Occlusion and implants
Occlusion and implants
Course overview
After completing the course, you will be able to create physiological occlusion during prosthetics on implants of full or partial adentia.
What you will learn
Identify existing and predict future occlusal contacts digitally
Choose the optimal prosthetic design on implants based on the future occlusal relationships
Correct occlusal forces acting on the implant
Adjust the occlusion of the finished restoration on implants.
Course lessons
Lesson 1. Occlusion on implants. Biomechanics
Occlusion on implants: classical overview
Risks of prosthetics on implants
Occlusion control in the prognosis of implant treatment
Loss of lateral support vs infra-occlusion
Classification of occlusal functions:
stabilizing
centering
guiding.
Tasks of prosthetic occlusion
The effect of occlusion on the development of musculoskeletal dysfunctions
Occlusal interference vs simultaneous two-way contact
What is visco-elasticity?
The value of the axial tilt of the implant and the ideal position of the implant
The reaction of bone tissue to the load
Protocol of periodontal functional treatment.
Lesson 2. Occlusion on implants. Making decisions and clinical illustrations
Choice of reference position:
Prosthetic restorations: maximal intercuspation (ICP)
Prosthetic reconstructions: centric relation (RCP).
Mechanical risks of implantation: 4 types
Technical complications of implantation
General principles of occlusion on implants
Bruxism as a risk factor for implants
Occlusal morphology in implantology
Biomechanical rules of implant placement and optimization of the implant inclination
Principles of correction of occlusal contacts
Determinants of occlusal success
Classic guidelines on occlusal strategy
Algorithm for choosing a guide: canine or group
Stabilizing function in full mouth reconstruction
Guiding function in full mouth reconstruction.
Lesson 3. Biomechanical aspects of prosthetics on implants
Principles of implant occlusion
Occlusal force distribution
Factors influencing implant load responses
Biomechanical models
Early marginal bone loss in the integration and healing phase
The three basic components of dentition: posterior support, vertical dimension, excursive guidance
Implant overload, fatigue microtrauma
Peri-implantitis: biomechanical aspects and prospects
Clinical paradigms and current concepts
Restorative options
Fully edentulous considerations
Splinting teeth and implants
Effect of bruxism on implant survival.
Lesson 4. Fully and partially edentulous implant supported reabilitation
Diagnosis and treatment planning according the basic components of the dentition
The value of implant inclination
The risks of using cantilevers
Partially edentulous restorations
Single restorations
The role of occlusion on TMD development
Fully edentulous implant supported restorations
Overdenture considerations
Prosthetic driven, computer-assisted implant planning, guidance and restorations.
