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IMPLANT OCCLUSION
BY
FEBEL HUDA
2ND Yr PG
GUIDED BY Dr. R.Madhan
M.D.S
“Occlusion is a static relationship between the incising or masticating surfaces of the maxillary and mandibular teeth or tooth
analogues.”GPT-8.
QUERIES ?
WHAT IS AN IMPLANT?“A graft or insert set firmly or deeply into the
alveolar process that may be prepared for its insertion” – GPT-8
• WHAT IS AN IMPLANT?
QUERIES ?
WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
PDL OSSEOINTRGRATION
SHOCK ABSORBERSTRESS DISTRIBUTION
STRESS CONCENTRATED
ATCRESTAL BONE
FULCRUM TO LATERAL FORCES
LATERAL MOVEMENTS
56 -108µm 10-50µm
APICAL MOVEMENT
25-100µm3-5µm
PROPRICEPTION
OSSEOPERCEPTION
OVER LOAD
QUERIES ?• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
QUERIES ?
WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
FORCES ON A IMPLANT ARE
NORMAL FORCE
SHEAR FORCE
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
QUERIES ? • FORCE• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
QUERIES ? • FORCE• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
QUERIES ? • MOMENT or torque is defined as a vector(M),the magnitude of which equals the product of the force magnitude multiplied by the perpendicular distance(moment arm) from the point of interest to the line of action of the force.
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
QUERIES ? • MOMENT• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
QUERIES ? • MOMENT (OCCLUSAL FORCE)
LENGTH OF THE PROSTHESIS BECOMES THE
MOMENT ARM
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
QUERIES ? • MOMENT (LINGUAL FORCE)
HEIGHT OF THE PROSTHESIS BECOMES THE
MOMENT ARM
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
QUERIES ? • MOMENT (LINGUAL FORCE)HEIGHT OF THE PROSTHESIS BECOMES THE
MOMENT ARM
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
QUERIES ? • MOMENT (MESIAL FORCE)HEIGHT OF THE PROSTHESIS BECOMES THE
MOMENT ARM
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
QUERIES ? • HOW SPLINTING HELPS REDUSE FORCE?• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
QUERIES ? • WHAT IS SO IMPORTANT ABOUT OCCLUSION?
1. Masticatory efficiency
2. Comfort and stability
3. Long term success of prosthesis
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
QUERIES ? • WHAT IS AN IDEAL OCCLUSION?
• DAWSON(1974)• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT IS AN IDEAL OCCLUSION?
QUERIES ? NATURAL DENTITION
• Canine protected
• Group function(unilateral balanced occlusion)
• Mutually protected(anterior disclusion, posterior disclusion, organic occlusion, anterior protected occlusion)
• Bilateral balanced occlusion
• DENTURE OCCLUSION
• Bilateral balanced occlusion
• Lingualized occlusion
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
CANINE PROTECTED
GROUP FUNCTION
MUTUALLY PROTECTED
BILATERAL BALANCED OCCLUSION
LINGUALIZED OCCLUSION
QUERIES ? • CANINE PROTECTED OCCLUSION
• D AMICO(1958)• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
Dawson PE ,Evaluation ,Diagnosis and Treatment of Occlusal Problems :A textbook of Occlusion. 2 nd Edition St.Louis,C V Mosby Co. 1978. pp274-297
QUERIES ? • CANINE PROTECTED OCCLUSION
• WHY CANINE?• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
QUERIES ? • GROUP FUNCTION
• SCHUYLER 1959• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
QUERIES ? • FREEDOM OF OCCLUSION
(LONG CENTRIC)
POSSELT (1952) in study 0.5- 1.5mm
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
Dawson PE ,Evaluation ,Diagnosis and Treatment of Occlusal Problems :A textbook of Occlusion. 2 nd Edition St.Louis,C V Mosby Co. 1978. pp274-297
QUERIES ? • MUTUALLY PROTECTED
STUART & STALLARD (1960)• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
Dawson PE ,Evaluation ,Diagnosis and Treatment of Occlusal Problems :A textbook of Occlusion. 2 nd Edition St.Louis,C V Mosby Co. 1978. pp274-297
QUERIES ? • ORGANIC OCCLUSION
• Stuart & Stallard (1961)• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
QUERIES ? • BILATERAL BALANCED OCCLUSION
SEAR (1925)• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
Dawson PE ,Evaluation ,Diagnosis and Treatment of Occlusal Problems :A textbook of Occlusion. 2 nd Edition St.Louis,C V Mosby Co. 1978. pp274-297
QUERIES ? • LINGUALIZED OCCLUSION
GYSI (1927)
FRENCH (1935)
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
Rodney;Lingualized occlusion revisited; J Prosthet Dent 2010;104:342-46.
