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Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts

Identifieur interne : 000359 ( PascalFrancis/Corpus ); précédent : 000358; suivant : 000360

Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts

Auteurs : M. D. Gross

Source :

RBID : Pascal:08-0331280

Descripteurs français

English descriptors

Abstract

Today the clinician is faced with widely varying concepts regarding the number, location, distribution and inclination of implants required to support the functional and parafunctional demands of occlusal loading. Primary clinical dilemmas of planning for maximal or minimal numbers of implants, their axial inclination, lengths and required volume and quality of supporting bone remain largely unanswered by adequate clinical outcome research. Planning and executing optimal occlusion schemes is an integral part of implant supported restorations. In its wider sense this includes considerations of multiple inter-relating factors of ensuring adequate bone support, implant location number, length, distribution and inclination, splinting, vertical dimension aesthetics, static and dynamic occlusal schemes and more. Current concepts and research on occlusal loading and overloading are reviewed together with clinical outcome and biomechanical studies and their clinical relevance discussed. A comparison between teeth and implants regarding their proprioceptive properties and mechanisms of supporting functional and parafunctional loading is made and clinical applications made regarding current concepts in restoring the partially edentulous dentition. The relevance of occlusal traumatism and fatigue microdamage alone or in combination with periodontal or peri-implant inflammation is reviewed and applied to clinical considerations regarding splinting of adjacent implants and teeth, posterior support and eccentric guidance schemes. Occlusal restoration of the natural dentition has classically been divided into considerations of planning for sufficient posterior support, occlusal vertical dimension and eccentric guidance to provide comfort and aesthetics. Mutual protection and anterior disclusion have come to be considered as acceptable therapeutic modalities. These concepts have been transferred to the restoration of implant-supported restoration largely by default. However, in light of differences in the supporting mechanisms of implants and teeth many questions remain unanswered regarding the suitability of these modalities for implant supported restorations. These will be discussed and an attempt made to provide some current clinical axioms based where possible on the best available evidence.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0045-0421
A03   1    @0 Aust. Dent. J.
A05       @2 53
A06       @3 SUP1
A08 01  1  ENG  @1 Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts
A09 01  1  ENG  @1 Oral implant rehabilitation: a state-of-the art overview of case management
A11 01  1    @1 GROSS (M. D.)
A12 01  1    @1 KLINEBERG (Iven) @9 ed.
A12 02  1    @1 BARTOLD (P. Mark) @9 limin.
A14 01      @1 Department of Oral Rehabilitation, Tel Aviv School of Dental Medicine, Tel Aviv University @3 ISR @Z 1 aut.
A15 01      @1 Nobel Biocare Chair of Oral Rehabilitation, Faculty of Dentistry, The University of Sydney, Westmead Centre of oral Health @2 Westmead @3 AUS @Z 1 aut.
A20       @2 S60-S68
A21       @1 2008
A23 01      @0 ENG
A43 01      @1 INIST @2 16492 @5 354000197850480080
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 20 ref.
A47 01  1    @0 08-0331280
A60       @1 P
A61       @0 A
A64 01  1    @0 Australian Dental Journal
A66 01      @0 AUS
C01 01    ENG  @0 Today the clinician is faced with widely varying concepts regarding the number, location, distribution and inclination of implants required to support the functional and parafunctional demands of occlusal loading. Primary clinical dilemmas of planning for maximal or minimal numbers of implants, their axial inclination, lengths and required volume and quality of supporting bone remain largely unanswered by adequate clinical outcome research. Planning and executing optimal occlusion schemes is an integral part of implant supported restorations. In its wider sense this includes considerations of multiple inter-relating factors of ensuring adequate bone support, implant location number, length, distribution and inclination, splinting, vertical dimension aesthetics, static and dynamic occlusal schemes and more. Current concepts and research on occlusal loading and overloading are reviewed together with clinical outcome and biomechanical studies and their clinical relevance discussed. A comparison between teeth and implants regarding their proprioceptive properties and mechanisms of supporting functional and parafunctional loading is made and clinical applications made regarding current concepts in restoring the partially edentulous dentition. The relevance of occlusal traumatism and fatigue microdamage alone or in combination with periodontal or peri-implant inflammation is reviewed and applied to clinical considerations regarding splinting of adjacent implants and teeth, posterior support and eccentric guidance schemes. Occlusal restoration of the natural dentition has classically been divided into considerations of planning for sufficient posterior support, occlusal vertical dimension and eccentric guidance to provide comfort and aesthetics. Mutual protection and anterior disclusion have come to be considered as acceptable therapeutic modalities. These concepts have been transferred to the restoration of implant-supported restoration largely by default. However, in light of differences in the supporting mechanisms of implants and teeth many questions remain unanswered regarding the suitability of these modalities for implant supported restorations. These will be discussed and an attempt made to provide some current clinical axioms based where possible on the best available evidence.
