Implantology in the edentulous jaw - An interdisciplinary treatment concept

Strub JR, Neukam FW, Huerzeler MB, Wiltowski S (2017)


Publication Type: Journal article

Publication year: 2017

Journal

Book Volume: 25

Pages Range: 7-25

Journal Issue: 4

Abstract

This concept for the treatment of edentulous patients with implant-retained overdentures or implant-supported fixed bridges combines the current knowledge of the reciprocal action between oral biology, dental technology, and optimal esthetics. To obtain an acceptable esthetic result it is important to carefully plan the treatment and to transfer the desirable situation from the study casts into the oral environment. Additional important factors are: The direction of he imp ant axis, which depends on bone quantity, bone morphology, and the intermaxillary relationship The changeover of long abutments to short ones 4 to 6 weeks after abutment connection The try-in of an acrylic resion provisional restoration to check the vertical dimension, aesthetics, plonetics,and accessibility for patient oral hygiene procedures (only required for bone-anchored fixed bridges). The bone-anchored fixed bridge offers the patient more comfort (stability, bite force, chewing efficacy, psychological factors) than he implant-retained overdenture, but he treatment is far more time-consuming and expensive, and the necessary sills of the dentist and the dental technician are greater. Endosseous oral imp ant therapy is a new and wide-open field. Much basic and clinical research must be done to overcome the esthetic and technical problems associated with the integration of endosseous ora implants and the fabrication of a bone-anchored fixed supra-structure, especially in patients with inadequate bone support.

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APA:

Strub, J.R., Neukam, F.W., Huerzeler, M.B., & Wiltowski, S. (2017). Implantology in the edentulous jaw - An interdisciplinary treatment concept. Orale Implantologie, 25(4), 7-25.

MLA:

Strub, Joerg R., et al. "Implantology in the edentulous jaw - An interdisciplinary treatment concept." Orale Implantologie 25.4 (2017): 7-25.

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