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The goals of implant dentistry are to replace a patient’s missing teeth to normal contour, comfort, function, esthetics, speech, and health, regardless of the previous atrophy, disease, or injury of the anatomic system comprising teeth, jaws, and associated soft tissues. It is the final restoration, not the implants, that accomplish these goals.
In other words, patients are missing teeth, not implants. To satisfy predictably a patient’s needs and desires, the prosthesis should first be designed just as a building is foreseen by the architect. The final restoration is first planned before the foundation is created. Only after this is accomplished can the abutments necessary to support the specific predetermined restoration be designed so that the final result will be satisfactory and functional.
While a removable implant-supported prosthesis can be more affordable than a fixed option, there are disadvantages to consider. The main disadvantage of a removable implant-supported prosthesis is that this choice is less like natural teeth than fixed options. Removable implant-supported options that are partially tissue-supported also are susceptible to bone loss in the tissue-supported areas and the inherent problems associated with any bone loss.

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