the pontics.
The Implant crowns may be made with UCLA Abutments
or straight or angled Titanium Abutments.
Attachments: Tube & Screw Attachment
Implant Components Indicated: Straight or Angled Titanium
Posts or UCLA Abutments.

16-4
Option #3 Precision Partial Denture
with Stud Attachments
Stud Type attachments such as the Dalla Bona or ORS (ORing
System) are placed onto the implants. Intracoronal
attachments such as the Biloc, McCollum, PT-Snap Beyeler,
etc. are incorporated into the mesial of #19 & #26. Lingual
arms are milled into the linguals of #18 &19, 27 & 28, with the
Omega-M attachment placed interproximal.
Attachments: Biloc, McCollum, PT-Snap Beyeler, etc.
Omega-M (interproximal)
Implant Components Indicated: Dalla Bona or ORS (ORing
System)


Case Design #17
17-1
Anterior Edentulous-5 Implants
The restorative options for this situation includes a screw
retained or cemented bridge or a patient removable restoration.
Implant crowns may be made with UCLA Abutments or
straight or Angled Titanium Abutments. Hexed UCLA
Abutments may be used to make custom angled abutments if
necessary. For cases with significant bone loss, a telescopic
removable restoration may be made over a milled bar with
additional plunger attachments or a removable restoration
with stud attachments and lingual arms may be fabricated.


17-2
Option #1 Screw Retained or
Cemented Bridge
A screw retained or cemented bridge may be made if there is
not significant bone loss. Implant crowns may be made with
UCLA Non-Hexed Abutments or straight or Angled Titanium
Abutments. Hexed UCLA Abutments may be used to make
custom angled abutments if necessary. The bridge may be
retained with lingual Set Screws.
Implant Components: Straight or Angled Titanium Posts or
UCLA abutments.
Attachments: Set Screws 1.4mm, 1.6mm or 2.0mm


17-3
Option #2 Milled Patient Removable
Bridge
For cases with significant bone loss, a milled telescopic
patient removable bridge may be indicated. Two separate or
one complete milled bar is made connecting the implant abutments.
Dimples are prepared into the milled bar(s) to accept
plunger attachments such as the Micro Hannes Anchor.
Implant Components: Non-Hexed UCLA abutments or
appropriate abutment cylinders.
Attachments: Micro Hannes Anchor, Ipso Clip RE

17-4
Option #3 Patient Removable Bridge
with Stud Attachments
For cases with significant bone loss, a removable restoration
with stud attachments and lingual arms may be indicated.
Stud type attachments such as the Dalla Bona or ORS are
screwed onto the implants. Splinted crowns are made with
milled lingual arms. A cylindrical attachment such as the
Omega-M is placed interproximally. Single or double lingual
arms are incorporated into the removable framework.
Implant Components: Dalla Bona or ORS (Or-Ring System)
attachments
Attachments: Omega-M


Case Design #18
18-1
Anterior Edentulous - 4 Implants
The restorative options for this situation includes a screw
retained or cemented segmented bridge or a patient removable
restoration. Implant crowns may be made with UCLA
Abutments or straight or Angled Titanium Abutments. Hexed
UCLA Abutments may be used to make custom angled abutments
if necessary. Locking attachments are used to connect
the posterior abutments. For cases with significant bone loss,
a removable restoration is indicated.

18-2
Option #1 Segmented Bridge with
Locking Attachments
Implant crowns may be made with UCLA Abutments or
straight or Angled Titanium Abutments. Hexed UCLA
Abutments may be used to make custom angled abutments if
necessary. The Score-Up is used to connect the posterior
abutments. An extracoronal locking attachment such as the
SwissBloc or ScrewBloc is an alternative to the Score-UP.
Implant Components: Straight or Angled Titanium Posts or
UCLA abutments.
Attachments: Score-UP, SwissBloc, ScrewBloc, etc.

