Treatment planning: implant-supported partial overdentures.
Identifieur interne : 001698 ( Ncbi/Checkpoint ); précédent : 001697; suivant : 001699Treatment planning: implant-supported partial overdentures.
Auteurs : Winston W L. Chee [États-Unis]Source :
- Journal of the California Dental Association [ 1043-2256 ] ; 2005.
Descripteurs français
- KwdFr :
- Analyse du stress dentaire, Canine, Conception de prothèse dentaire, Crochets dentaires, Extrusion dentaire (rééducation et réadaptation), Humains, Incisive, Maxillaire, Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Overdenture, Planification des soins du patient, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Prothèse dentaire partielle amovible, Prémolaire, Résorption alvéolaire (rééducation et réadaptation), Rétention d'appareil de prothèse dentaire (instrumentation).
- MESH :
- rééducation et réadaptation : Extrusion dentaire, Mâchoire partiellement édentée, Résorption alvéolaire.
- instrumentation : Analyse du stress dentaire, Canine, Conception de prothèse dentaire, Crochets dentaires, Humains, Incisive, Maxillaire, Mâle, Overdenture, Planification des soins du patient, Pose d'implant dentaire endo-osseux, Prothèse dentaire implanto-portée, Prothèse dentaire partielle amovible, Prémolaire, Rétention d'appareil de prothèse dentaire.
English descriptors
- KwdEn :
- Alveolar Bone Loss (rehabilitation), Bicuspid, Cuspid, Dental Clasps, Dental Implantation, Endosseous, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Stress Analysis, Denture Retention (instrumentation), Denture, Overlay, Denture, Partial, Removable, Humans, Incisor, Jaw, Edentulous, Partially (rehabilitation), Male, Maxilla, Patient Care Planning, Tooth Avulsion (rehabilitation).
- MESH :
- instrumentation : Denture Retention.
- rehabilitation : Alveolar Bone Loss, Jaw, Edentulous, Partially, Tooth Avulsion.
- Bicuspid, Cuspid, Dental Clasps, Dental Implantation, Endosseous, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Stress Analysis, Denture, Overlay, Denture, Partial, Removable, Humans, Incisor, Male, Maxilla, Patient Care Planning.
Abstract
When multiple anterior teeth are missing, many options of replacement are available. Traditionally, the choice was between a fixed or removable prostheses. Today, with the predictability of dental implants, the options of tooth replacement range from removable partial dentures to implant-supported fixed prostheses. The choice of which restoration that will best provide occlusion and esthetics depends on multiple factors including the number and location of missing teeth, the residual ridge form in relation to the replacement teeth, the relationship of the maxillary and mandibular anterior teeth, the condition of teeth adjacent to the edentulous span, the amount of bone available for implant placement, the patients "smile line" and display of teeth, lip support, and financial constraints. When there is minimal loss of the ridge contour, restorations that emerge from the ridge are the most functional and esthetic restorations, adhesive-type fixed partial dentures, conventional fixed partial dentures, and implant-supported restorations can be indicated with the choice of restoration dependent on a risk benefit and cost benefit analysis. When there is a loss of ridge contour due to residual ridge resorption or trauma, the decision becomes more complex as not only does the tooth structure need to be replaced, the ridge form also has to be replaced. (Figures 1 and 2). This can be assessed clinically as illustrated by Figures 1 and 2 where a dis crepancy in arch form and ridge form in relation to the adjacent teeth and/or opposing arch can be observed. Other considerations are lip support and display of the teeth when smiling. This article presents a case and rationale for implant-supported par tial overdentures. Many authors have written on the merits of com plete overdentures. The complete overdenture has proven to be an improvement over conventional complete prostheses with respect to chewing efficiency, patient comfort and satisfaction. In partial edentulism, the implant-supported overdenture has several advantages, some in common with a removable partial denture.
PubMed: 15915882
Affiliations:
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<term>Bicuspid</term>
<term>Cuspid</term>
<term>Dental Clasps</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Stress Analysis</term>
<term>Denture Retention (instrumentation)</term>
<term>Denture, Overlay</term>
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<term>Incisor</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
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<term>Maxilla</term>
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<term>Canine</term>
<term>Conception de prothèse dentaire</term>
<term>Crochets dentaires</term>
<term>Extrusion dentaire (rééducation et réadaptation)</term>
<term>Humains</term>
<term>Incisive</term>
<term>Maxillaire</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Prémolaire</term>
<term>Résorption alvéolaire (rééducation et réadaptation)</term>
<term>Rétention d'appareil de prothèse dentaire (instrumentation)</term>
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<term>Jaw, Edentulous, Partially</term>
<term>Tooth Avulsion</term>
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<term>Résorption alvéolaire</term>
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<term>Cuspid</term>
<term>Dental Clasps</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Stress Analysis</term>
<term>Denture, Overlay</term>
<term>Denture, Partial, Removable</term>
<term>Humans</term>
<term>Incisor</term>
<term>Male</term>
<term>Maxilla</term>
<term>Patient Care Planning</term>
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<term>Canine</term>
<term>Conception de prothèse dentaire</term>
<term>Crochets dentaires</term>
<term>Humains</term>
<term>Incisive</term>
<term>Maxillaire</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Planification des soins du patient</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Prémolaire</term>
<term>Rétention d'appareil de prothèse dentaire</term>
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<front><div type="abstract" xml:lang="en">When multiple anterior teeth are missing, many options of replacement are available. Traditionally, the choice was between a fixed or removable prostheses. Today, with the predictability of dental implants, the options of tooth replacement range from removable partial dentures to implant-supported fixed prostheses. The choice of which restoration that will best provide occlusion and esthetics depends on multiple factors including the number and location of missing teeth, the residual ridge form in relation to the replacement teeth, the relationship of the maxillary and mandibular anterior teeth, the condition of teeth adjacent to the edentulous span, the amount of bone available for implant placement, the patients "smile line" and display of teeth, lip support, and financial constraints. When there is minimal loss of the ridge contour, restorations that emerge from the ridge are the most functional and esthetic restorations, adhesive-type fixed partial dentures, conventional fixed partial dentures, and implant-supported restorations can be indicated with the choice of restoration dependent on a risk benefit and cost benefit analysis. When there is a loss of ridge contour due to residual ridge resorption or trauma, the decision becomes more complex as not only does the tooth structure need to be replaced, the ridge form also has to be replaced. (Figures 1 and 2). This can be assessed clinically as illustrated by Figures 1 and 2 where a dis crepancy in arch form and ridge form in relation to the adjacent teeth and/or opposing arch can be observed. Other considerations are lip support and display of the teeth when smiling. This article presents a case and rationale for implant-supported par tial overdentures. Many authors have written on the merits of com plete overdentures. The complete overdenture has proven to be an improvement over conventional complete prostheses with respect to chewing efficiency, patient comfort and satisfaction. In partial edentulism, the implant-supported overdenture has several advantages, some in common with a removable partial denture.</div>
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