Attachments
Attachments - a lost art?
Over the past 30 years, with the growth in popularity of implants, Precision Attachments have become less popular. Although attachments are still used in conjunction with implants (mainly for over dentures) conventional combination cases have decreased significantly. 

There are still many situations where Precision Attachments/ Combination Prosthesis should be the restoration of choice but due to ignorance or a simple lack of by technicians and dentists alike, the decline is growing.

We at SBO have many years of experience with such restorations, whether its a simple fixed-free bridge or a more complex combination case with bridgework, using extra coronal attachments and dentures.

Please call and speak to Keith regarding:
  1. Clinical Situation
  2. Type of Attachment
  3. Protocol and Stages
All about Locator Attachments:

Laboratory considerations for Full/Full cosmetic Dentures on
locator implant abutments:
Click here for everything you need to know about using Locator attachments with your dentures
Other attachments:
In the stages below you will find a step by step protocol outlining the clinical and laboratory stages that are required for combination cases to obtain predictable results: 

Combination Cases

Technical Stages/ Clinical Stages
  1. Discuss patient's needs and objectives.
  2. Full upper and lower impressions.
  3. Construct Occlusal Rim and Special tray.
  4. Take bite and and definitive impressions.
  5. Choose teeth and set up. Assess for attachments.
  6. Try-in with usual checks.
  7. Construct crown and bridgework. Align attachments. Adjust special tray to accommodate bridgework.
  8. Try-in bridgework. If OK, take a pick up impression (rubber) with adjusted special tray. Ensure full sulcas depth, suitable for denture work.
  9. Cast pattern resin models. Fabricate chrome (if required). Incorporate attachments. Set denture teeth.
  10. Try-in. Check bite, aesthetics, fit, check that attachments engage.
  11. Process denture and finish.
  12. Fit case
Click here for the work flow chart in an attachment combination case
Left and right -  Bar for hybrid bridge








Left, right and below, completed overdenture
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