18-3
Option #2 Patient Removable
Partial Denture-Plunger Attachments
A patient removable partial denture may be fabricated to fit
over Straight or Angled Titanium Abutment Posts Micro
Hannes Anchors are incorporated into the removable partial
denture to engage dimples prepared into the lingual of the
Titanium Posts. The lingual of the splinted molars are milled
with cylindrical attachments placed interproximal.
Implant Components: Straight or Angled Titanium Posts or
Hexed UCLA abutments.
Attachments: Micro Hannes, Biloc, McCollum, Omega-M


18-4
Option #3 Patient Removable
Partial Denture-Stud Attachments
For cases with significant bone loss, a patient removable partial
denture may be fabricated with Stud Attachments such as
the Dalla Bona or ORS (O-Ring System). Hannes Anchors
are placed mesially to the first molars. Rests much be prepared
interproximal as reciprocation the plungers.I
Implant Components Indicated: Dalla Bona or ORS (Or-
Ring System) attachments
Attachments Indicated: Hannes Anchors, SwissTac, Tach-
EZ, etc.


Case Design #19
19-1
Fully Edentulous- 2 Implants
This situation may be restored with a patient removable stud
type or bar type overdenture. Attachments such as the Dalla
Bona or ORS (O-Ring System) are screwed to the implants.
The ORS attachments must be within 7 ∞ parallel while the
Dalla Bona may be up to 15∞ divergent. A maxillary restoration
may be fabricated with full palatal coverage or a partial
denture framework with open rugae.


19-2
Option #1 Stud Type Overdenture
Attachments such as the Dalla Bona or ORS (O-Ring System)
are screwed to the implants. The ORS attachments must be
within 7 ∞ parallel while the Dalla Bona may be up to 15∞
divergent. The males are available in various heights corresponding
to tissue depth. The distance from the top of the
implant to the crest of the tissue is measured to determine
appropriate length for the male elements.
Implant Components Indicated: Dalla Bona or ORS (Or-
Ring System) attachments

19-3
Option #2 Stud Type Removable
Partial Denture
A removable restoration with an open palate may be fabricated
with a wide palatal strap. Attachments such as the Dalla
Bona or ORS (O-Ring System) are screwed to the implants.
The ORS attachments must be within 7 ∞ parallel while the
Dalla Bona may be up to 15∞ divergent. The males are available
in various heights corresponding to tissue depth.
Implant Components: Dalla Bona or ORS (Or-Ring System)
attachments


19-4
Option #3 Bar Type Overdenture
A bar type overdenture is an alternative to the stud type overdenture.
A bar is fabricated joining the implants together for
mutual support. Bar extension may be added to resist distal
lift-off. Metal Riders/Clips should be used on the distal bar
extensions. The metal Riders/Clips are resilient in the vertical
direction when processed with the appropriate spacer. Plastic
or metal clips may be placed anteriorly.
Implant Components: Non-Hexed UCLA or UMA Cylinders


Case Design #20

20-1
Fully Edentulous- 4 Implants
This situation may be restored with a patient removable stud
type or bar type overdenture. Attachments such as the Dalla
Bona or ORS (O-Ring System) are screwed to the implants.
The ORS attachments must be within 7 ∞ parallel while the
Dalla Bona attachments may be up to 15∞ divergent. A bar
type overdenture may utilize locking attachments. A maxillary
restoration may be fabricated with full palatal coverage or a
partial denture framework with open rugae.

20-2
Option #1 Stud Type Overdenture
Attachments such as the Dalla Bona or ORS (O-Ring System)
are screwed to the implants. The ORS attachments must be
within 7 ∞ parallel while the Dalla Bona may be up to 15∞
divergent. The males are available in various heights corresponding
to tissue depth. The distance from the top of the
implant to the crest of the tissue is measured to determine
appropriate length for the male elements.
Implant Components Indicated: Dalla Bona or ORS (Or-
Ring System) attachments

20-3
Option #2 Bar Type Overdenture
with Locking Attachments
A bar type overdenture may be fabricated utilizing anterior
clips and distal extension locking attachments such as the
SwissLoc or Lew attachments to prevent distal lift-off. The
anterior clip(s) provide a central pivot point, while the locking
attachments provide stability. The bar is relieved gingivally to
allow resilient hinge function.
Implant Components: Non-Hexed UCLA or UMA Cylinders
Attachments: Hader Clips and Housings, CM Riders,
Ackermann clips, etc. SwissLoc, Le

