Tuesday, August 15, 2006

Abutment screw fracture from a heavy biter

A dental implant case by some other guy with metal crown perforation and custom-made abutment screw fracture. The redoing of commercial abutment with new PC crown was performed and kept it continous follow-up O.K. about one year.Open discussion:
Which type of Ti material for abutment should we use in dental implant prosthesis?
Should we rule out the heavy chewing patient from the dental implant list?
When we had done the dental implant for a heavy chewing patient, what should prevent the overload?
Occlusal Considerations for Implant Restorations in the Partially Edentulous Patient (Free download this article! )
By Donald A. Curtis, DMD, Arun Sharma, BDS, MS; Fredrick C. Finzen, DDS; and Richard T. Kao, DDS, PhD (Copyright 2000 Journal of the California Dental Association.)

The type and frequency of complications associated with dental implants has changed during the past decade. As more-successful rates of osseointegration have resulted from improved surgical protocols and materials, the major complications have become restorative-related rather than surgery-related. Recent studies indicate that restorative complications with implant-retained restorations occur at rates of 10 percent to 77 percent over a three-year period. Many of the restorative complications can be minimized with careful treatment planning and coordination of care. However, because implants lack the stress release associated with a periodontal ligament, impact loading to restorative materials and the crestal bone remains potentially more damaging with implant-supported restorations. This article discusses the biomechanical implications of implant restorations and outlines occlusal considerations designed to decrease restorative complications.

Abutment screw fracture from a heavy biter

A dental implant case by some other guy with metal crown perforation and custom-made abutment screw fracture. The redoing of commercial abu...