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Improving Esthetics with Sequential Treatment Planning and Implant-Retained Dentures

Treatment Planning and Implant-Retained Dentures - Dental CE Course
Launch Course

Course Objectives (2 CE Credits)

Timothy Kosinski, DDS, MAGD

Dental conditions ranging from tooth decay to edentulism can negatively impact a person’s appearance in significant ways. Thus, when treatment planning implant therapy, esthetic factors should be given as much attention as oral health and dental functioning in order to meet patient needs and expectations. At the same time, each patient has unique short-term needs that must be accounted for as the implants integrate and soft tissue heals. Dr. Timothy Kosinski reviews a case where implant-retained dentures and sequential treatment planning are employed to meet the challenging esthetic circumstances presented by a patient with severe tooth decay and soft tissue recession. Topics include:

  • Esthetic problems caused by edentulism and other severe dental conditions
  • Restoring oral function and esthetics with implant overdentures
  • Addressing short-term patient needs with sequential treatment planning
  • Maximizing prosthetic retention and stability with implant-supported dentures
  • Two-stage treatment protocol for fully edentulous restorations
  • Treatment planning cases to meet the patient’s functional and esthetic needs
  • Minimizing bone resorption and soft tissue recession with implant therapy
  • The effect of oral esthetics on quality of life and personal well-being
  • Addressing esthetic needs during the healing phase of implant treatment
  • Utilizing natural teeth to anchor temporary dentures
  • Laboratory production of partial temporary dentures and implant overdentures


The deterioration or absence of teeth presents a wide range of challenges, including bone resorption, soft tissue recession and lack of support for the lips, mouth and facial structures. Oral and facial esthetics are often compromised as a result, which can have adverse effects on personal well-being, self esteem and social interactions. Advancements in implant therapy allow clinicians to not only restore oral health and dental functioning, but also address the unique short-term and esthetic needs of each patient. With the wide array of diagnostic tools, treatment protocols and restorative options available to clinicians, implant therapy can be approached in a manner that addresses form and function both immediately and over the long term.

CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.


  1. Rossein KD. Alternative treatment plans: implant-supported mandibular dentures. Inside Dentistry. 2006;2(6):42-3.
  2. Covani U, Cornelini R, Calvo JL, Tonelli P, Barone A. Bone remodeling around implants placed in fresh extraction sockets. Int J Periodontics Restorative Dent. 2010 Dec;30(6):601-7.
  3. DiMatteo A. Dentures and implants: bringing them together for a winning combination. Inside Dentistry. 2009;5(1):97-104.
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