20-4
Option #3 Bar Type Overdenture
A bar type overdenture is an alternative to the stud type overdenture.
A bar is fabricated joining the implants together for
mutual support. Bar extensions or distal attachments may be
added to resist distal lift-off. Metal Riders/Clips should be
used on distal bar extensions. Plastic or metal clips may be
placed anteriorly. Attachments such as the Strategy, Bredent
SG or ASC 52 may be placed distally.
Implant Components: Non-Hexed UCLA or UMA Cylinders
Attachments: Hader Clips and Housings, CM Riders,
Ackermann clips, etc. Strategy, Bredent SG or ASC 52


Case Design #21
21-1
Fully Edentulous- 6 Anterior
Implants
This situation may be restored with a bridge and precision
partial denture or a stud type or bar type overdenture. A bar
type overdenture may utilize locking attachments. A maxillary
restoration may be fabricated with full palatal coverage or a
partial denture framework with open rugae. Attachments such
as the Dalla Bona or ORS (O-Ring System) are an alternative
to the bar design. The ORS attachments must be within 7 ∞
parallel while the Dalla Bona attachments may be up to 15∞
divergent

21-2
Option #1 Anterior Bridge and
Posterior Precision Partial
An anterior bridge may be cemented over Titanium Abutment
Posts or screw retained with the UCLA Abutments. Hexed
UCLA Abutments may be used to make custom angled abutments
if necessary. A precision partial denture is fabricated
with resilient distal extension attachments.
Implant Components: Straight or Angled Titanium Abutment
Posts, Non-Hexed UCLA or UMA Cylinders
Attachments: Dalbo, ASC 52, SA Anchor, ORS-DE, etc.

21-3
Option #2 Bar Type Overdenture
with Locking Attachments
A bar type overdenture may be fabricated utilizing anterior
clips and distal extension locking attachments such as the
SwissLoc or Lew attachments to prevent distal lift-off. The
anterior clip(s) provide positive retention, while the locking
attachments provide stability. The bar is relieved gingivally to
allow resilient hinge function.
Implant Components: Non-Hexed UCLA or UMA Cylinders
Attachments: Hader Clips and Housings, CM Riders,
Ackermann clips, etc. SwissLoc, Lew


21-4
Option #3 Stud Type Overdenture
Attachments such as the Dalla Bona or ORS (O-Ring System)
are screwed to the implants. The ORS attachments must be
within 7 ∞ parallel while the Dalla Bona may be up to 15∞
divergent. The males are available in various heights corresponding
to tissue depth. The distance from the top of the
implant to the crest of the tissue is measured to determine
appropriate length for the male elements.
Implant Components Indicated: Dalla Bona or ORS (Or-
Ring System) attachments



Case Design #22

22-1
Fully Edentulous - 6 Implants
The restorative options for this situation include a cemented
bridge, a bridge retained with horizontal set-screws, a segmented
bridge with locking attachments, a milled telescopic
patient removable bridge or a hybrid denture. A full preliminary
set-up and try-in should be made for this determination.
A patient removable restoration or hybrid denture is made
when there is significant bone loss.

22-2
Option #1 Full Arch Bridge Retained
With Set-Screws
A full arch bridge may be made if there is not significant boss
loss. The bridge may be cemented or screw retained with horizontal
set-screws. 2.5mm to 3.0mm of thickness is required
lingually for the threads for set-screws. The posterior setscrews
may be oriented mesially.
Implant Components: Titanium straight or angled abutment
posts, UCLA hex type abutments may be used to make custom
angled abutments.
Attachments: Set Screws - 1.4mm, 1.6mm or 2.0mm Swiss

22-3
Option #2 Segmented Bridge with
Locking Attachments
A screw retained segmented bridge may be made with a locking
attachment such as the SwissBloc, ScrewBloc, etc. Direct
Non-Hexed UCLA Abutments or appropriate tissue extension
cylinders are used to fabricate the bridge. The locking attachment
utilizes a vertical screw to join the segments.
Implant Components: Non-Hexed UCLA Abutments or
appropriate tissue extension cylinders ex. UMA
Attachments Indicated: SwissBloc, ScrewBloc, T-Bloc,
Fletcher Bloc, etc.

22-4
Option #3 Hybrid Denture
For cases with significant bone loss, a hybrid denture may be
fabricated. The PC Wafer may be used to construct the metal
base. The Plastic castable PC wafer is modified to the desired
dimensions. Holes are drilled to fit over the implant or abutment
cylinders. Retention beads are added for acrylic retention
and then cast. The denture teeth are then processed to
the metal base. An option is to use the CAL system to achieve
a passive fit.
Implant Components: Non-Hexed UCLA Abutments or
appropriate tissue extension cylinders (ex. UMA), PC Wafer,
CAL Abutments.


