1 Prevention and Management of Cheek and/or Tongue Biting Related to Posterior Implant-Supported Fixed Dental Prostheses (ISFDPs). | LitMetric

Prevention and Management of Cheek and/or Tongue Biting Related to Posterior Implant-Supported Fixed Dental Prostheses (ISFDPs).

J Prosthodont

Department of Reconstructive Dentistry & Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.

Published: August 2019

After the loss of several adjacent posterior teeth, bone resorption occurs that can lead to a marked occlusal discrepancy between arches. This discrepancy may originate from the more pronounced resorption at the facial portion of the alveolar bone crest, often resulting in a more palatal implant position. Therefore, establishing normal overbite and cusp-fossa relation may become difficult, namely causing inappropriate crown contours and emergence profiles. This manuscript describes a technique in which a different occlusal configuration is given to solve some problems that edge-to-edge occlusal configuration produces. For instance, patients may suffer from cheek and/or tongue biting after the delivery of a maxillary posterior implant-supported fixed dental prosthesis resulting in an edge-to-edge occlusal configuration. In instances of severe maxillary resorption in the posterior buccal zone, it is recommended to consider a distinct cross-bite occlusion and by this prevent the well-known discomfort and clinical signs associated with both an edge-to-edge interarch relationship or a so-called "stretched" transversal overbite.

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Source
http://dx.doi.org/10.1111/jopr.12912DOI Listing

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