The role of the restorative dentist in the diagnosis and maintenance phases of implant therapy--Part II: Prosthetic planning.

Abstract:

:Prosthetic planning is critical to the success of the diagnostic phase of implant therapy and is used to establish fixture numbers, position and the optimal occlusal scheme, based on the design of the definitive prosthesis. The prosthetic needs of the patient, anticipated functional and parafunctional forces, restoration fabrication and serviceability are all considered. A clear picture of the intended rehabilitation is provided to the surgical team and expedites the consultation between implant team members. Comprehensive diagnostic planning using mounted diagnostic casts and diagnostic wax-ups will provide definite parameters for fixture number, position and alignment, and permit the fabrication of radiographic and surgical templates as the treatment sequence progresses. Patients need to be informed of the time and expense involved in the diagnostic phase of implant therapy prior to the initiation of the planning process. The practitioner conducting the selection and planning phase is entitled and should expect financial remuneration commensurate with the time and effort required to achieve the objectives of this phase of implant therapy. The Planning Process Using mounted diagnostic casts and diagnostic wax-ups: 1. Establish fixture numbers and position; 2. Establish the optimal occlusal scheme; 3. Design the definitive prosthesis; 4. Fabricate a surgical template. Design Principles--Summary 1. The location and number of fixtures dictates the prosthetic design and influences restorative success. 2. A restoration must be designed to distribute forces to the fixtures without overloading the bone, and therefore be able to withstand anticipated functional and parafunctional loading. 3. Design for optimal function and esthetics with a regard for patient comfort and maintenance.

journal_name

J Can Dent Assoc

authors

Mazurat RD,Love WB,Pesun IJ

subject

Has Abstract

pub_date

1994-09-01 00:00:00

pages

814-8

issue

9

eissn

0709-8936

issn

1488-2159

journal_volume

60

pub_type

杂志文章
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    authors: Etminan M,Nouri MR,Sodhi M,Carleton BC

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  • Supernumerary teeth--an overview of classification, diagnosis and management.

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    authors: Garvey MT,Barry HJ,Blake M

    更新日期:1999-12-01 00:00:00

  • A review of commonly prescribed oral antibiotics in general dentistry.

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  • Bleeding disorders of importance in dental care and related patient management.

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  • Canada-wide standards: a pollution prevention program for dental amalgam waste.

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  • The law and ethics in relation to dentists treating HIV-positive patients: two recent court cases.

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    authors: Graham PE,Miller NM,Harel-Raviv M

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  • Investigating the potential for students to provide dental services in community settings.

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  • Management of a deeply impacted mandibular third molar and associated large dentigerous cyst to avoid nerve injury and improve periodontal healing: case report.

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  • Unconventional dentistry: Part III. Legal and regulatory issues.

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    更新日期:2000-10-01 00:00:00

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  • Chemical burns of the oral mucosa: report of a case.

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  • Cervicofacial and mediastinal emphysema complicating a dental procedure.

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    pub_type: 杂志文章

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  • [Alveolitis--current opinion].

    abstract::Following the removal of mandibular teeth, especially third molars nowadays, a post-operative complication may occur, namely alveolitis. This article reviews the pertinent literature concerning this condition and discusses its etiology, symptoms and treatment. ...

    journal_title:Journal (Canadian Dental Association)

    pub_type: 杂志文章,评审

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    authors: Turcotte JY

    更新日期:1997-03-01 00:00:00

  • Chairside repair of ceramo-metallic restorations.

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    pub_type: 杂志文章,评审

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