Case Design #23

23-1
Fully Edentulous - 6 Implants
The restorative options for this situation include a cemented
bridge, a screw retained bridge, a patient removable restoration
with locking attachments, or a milled telescopic patient
removable restoration. A full preliminary set-up and try-in
should be made for this determination. A patient removable
restoration or hybrid denture is indicated when there is significant
bone loss. The anterior pontic tissue area may be sculpted
to improve esthetics.

23-2
Option #1 Screw Retained or
Cemented Bridge
A full arch bridge may be made if there is not significant boss
loss. A full preliminary set-up and try-in should be made for
this determination. The bridge may be cemented over
Titanium Abutment Posts or screw retained with UCLA or
appropriate tissue extension abutments. Provisional cement
may be used for cementation if desired.
Implant Components: Titanium straight or angled abutment
posts, UCLA Non-Hexed Abutments, Hex type UCLA
Abutments may be used to make custom angled abutments.


23-3
Option #2 Bar type Overdenture
with Locking Attachments
A bar type overdenture may be fabricated utilizing anterior
clips and distal extension locking attachments. The anterior
clip(s) provide positive retention, while the locking attachments
provide stability. The bar is relieved gingivally to allow
resilient hinge function. A wide palatal strap provides strength
and patient comfort.
Implant Components: Non-Hexed UCLA or UMA Cylinders
Attachments: Hader Clips and Housings, CM Riders,
Ackermann clips, etc. SwissLoc, Lew, MK1

23-4
Option #3 Patient Removable Milled
-Plunger Attachments
For cases with significant tissue defect or bone loss, a patient
removable milled restoration is indicated. A milled bar is constructed
incorporating the abutment cylinders. A metal sleeve
is fabricated to fit over the milled bar. Plunger attachments
such as the Hannes Anchor may be luted to the sleeve and
positioned to engage dimples prepared on the milled bar.
Locking attachments May also be utilized
Implant Components: UCLA or UMA Abutments
Attachments: Micro Hannes Anchor, Mini Pressomatic, or
SwissLoc, Lew, MK1, etc.


Case Design #24
24-1
Fully Edentulous - 3 Implants
This situation may be restored with a patient removable stud
type or bar type overdenture. Attachments such as the Dalla
Bona or ORS (O-Ring System) are screwed to the implants.
The ORS attachments must be within 7 ∞ parallel while the
Dalla Bona attachments may be up to 15∞ divergent. A
bar/clip type overdenture with standard distal extension or
distal locking attachments is also indicated.


24-2
Option #1 Stud Type Overdenture
Attachments such as the Dalla Bona or ORS (O-Ring System)
are screwed to the implants. The ORS attachments must be
within 7 ∞ parallel while the Dalla Bona may be up to 15∞
divergent. The males are available in various heights corresponding
to tissue depth. The distance from the top of the
implant to the crest of the tissue is measured to determine
appropriate length for the male elements.
Implant Components Indicated: Dalla Bona or ORS (ORing
System) attachments

24-3
Option #2 Bar type Overdenture
with Locking Attachments
A bar type overdenture may be fabricated utilizing anterior
clips and distal extension locking attachments such as the
SwissLoc or Lew attachments to prevent distal lift-off. The
anterior clip(s) provide positive retention, while the locking
attachments provide stability. The bar is relieved gingivally to
allow resilient hinge function.
Implant Components: Non-Hexed UCLA or UMA Cylinders
Attachments: Hader Clips and Housings, CM Riders,
Ackermann clips, etc. SwissLoc, Lew


24-4
Option #3 Bar type Overdenture with
Distal Attachments
A bar type overdenture may be fabricated utilizing anterior
clips and distal extension attachments such as the ASC 52,
SA Anchor, Bredent SG, Strategy, etc. to resist distal lift-off.
An option is to use Micro Hannes Anchors to engage lingual
dimples.
Implant Components: Non-Hexed UCLA or appropriate nonhexed
abutment cylinders
Attachments: Hader Clips and Housings, CM Riders,
Ackermann clips, etc. ASC 52, SA Anchor, Bredent SG,
Strategy, etc. micro Hannes Anchor

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