By John Hobkirk, Roger M. Watson, Lloyd Searson BDS MS (Univ. of Michigan) FDS.RCS(Eng)
In recent times, dental implants became a extra universal replacement to conventionally positioned dentures, bridges and crowns. This obtainable, well-illustrated creation to the rules of implant dentistry offers readers getting into touch with implants for the 1st time with a operating wisdom of a few of the implant structures to be had. Thorough discussions also are incorporated on sufferer overview and therapy making plans, using implants in edentulous and partly edentulous sufferers and for unmarried teeth restorations, in addition to attainable difficulties and upkeep methods.
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Fig. 8 Conditions such as scleroderma can result in a limited gape, creating access problems that often preclude implant treatment. INTRODUCING DENTAL IMPLANTS 5. Is there a high lip line when smiling or talking, which makes the front of the mouth evident, thus placing great potential demands on the appearance of any restoration that involves the front of the mouth? Fig. 9 Bone loss following removal of the natural teeth can be extensive. In the edentulous mandible the mental foramen may come to lie level with the crest of the alveolar ridge, while the mandibular canal may be relatively superficial.
Fig. 16 Favourable soft-tissue contours exist adjacent to and around the natural teeth that abut a single-tooth span. shortcomings should be explained with the aid of a 'diagnostic wax-up/trial denture' before a treatment plan is finally agreed. For example, the design of a crown for a single tooth restoration will be influenced by the position of the head of the implant body. Hence, previous resorption of the alveolus may result in a longer clinical crown than those of the adjacent natural teeth, unless grafting of the alveolus and soft-tissue surgery can recapture the original form of the tissues.
Minimal bulk Conventional bridges can often be made to be little larger than the tissues that they replace, and thus suffer from few functional problems as compared, for example, with a removable partial denture. Security Conventional bridges can usually be made so as to be extremely secure. Disadvantages Among the principal disadvantages of conventional bridges are the following. Technical complexity Conventional dental bridges range in complexity from those with a single tooth pontic to large constructions restoring the entire dental arch and modifying the occlusion, often in an extensive manner.