Fully arch Implant Retrained Prosthesis - Bone-Implant Contacts - Management Assignment Help

Assignment Task :

Topic: You are to restore an upper full arch implant retained bridge that occludes against a partially dentate mandible.  Explain the factors that you would consider in your occlusal management of this type of case.  Support your discussion with a critical appraisal of the evidence.

Introduction

Successful osseointegration of implant has become the optimal objective of partially and fully arch implant retrained prosthesis. An appropriate occlusal approach is a critical requirement for both long-term survival implants and prosthesis. The effects of mechanical loading on bone-implant contacts (BIC) must be noted (Marcián et al 2014). The excessive load of occlusion might affect the BIC and contribute to the peri-implantitis, bone loss, and even implant failure. Therefore, analysing of the implant occlusion and risk factors is important. To understand deeply occlusal overload, it is critical to differentiate early loading and occlusal overloading. Early loading is explained as implant/or prosthetics on implant bear occlusal force from 48 hours to 3 months after implant placement. This kind of force from early loading may affect to osseointegrate process. While occlusal overloading is the force transmission onto the BIC. To restore the fully arch implant retained bridge in maxilla jaw, the need to analysis implant occlusion, examine the risk factors of occlusal overloading, and finally suggest the appropriate occlusal management scheme and prosthesis design.  

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