Facially Driven Digital Workflow for Maxillary and Mandibular Milled Implant- Retained Overdentures Using Two Different Unsplinted Attachment Systems: Case Report.

Unsplinted attachment systems for implant overdentures offer various benefits for edentulous patients, including cost-effectiveness, enhanced cleansability, and less need for manual dexterity. This article describes a facially driven digital workflow for fabricating a maxillary implant overdenture retained by conometric-style attachments (Atlantis® Conus) with a palateless design opposing an implant overdenture retained by standard attachments (LOCATOR®). This procedure provides a predictable and accurate technique to digitally scan the master casts with wax rims for articulation and to guide the digital teeth design set-up for a predictable esthetic outcome.

Repair of a Non-Retentive Crown Over a Press-Fit Implant Placed 30 Years Prior: A Case Report.

Dental implant treatment has been proven to be a successful therapy to rehabilitate single, partial, and fully edentulous sites. Evidence shows that the use of implant-supported restorations is predictable and can deliver long-term success. However, discontinuation of implant systems can be challenging for prosthesis maintenance.

Dentoalveolar changes in adults promoted by the use of auxiliary expansion arch: A cbct study.

Background: The objective of this study was to evaluate the dentoalveolar effects and the changes of buccal cortical bone in the posterior area after expansion obtained with TMA auxiliary expansion arch in adult patients.

Material And Methods: A retrospective analysis of CT scans of 13 patients (6 male, 7 female) treated at a private clinic, taken immediately before and after the use of an auxiliary expansion archwire, was performed. Mean age at installation of TMA auxiliary expansion arch was 29.

Evolution of Full-Arch Implant Prosthodontics: From Analog Protocols to Digital Workflows.

Ever since orthopedic research emanating from Sweden revealed that human bone could consistently fuse to titanium, forward-thinking prosthodontists have pursued the enormous possibilities for restoring patients with implant-supported prosthodontics. Applications for osseointegration in full-arch prosthetic dentistry have evolved, with the chronologic development of technique and technology progressing from multi-step complex analog procedures to streamlined digital production of immediately loaded prosthetic dentitions that predictably deliver restorative excellence. This article presents a historical perspective that describes how dental implant prosthodontic materials and methods have advanced and are effectively keeping pace with other medical disciplines while remaining entrenched in scientifically based methodology.

Integrating a Full Digital Workflow to Achieve Optimal Surgical and Restorative Outcomes in Implant Dentistry.

Although the scientific evidence supporting complete digital workflows in implant dentistry is limited, practitioners continue to show increasing interest in implementing these types of protocols into clinical practice. The digital workflow enhances the ability of surgical clinicians, restoring dentists, other specialists, and technicians to collaborate in the treatment planning process to idealize treatment outcomes and achieve truly prosthetically driven restorative outcomes. This article describes the flow of this process and reviews software applications that can be utilized to strengthen the output of the digital workflow.

Use of titanium mesh in implant site development for restorative-driven implant placement: case report. Part 2: surgical protocol for single-tooth esthetic zone sites.

There are many techniques in the dental implant literature to augment bone for implant site development. The use of rigid titanium mesh was first described by Boyne in the mid-1980s to maintain regenerative space and to aid in unimpeded bone healing. Ti-mesh was used in this case report to demonstrate the predictability of this technique in creating bone augmentation in both a lateral and vertical direction prior to the placement of a single implant in site No.

Use of titanium mesh in implant site development for restorative-driven implant placement: case report. Part 1--Restorative protocol for single-tooth esthetic zone sites.

Predictably augmenting alveolar bone is a significant challenge in implant site development. A restorative-driven approach to implant placement aids in achieving esthetic harmony in the final restoration. This case report demonstrates techniques for treating patients with significant bony defects using a titanium mesh scaffold along with prosthetic steps in molding and conditioning soft tissues with the provisional restoration and the fabrication of a custom impression coping.

Challenges in achieving gingival harmony.

Gingival harmony is an important element in the esthetics of the smile. Clinicians need to have the essential knowledge to create an optimal soft-tissue profile around teeth and implant restorations. The goal of this article is to describe the requirements for ideal gingival architecture and techniques used to achieve them.

Class II malocclusion occlusal severity description.

Objectives: It is well known that the efficacy and the efficiency of a Class II malocclusion treatment are aspects closely related to the severity of the dental anteroposterior discrepancy. Even though, sample selection based on cephalometric variables without considering the severity of the occlusal anteroposterior discrepancy is still common in current papers. In some of them, when occlusal parameters are chosen, the severity is often neglected.