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An Overview of Complete Artificial Fixed Dentition Supported by Endosseous Implants

Identifieur interne : 007733 ( Main/Merge ); précédent : 007732; suivant : 007734

An Overview of Complete Artificial Fixed Dentition Supported by Endosseous Implants

Auteurs : Dennis Flanagan [États-Unis]

Source :

RBID : ISTEX:EDB5FCD11B1FB73B6A28C401F5C049631B085F1E

Descripteurs français

English descriptors

Abstract

Abstract:  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 is possible. The positionings 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 jaws where the forces are not as great. The posterior teeth should be designed with flat occlusal surfaces that separate during excursionary mandibular chewing movements. Medial mandibular flexure caused by the contraction of the medial pterygoid muscle can be addressed by constructing the prosthesis in segments, so as not to have a rigid entity encased in flexing bone that may induce stress in the bone, potentially leading to loss of implant integration and failure. Segmenting also ensures 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 routine maintenance of the prostheses every 3–6 months is essential. 

Url:
DOI: 10.1111/j.1525-1594.2004.29009.x

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ISTEX:EDB5FCD11B1FB73B6A28C401F5C049631B085F1E

Le document en format XML

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<idno type="wicri:doubleKey">0160-564X:2005:Flanagan D:an:overview:of</idno>
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<biblStruct>
<analytic>
<title xml:lang="en">An overview of complete artificial fixed dentition supported by endosseous implants.</title>
<author>
<name sortKey="Flanagan, Dennis" sort="Flanagan, Dennis" uniqKey="Flanagan D" first="Dennis" last="Flanagan">Dennis Flanagan</name>
<affiliation wicri:level="1">
<nlm:affiliation>Connecticut Dental Groups, Willimantic, CT 06226, USA. dffdds@mindspring.com</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Connecticut Dental Groups, Willimantic, CT 06226</wicri:regionArea>
<wicri:noRegion>CT 06226</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Artificial organs</title>
<idno type="ISSN">0160-564X</idno>
<imprint>
<date when="2005" type="published">2005</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Bite Force</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants</term>
<term>Dental Occlusion</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Mastication</term>
<term>Titanium</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Conception de prothèse dentaire</term>
<term>Force occlusale</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mastication</term>
<term>Mâchoire édentée ()</term>
<term>Occlusion dentaire</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Titane</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
<term>Titanium</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Bite Force</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Occlusion</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture, Complete</term>
<term>Humans</term>
<term>Mastication</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Conception de prothèse dentaire</term>
<term>Force occlusale</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mastication</term>
<term>Mâchoire édentée</term>
<term>Occlusion dentaire</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire complète</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Titane</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">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 is possible. The positionings 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 jaws where the forces are not as great. The posterior teeth should be designed with flat occlusal surfaces that separate during excursionary mandibular chewing movements. Medial mandibular flexure caused by the contraction of the medial pterygoid muscle can be addressed by constructing the prosthesis in segments, so as not to have a rigid entity encased in flexing bone that may induce stress in the bone, potentially leading to loss of implant integration and failure. Segmenting also ensures 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 routine maintenance of the prostheses every 3-6 months is essential.</div>
</front>
</TEI>
</PubMed>
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