Complete artificial dentition supported by endosseous implants: a case report of total in-office treatment.
Identifieur interne : 007223 ( Main/Curation ); précédent : 007222; suivant : 007224Complete artificial dentition supported by endosseous implants: a case report of total in-office treatment.
Auteurs : Dennis Flanagan [Niger]Source :
- The Journal of oral implantology [ 0160-6972 ] ; 2005.
Descripteurs français
- KwdFr :
- Adulte, Analyse du stress dentaire, Conception d'appareil de prothèse dentaire, Dimension verticale, Femelle, Force occlusale, Humains, Mâchoire édentée (imagerie diagnostique), Mâchoire édentée (rééducation et réadaptation), Pose d'implant dentaire endo-osseux (), Prothèse dentaire complète, Prothèse dentaire complète immédiate, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Radiographie, Relation centrée.
- MESH :
- imagerie diagnostique : Mâchoire édentée.
- rééducation et réadaptation : Mâchoire édentée.
- Adulte, Analyse du stress dentaire, Conception d'appareil de prothèse dentaire, Dimension verticale, Femelle, Force occlusale, Humains, Pose d'implant dentaire endo-osseux, Prothèse dentaire complète, Prothèse dentaire complète immédiate, Prothèse dentaire implanto-portée, Prothèse partielle fixe, Radiographie, Relation centrée.
English descriptors
- KwdEn :
- Adult, Bite Force, Centric Relation, Dental Implantation, Endosseous (methods), Dental Prosthesis, Implant-Supported, Dental Stress Analysis, Denture Design, Denture, Complete, Denture, Complete, Immediate, Denture, Partial, Fixed, Female, Humans, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (rehabilitation), Radiography, Vertical Dimension.
- MESH :
- diagnostic imaging : Jaw, Edentulous.
- methods : Dental Implantation, Endosseous.
- rehabilitation : Jaw, Edentulous.
- Adult, Bite Force, Centric Relation, Dental Prosthesis, Implant-Supported, Dental Stress Analysis, Denture Design, Denture, Complete, Denture, Complete, Immediate, Denture, Partial, Fixed, Female, Humans, Radiography, Vertical Dimension.
Abstract
This case report demonstrates the construction of a complete restoration of the dentition by the surgical placement of endosseous titanium implants that support a fixed prosthesis in each jaw. The positioning of the implants and teeth in the prostheses are important factors for a successful long-term result. Distribution of the occlusal biting forces over as many implants as possible is important. Off-axial occlusal biting forces should be diverted to the anterior prostheses, where the forces are not as great and the posterior teeth are designed with flat occlusal surfaces that separate during excursionary chewing movements. Medial mandibular flexure caused by the contraction of the medial pterygoid muscle can be addressed by constructing the prosthesis in segments. This is so as not to have a rigid entity encased in flexing bone that may induce stress to the bone, leading to loss of implant integration and failure. Segmenting also insures an appropriate fit of the prosthesis with respect to casting and porcelain firing distortion. Lip support by means of a flange in the prosthesis may be necessary when there has been a large amount of bone loss from edentulous resorption. Cleaning and maintenance of the prostheses every 3 to 6 months is essential.
DOI: 10.1563/0-726.1
PubMed: 15871528
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pubmed:15871528Le document en format XML
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<term>Analyse du stress dentaire</term>
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<term>Dimension verticale</term>
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<term>Force occlusale</term>
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<term>Mâchoire édentée (imagerie diagnostique)</term>
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<term>Prothèse partielle fixe</term>
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<term>Bite Force</term>
<term>Centric Relation</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Stress Analysis</term>
<term>Denture Design</term>
<term>Denture, Complete</term>
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<term>Force occlusale</term>
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<term>Prothèse dentaire complète immédiate</term>
<term>Prothèse dentaire implanto-portée</term>
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<front><div type="abstract" xml:lang="en">This case report demonstrates the construction of a complete restoration of the dentition by the surgical placement of endosseous titanium implants that support a fixed prosthesis in each jaw. The positioning of the implants and teeth in the prostheses are important factors for a successful long-term result. Distribution of the occlusal biting forces over as many implants as possible is important. Off-axial occlusal biting forces should be diverted to the anterior prostheses, where the forces are not as great and the posterior teeth are designed with flat occlusal surfaces that separate during excursionary chewing movements. Medial mandibular flexure caused by the contraction of the medial pterygoid muscle can be addressed by constructing the prosthesis in segments. This is so as not to have a rigid entity encased in flexing bone that may induce stress to the bone, leading to loss of implant integration and failure. Segmenting also insures an appropriate fit of the prosthesis with respect to casting and porcelain firing distortion. Lip support by means of a flange in the prosthesis may be necessary when there has been a large amount of bone loss from edentulous resorption. Cleaning and maintenance of the prostheses every 3 to 6 months is essential.</div>
</front>
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