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Occlusion in Implants

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sushantpatel_doc's picture
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Joined: 30 Nov 2009

On prosthodontic treatment with dental implants ,we have refered to crown restorations similar to natural teeth and recostructed so far. Therefore differences between implants and teeth have happened many problems. Especially, for we harmonize occlusion for implant restoration with supporting tissue, superstructure of implant prosthesis, muscles surrounding the jaw and temporomandibular joint, how should we compensate for differences between implants and teeth, and observe occlusal shift and symptom in postoperative progress? It seems that there is little evidence on the relation between implant and occulusion. While, it is necessary for examination of the problem on occlusion for implant restoration to consider mechanically risk and character of dentition. It is essential to reveal that the cause of happened problems is whether trouble of implant or risk of dentition. There has not been the consensus between parafunction and practice in prothodontics in natural dentition yet. How do implants harmonize with nonfunctional and nonphysiological force? We cannot overlook problems that the factor of surplus force affects implant restorations.

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sushantpatel_doc's picture
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Re: Occlusion in Implants

Dental occlusion: modern concepts and their application in implant prosthodontics.
The aim of this article was to review the literature on various aspects of occlusion related to implant prosthodontics, using PubMed and the Cochrane library. Even if the number of studies on implants and prosthodontics is very large, no randomized controlled trials or Cochrane reviews were found on the possible influence of occlusal design or characteristics of occlusion on treatment outcome. Therefore, studies and articles of a lower evidence level were accepted as the main part of the review. The widely spread opinion that implants are superior to natural teeth was refuted by two recent consensus conferences, which concluded that the long-term outcome of implant restorations is not better than that of natural teeth. No controlled studies on the optimal features of a harmonious natural and/or restored occlusion, including implant prostheses, were found. Nor was there any evidence that more sophisticated methods in jaw registration, e.g., using face-bows and adjustable articulators, compared with simpler methods, will yield better clinical prosthodontic results. This article discusses, among other things, concepts of occlusion of implant-supported restorations, occlusal material, cantilevers, and occlusal risk factors. Within the limitations of the review, it was concluded that many factors can influence implant failure and peri-implant bone loss but that little is known of the relative importance of such factors. Most probably, however, occlusal factors and details of occlusion are in general of minor importance for the outcome of implant restorations. Occlusion can be managed successfully by using simple methods for jaw registration and different occlusal concepts.

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mithilamhapankar's picture
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Re: Occlusion in Implants

I think that when we attend the hands-on courses for the same, they may explain the occlusion that that system of implant follows....
any other suggestions?

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sushantpatel_doc's picture
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Re: Occlusion in Implants

I dont think that the concept of occlusion changes with the implant system being used..Its a universal concept i feel..an experienced clinician may be able to explain clearly..

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