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Implant-supported prosthesis misalignment related to the dental arch: a 14-year clinical follow-up.

Identifieur interne : 003214 ( Main/Exploration ); précédent : 003213; suivant : 003215

Implant-supported prosthesis misalignment related to the dental arch: a 14-year clinical follow-up.

Auteurs : Flávio Domingues Das Neves [Brésil] ; Vitor Cor ; João Paulo Da Silva Neto ; Ivete Aparecida De Mattias Sartori ; Ricardo Alves Do Prado

Source :

RBID : pubmed:20932125

Descripteurs français

English descriptors

Abstract

The purpose of this study was to warn the dental community about a possible problem in function with partial implant-supported prostheses used for long periods. The misalignment between natural teeth and the implant-supported prosthesis on teeth 11 and 12, observed in a 14-year clinical follow-up, illustrates the fact. The metal-ceramic crowns were placed in 1995 after a rigorous occlusal adjustment. Evaluations were made at 4, 6, 9, and 14 years, when it was noticed that the restorations were positioned palatally and extruded in comparison with the natural teeth. After 9 years, a greater discrepancy was noticed, with anterior occlusion and esthetic changes. The possible causes have been discussed: occlusal problems, parafunctional habits, and natural movement. The first 2 options were discarded after clinical analysis and diagnosis. Therefore, the natural movement probably deriving from an interaction of mechanical and genetic factors might have been the cause. The implants do not have periodontal ligaments but rather ankylosis, so they do not suffer those movements. This case emphasizes the need to inform patients that implants can last more than 10 years in function, but this is not the case with restorations, which lose function and esthetics and must be replaced.

DOI: 10.1563/AAID-JOI-D-10-00100
PubMed: 20932125


Affiliations:


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Le document en format XML

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<term>Dental Prosthesis Design</term>
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<term>Humans</term>
<term>Incisor (injuries)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
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<term>Dentisterie esthétique</term>
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<term>Fractures dentaires ()</term>
<term>Humains</term>
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<term>Incisive (traumatismes)</term>
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<term>Mâchoire partiellement édentée ()</term>
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<div type="abstract" xml:lang="en">The purpose of this study was to warn the dental community about a possible problem in function with partial implant-supported prostheses used for long periods. The misalignment between natural teeth and the implant-supported prosthesis on teeth 11 and 12, observed in a 14-year clinical follow-up, illustrates the fact. The metal-ceramic crowns were placed in 1995 after a rigorous occlusal adjustment. Evaluations were made at 4, 6, 9, and 14 years, when it was noticed that the restorations were positioned palatally and extruded in comparison with the natural teeth. After 9 years, a greater discrepancy was noticed, with anterior occlusion and esthetic changes. The possible causes have been discussed: occlusal problems, parafunctional habits, and natural movement. The first 2 options were discarded after clinical analysis and diagnosis. Therefore, the natural movement probably deriving from an interaction of mechanical and genetic factors might have been the cause. The implants do not have periodontal ligaments but rather ankylosis, so they do not suffer those movements. This case emphasizes the need to inform patients that implants can last more than 10 years in function, but this is not the case with restorations, which lose function and esthetics and must be replaced.</div>
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