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Prosthetic management of the partially dentate patient with fixed implant restorations Note
Author(s) -
Belser Urs C.,
MericskeStern Regina,
Bernard JeanPierre,
Taylor Thomas D.
Publication year - 2000
Publication title -
clinical oral implants research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.407
H-Index - 161
eISSN - 1600-0501
pISSN - 0905-7161
DOI - 10.1034/j.1600-0501.2000.011s1126.x
Subject(s) - dentistry , context (archaeology) , implant , orthodontics , scope (computer science) , medicine , dental implant , computer science , surgery , paleontology , biology , programming language
The aim of this chapter is to discuss the current prosthetic management of the partially dentate patient by means of fixed implant restorations in the scope of the ITI ® Dental Implant System . For that purpose, the related statements defined by the participants of the prosthodontic section of the 1997 ITI Consensus Conference in Vitznau, Switzerland, will be presented, completed by explanatory comments where appropriate. Distinct conceptual differences will be made between the esthetic zone (areas of the dental arches where esthetic considerations are of primary concern) and the non‐esthetic zone (regions of the jaws where esthetic aspects do not represent a priority), and between single tooth replacement and multiple unit implant restorations. Furthermore, it is underlined that current clinical concepts should be based on both predictable treatment outcome and cost‐effectiveness. In this context, a straightforward surgical and prosthetic protocol is generally preferred in posterior locations of the oral cavity, using a nonsubmerged implant placement comprising an easily accessible implant shoulder location, and subsequently cemented implant restorations, basically according to a traditional prosthodontic approach. In esthetically demanding indications, where normally a distinctly submucosal implant shoulder location is advocated, screw‐retained restorations are preferred, based on prefabricated prosthetic components (e.g. machined cast‐on copings) to assure optimum surface properties and contour, and to achieve adequate marginal adaptation.