QUERIES ? • LINGUALIZED OCCLUSION
PAYNE (1941)
30˚ tooth
POUND (1973)
> 30˚ MAXILLA
<20 ˚ MANDIBULAR
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
Rodney;Lingualized occlusion revisited; J Prosthet Dent 2010;104:342-46.
QUERIES ? • LINGUALIZED OCCLUSION• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
Jim Collis CDT; Lingualized Occlusion Simplifying the Set-up Enhancing Function and Esthetics.
QUERIES ? • IMPLANT PROTECTED OCCLUSION
The salient features of this concept are
1. Usage of implants of greater width whenever possible
2. Anterior teeth should disclude the posterior teeth
3. Absence of lateral contacts in excursion.
4. All occlusal contacts more medial than the natural teeth
5. A reduced width of the occlusal table
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
Misch CE, Bides MW. Implant-protected occlusion. Int J Dent Symp, 2: 32-37, 1994.
QUERIES ? • IMPORTANCE OF THE OCCLUSAL TABLE?
1. Occlusal table width
2. Height of the prosthesis
3. Occlusal form
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
QUERIES ? Occlusal table width• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
QUERIES ? • Height of the prosthesis• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
IDEAL HEIGHT=9 – 10mm
Every 1mm of crown height
20% increase in force
Steven Kendrick; Vertical and Horizontal Dimensions of Implant Dentistry: Numbers Every Dentist Should Know; INSIDE DENTISTRY—JULY/AUGUST 2009.
QUERIES ? • Occlusal form• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
JAMIE 1996- shallow cusps and flat occlusal table
WEINBERG 1995- ↑10˚ cuspal inclination↑30% load
20˚ cusp tooth is preferred over flat cusp
Jamie; The influence of occlusal design on simulated masticatory forces transferred to implant-retained prostheses and supporting bone;J Prosthet Dent 1996;76:50-5.
QUERIES ? • WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
QUERIES ? • HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
• 16 µ : Removable implant prosthesis
• 12 µ : Removable – natural tooth
• 8 µ : fixed implant prosthesis
• Force bearable by implant to implant prosthesis is 3µ (nearly 0)
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
Dawson PE. Functional occlusion: from TMJ to smile design. Vol.1. St. Louis (MO): Mosby and Co. 2007. p. 347. & 393- 410.
QUERIES ? • T- SCAN• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
Robert.B.; Artculating paper mark misconceptions and computerized occlusal analysis technology: a clinical brief.
QUERIES ? • WHAT ARE THE OTHER MEANS OF REDUCING FORCE ON A IMPLANT?
1. Angle of the implant
2. Design of the prosthesis
3. Spacing of implants (A-P spread)
4. Splinting of the implants
5. Staggering of implants
6. Number of implants
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
Carl. E. Mish; contemprory implant dentistry,3rd ed.
1 2
3 4
Stewart’s , Clinical Removable Partial Prosthodontics 3rd ed
QUERIES ? • CLINICAL SITUATIONS (single tooth)• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
GROUP FUNCTION
Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.
QUERIES ? • CLINICAL SITUATIONS ( KD class 1)• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
MUTUALLY PROTECTEDGROUP FUNCTION (WHEN ANTERIORS ARE PERIODONTALY COMPROMISED)
Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.
QUERIES ? • CLINICAL SITUATIONS ( KD class 2) • WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
MUTUALLY PROTECTEDCANINE PROTECTED GROUP FUNCTION (WHEN ANTERIORS ARE PERIODONTALY COMPROMISED)
Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.