C02 01  X    @0 002B25I
C02 02  X    @0 002B10C02
C03 01  X  FRE  @0 Prothèse @5 04
C03 01  X  ENG  @0 Prosthesis @5 04
C03 01  X  SPA  @0 Prótesis @5 04
C03 02  X  FRE  @0 Plan traitement @5 05
C03 02  X  ENG  @0 Treatment planning @5 05
C03 02  X  SPA  @0 Plan tratamiento @5 05
C03 03  X  FRE  @0 Occlusion @5 07
C03 03  X  ENG  @0 Occlusion @5 07
C03 03  X  SPA  @0 Oclusión @5 07
C03 04  X  FRE  @0 Implant @5 08
C03 04  X  ENG  @0 Implant @5 08
C03 04  X  SPA  @0 Implante @5 08
C03 05  X  FRE  @0 Dentisterie @5 09
C03 05  X  ENG  @0 Dentistry @5 09
C03 05  X  SPA  @0 Odontología @5 09
C03 06  X  FRE  @0 Revue bibliographique @5 13
C03 06  X  ENG  @0 Bibliographic review @5 13
C03 06  X  SPA  @0 Revista bibliográfica @5 13
C03 07  X  FRE  @0 Déterminant @5 14
C03 07  X  ENG  @0 Determinant @5 14
C03 07  X  SPA  @0 Determinante @5 14
C03 08  X  FRE  @0 Dent @5 15
C03 08  X  ENG  @0 Tooth @5 15
C03 08  X  SPA  @0 Diente @5 15
N21       @1 210
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 08-0331280 INIST
ET : Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts
AU : GROSS (M. D.); KLINEBERG (Iven); BARTOLD (P. Mark)
AF : Department of Oral Rehabilitation, Tel Aviv School of Dental Medicine, Tel Aviv University/Israël (1 aut.); Nobel Biocare Chair of Oral Rehabilitation, Faculty of Dentistry, The University of Sydney, Westmead Centre of oral Health/Westmead/Australie (1 aut.)
DT : Publication en série; Niveau analytique
SO : Australian Dental Journal; ISSN 0045-0421; Australie; Da. 2008; Vol. 53; No. SUP1; S60-S68; Bibl. 20 ref.
LA : Anglais
EA : Today the clinician is faced with widely varying concepts regarding the number, location, distribution and inclination of implants required to support the functional and parafunctional demands of occlusal loading. Primary clinical dilemmas of planning for maximal or minimal numbers of implants, their axial inclination, lengths and required volume and quality of supporting bone remain largely unanswered by adequate clinical outcome research. Planning and executing optimal occlusion schemes is an integral part of implant supported restorations. In its wider sense this includes considerations of multiple inter-relating factors of ensuring adequate bone support, implant location number, length, distribution and inclination, splinting, vertical dimension aesthetics, static and dynamic occlusal schemes and more. Current concepts and research on occlusal loading and overloading are reviewed together with clinical outcome and biomechanical studies and their clinical relevance discussed. A comparison between teeth and implants regarding their proprioceptive properties and mechanisms of supporting functional and parafunctional loading is made and clinical applications made regarding current concepts in restoring the partially edentulous dentition. The relevance of occlusal traumatism and fatigue microdamage alone or in combination with periodontal or peri-implant inflammation is reviewed and applied to clinical considerations regarding splinting of adjacent implants and teeth, posterior support and eccentric guidance schemes. Occlusal restoration of the natural dentition has classically been divided into considerations of planning for sufficient posterior support, occlusal vertical dimension and eccentric guidance to provide comfort and aesthetics. Mutual protection and anterior disclusion have come to be considered as acceptable therapeutic modalities. These concepts have been transferred to the restoration of implant-supported restoration largely by default. However, in light of differences in the supporting mechanisms of implants and teeth many questions remain unanswered regarding the suitability of these modalities for implant supported restorations. These will be discussed and an attempt made to provide some current clinical axioms based where possible on the best available evidence.
CC : 002B25I; 002B10C02
FD : Prothèse; Plan traitement; Occlusion; Implant; Dentisterie; Revue bibliographique; Déterminant; Dent
ED : Prosthesis; Treatment planning; Occlusion; Implant; Dentistry; Bibliographic review; Determinant; Tooth
SD : Prótesis; Plan tratamiento; Oclusión; Implante; Odontología; Revista bibliográfica; Determinante; Diente
LO : INIST-16492.354000197850480080
ID : 08-0331280

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Pascal:08-0331280

Le document en format XML

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<ET>Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts</ET>
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