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Optimal placement of the two anterior implants for the mandibular All-on-4 concept.

Identifieur interne : 000022 ( France/Analysis ); précédent : 000021; suivant : 000023

Optimal placement of the two anterior implants for the mandibular All-on-4 concept.

Auteurs : Jean-Philippe Ré [France] ; Bruno Foti [France] ; Jean-Marc Glise [France] ; Jean-Daniel Orthlieb [France]

Source :

RBID : pubmed:25858210

Descripteurs français

English descriptors

Abstract

The novelty of the All-on-4 concept for a mandibular implant-supported fixed dental prosthesis is the inclination of the posterior implants. Typically, the anterior implants are placed lingually relative to the canine/incisor teeth and perpendicular relative to the occlusal plane. According to the laws of elementary biomechanics, the long axis of the implant unit should be aligned to the axis of the occlusal loading forces during clenching in the maximal intercuspal position. When several implants are connected by a prosthesis, the mean axis of the overall occlusal loading must be taken into account. The objective of this report was to propose a different position for anterior implants by tilting them labially to counterbalance the distal inclination of the posterior implants.

DOI: 10.1016/j.prosdent.2015.01.012
PubMed: 25858210


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pubmed:25858210

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<div type="abstract" xml:lang="en">The novelty of the All-on-4 concept for a mandibular implant-supported fixed dental prosthesis is the inclination of the posterior implants. Typically, the anterior implants are placed lingually relative to the canine/incisor teeth and perpendicular relative to the occlusal plane. According to the laws of elementary biomechanics, the long axis of the implant unit should be aligned to the axis of the occlusal loading forces during clenching in the maximal intercuspal position. When several implants are connected by a prosthesis, the mean axis of the overall occlusal loading must be taken into account. The objective of this report was to propose a different position for anterior implants by tilting them labially to counterbalance the distal inclination of the posterior implants.</div>
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