Occlusion in Fixed Full-Arch Implant Prostheses

Abstract

Nowadays, full-arch implant prostheses have become a popular treatment method for the rehabilitation of edentulous patients. Studies have found that prosthetic complications are higher than biological complications. Prosthetic complications may include acrylic tooth fracture, veneer porcelain fracture, screw loosening/breakage, premature wear of acrylic teeth, and framework fracture. Such complications may lead to multiple repair costs, laboratory costs, and dissatisfied patients. Occlusion is a risk factor for prosthetic complications of full-arch implant-supported prostheses. However, little is known about the occlusal planes of full-arch implant-supported prostheses. Most of the existing studies only briefly state the occlusal plane used in prosthesis design. The selection criteria for a particular occlusal scheme are usually based on empirical evidence or the clinician's own occlusal philosophy. In addition, occlusal considerations for different types of materials or opposing teeth often remain unclear in studies. This review describes the current principles of occlusion and their use in implant-supported fixed full denture restorations. A simplified guide will be helpful to the clinician when planning the occlusion of full-arch fixed implant-supported prostheses made of various materials against artificial or natural teeth.

Keywords

• Implant Supported Dentures
• Dental Implants
• Dental Occlusion
• Occlusal Plane

Sabit Tam Ark İmplant Protezlerinde Oklüzyon

Abstract

Günümüzde, tam ark implant protezleri dişsiz hastaların rehabilitasyonu için popüler bir tedavi yöntemi haline gelmiştir. Çalışmalar, protez komplikasyonlarının biyolojik komplikasyonlardan daha yüksek olduğunu göstermektedir. Protez komplikasyonları arasında akrilik diş kırığı, veneer porselen kırığı, vida gevşemesi/kırılması, akrilik dişlerin erken aşınması ve iskelet kırığı yer alabilir. Bu tür komplikasyonlar, çoklu onarım maliyetlerine, laboratuvar maliyetlerine ve memnuniyetsiz hastalara yol açabilir. Oklüzyon, tam ark implant destekli protezlerin protez komplikasyonları için bir risk faktörüdür. Ancak, tam ark implant destekli protezlerin oklüzal düzlemleri hakkında çok az şey bilinmektedir. Mevcut çalışmaların çoğu, protez tasarımında kullanılan oklüzal düzlemi yalnızca kısaca belirtmektedir. Belirli bir oklüzal şema için seçim kriterleri genellikle ampirik kanıtlara veya klinisyenin kendi oklüzal felsefesine dayanmaktadır. Ek olarak, farklı malzeme türleri veya karşıt dişler için oklüzal hususlar çalışmalarda genellikle belirsiz kalmaktadır. Bu derleme, oklüzyonun güncel prensiplerini ve implant destekli sabit tam protez restorasyonlarında kullanımını açıklamaktadır. Basitleştirilmiş bir kılavuz, çeşitli malzemelerden yapılmış tam ark sabit implant destekli protezlerin yapay veya doğal dişlere karşı oklüzyonunu planlarken klinisyene yardımcı olacaktır.

Keywords

• İmplant Destekli Protezler
• Dental İmplantlar
• Dental Oklüzyon
• Oklüzal Plan

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