RESUMO
In the last 5 decades, the developments of osseointegrated titanium implants (since 1965) have led to the success of contemporary dentistry. Endosseous implant-supported restorations delivered in accordance with the traditional Branemark protocol have proven to be highly predictable. Today, implants are becoming increasingly common in dental care and provide more therapeutic options, but treatment planning and the sequencing of therapy are critical in implant-assisted and implant-supported cases. Implant prostheses give patients and dentists more options in treatment planning, but also present challenging decisions regarding implant surgery. In essence, the emerging thought is that teeth are expendable, as we now have implants to solve these problems. The fact that peri-implantitis is no simple problem to treat does not seem to affect many who hold that thought. In this article, the authors explain how to properly apply the periodontal prosthesis philosophy, concepts, principles, and techniques in contemporary dentistry. (This article is an update from the article was published in 2005) [1].
Assuntos
Implantação Dentária Endóssea/métodos , Odontologia/métodos , Peri-Implantite/patologia , Prótese Periodontal/métodos , Titânio/administração & dosagem , Implantação Dentária Endóssea/efeitos adversos , Implantação Dentária Endóssea/psicologia , Implantes Dentários/efeitos adversos , Planejamento de Prótese Dentária , Odontologia/tendências , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Planejamento de Assistência ao Paciente , Peri-Implantite/etiologia , Peri-Implantite/prevenção & controle , Prótese Periodontal/psicologia , Periodonto/patologia , Periodonto/cirurgia , Titânio/efeitos adversos , Perda de Dente/patologia , Perda de Dente/cirurgiaRESUMO
In the last 4 decades, the developments of osseointegrated titanium implants have led to the success of contemporary dentistry. Endosseous implant-supported restorations delivered in accordance with the traditional Branemark protocol have proven to be highly predictable. Today, implants are becoming increasingly common in dental care and provide more therapeutic options, but treatment planning and the sequencing of therapy are critical in implant-assisted and implant-supported cases. Implant prostheses give patients and dentists more options in treatment planning, but also present challenging decisions regarding implant surgery. In this article, the author explains how to apply the periodontal prosthesis philosophy, concepts, principles, and techniques to the implant-supported prosthesis.
Assuntos
Prótese Dentária Fixada por Implante/métodos , Falha de Restauração Dentária , Doenças Periodontais/terapia , Implantes Dentários , Gengiva/anatomia & histologia , HumanosRESUMO
UNLABELLED: A modified design for ovate pontics is proposed to achieve the esthetic, functional, and hygienic requirements for fixed partial dentures. This design should aid the clinician in preparing the edentulous area, thus resulting in less discomfort for the patient because little to no ridge augmentation is required. The same emergence profile can be developed as with the classic ovate pontic design. CLINICAL SIGNIFICANCE: A modified ovate pontic has the following advantages: excellent esthetics because it produces a correct emergence profile; fulfilled functional requirements; greater ease of cleaning as compared with the ovate pontic; an effective air seal, which eliminates air or saliva leakage; the appearance of a free gingival margin and interdental papilla; elimination or minimization of the "black triangle" between the teeth; and little or no ridge augmentation required prior to the final restoration.