QUERIES ? • CLINICAL SITUATIONS ( KD class 3) • WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
GROUP FUNCTION
Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.
QUERIES ? • CLINICAL SITUATIONS ( KD class 4) • WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
GROUP FUNCTION
Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.
QUERIES ? • CLINICAL SITUATIONS
(implant supported fixed prosthesis opposing natural dentition)
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
GROUP FUNCTION (OR)MUTUALLY PROTECTEDWITH SHALLOW ANTERIOR GUIDANCE
Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.
QUERIES ? • CLINICAL SITUATIONS
(implant supported fixed prosthesis opposing complete denture)
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
BILATERAL BALANCED OCCLUSION
Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.
QUERIES ? • CLINICAL SITUATIONS
(implant supported overdenture for normal ridge)
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
BILATERAL BALANCED LINGUALIZED OCCLUSION
Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.
QUERIES ? • CLINICAL SITUATIONS
(implant supported overdenture for severely resorbed ridge)
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION? MONOPLANE OCCLUSION
Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.
QUERIES ? SUMMARY• WHAT IS AN IMPLANT?• WHAT IS SO DIFFERENT BETWEEN IMPLANT
AND NATURAL TEETH?• WHAT ARE THE DIFFERENT FORCES ACTING
ON AN IMPLANT?• HOW SPLINTING HELPS REDUSE FORCE?• WHAT IS SO IMPORTANT ABOUT
OCCLUSION?• WHAT ARE THE DIFFERENT TYPE OF
OCCLUSION?• IMPORTANCE OF THE OCCLUSAL TABLE?• WHAT IS THE MATERIAL OF CHOICE FOR
OCCLUSAL TABLE?• HOW TO CHECK THE FINAL IMPLANT
OCCLUSION?
• WHAT IS AN IMPLANT?
• WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?
• WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?
• HOW SPLINTING HELPS REDUSE FORCE?
•WHAT IS SO IMPORTANT ABOUT OCCLUSION?
•WHAT ARE THE DIFFERENT TYPE OF OCCLUSION?
•IMPORTANCE OF THE OCCLUSAL TABLE?
•WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?
•HOW TO CHECK THE FINAL IMPLANT OCCLUSION?
PREVENT THIS !!!
REFERENCES1. H T Shillingburg, Fundamentals of Fixed Prosthodontics, 3rd
edition; Fundamentals of occlusion, Pp 11-242. Dawson PE ,Evaluation ,Diagnosis and Treatment of
Occlusal Problems :A textbook of Occlusion. 2 nd Edition St.Louis,C V Mosby Co. 1978. pp274-297
3. Carl. E. Mish; contemprory implant dentistry,3rd ed.4. Mc Neill; science and practice of occlusion;2nd ed. 5. Stewart’s , Clinical Removable Partial Prosthodontics 3rd ed6. Shantanu Jambhekar;Occlusion and Occlusal
Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.
7. MD Gross; Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts; Australian Dental Journal 2008; 53:(1 Suppl): S60–S68.
REFERENCES
7. Yongsik Kim; Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale; Clin. Oral Impl. Res. 16, 2005; 26–35.
8. YU-YING CHEN; Implant occlusion: biomechanical considerations for implant-supported prostheses; J Dent Sci2008¡EVol 3¡ENo 2.
9. Misch CE, Bides MW. Implant-protected occlusion. Int J Dent Symp, 2: 32-37, 1994.
10. Torsten Jemt; Group function or canine protection; J Prosthet Dent 2004;91:403-8.
11. Michael J. Racich; Implants & Occlusion: Observations & Their Clinical Significance; The Journal of Implant & Advanced Clinical Dentistry Vol. 3, No. 2 • February 2011.
REFERENCES12. Byoung-Sup Sohn; Strain of implants depending on
occlusion types in mandibular implant-supported fixed prostheses; J Adv Prosthodont 2011;3:1-9.
13. PJ Henry; Immediate loading of dental implants; Australian Dental Journal 2008; 53:(1 Suppl): S69–S81.
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