Vous êtes sur la page 1sur 57

IMPLANT OCCLUSION

GUIDED BY Dr. R.Madhan M.D.S

BY FEBEL HUDA 2ND Yr PG

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?

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

QUERIES ?
WHAT IS AN IMPLANT? WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?

OVER LOAD

SHOCK ABSORBER WHAT IS SO DIFFERENT BETWEEN STRESS DISTRIBUTION IMPLANT AND NATURAL TEETH? PDL

STRESS CONCENTRATED AT CRESTAL BONE

OSSEOINTRGRATION

FULCRUM TO LATERAL FORCES LATERAL MOVEMENTS 56 -108m APICAL MOVEMENT 25-100m PROPRICEPTION

OSSEOPERCEPTION

10-50m

3-5m

QUERIES ?
WHAT IS AN IMPLANT? WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH?

Carl. E. Mish; contemprory implant dentistry,3rd ed.

QUERIES ?
WHAT IS AN IMPLANT? WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH? WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?

WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?

FORCES ON A IMPLANT ARE NORMAL FORCE SHEAR FORCE

Carl. E. Mish; contemprory implant dentistry,3rd ed.

QUERIES ?
WHAT IS AN IMPLANT? WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH? WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?

FORCE

Carl. E. Mish; contemprory implant dentistry,3rd ed.

QUERIES ?
WHAT IS AN IMPLANT? WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH? WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?

FORCE

Carl. E. Mish; contemprory implant dentistry,3rd ed.

QUERIES ?
WHAT IS AN IMPLANT? WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH? WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?

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.

Carl. E. Mish; contemprory implant dentistry,3rd ed.

QUERIES ?
WHAT IS AN IMPLANT? WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH? WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?

MOMENT

Carl. E. Mish; contemprory implant dentistry,3rd ed.

QUERIES ?
WHAT IS AN IMPLANT? WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH? WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?

MOMENT (OCCLUSAL FORCE)


LENGTH OF THE PROSTHESIS BECOMES THE MOMENT ARM

Carl. E. Mish; contemprory implant dentistry,3rd ed.

QUERIES ?
WHAT IS AN IMPLANT? WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH? WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?

MOMENT (LINGUAL FORCE)


HEIGHT OF THE PROSTHESIS BECOMES THE MOMENT ARM

Carl. E. Mish; contemprory implant dentistry,3rd ed.

QUERIES ?
WHAT IS AN IMPLANT? WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH? WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?

MOMENT (LINGUAL FORCE)


HEIGHT OF THE PROSTHESIS BECOMES THE MOMENT ARM

Carl. E. Mish; contemprory implant dentistry,3rd ed.

QUERIES ?
WHAT IS AN IMPLANT? WHAT IS SO DIFFERENT BETWEEN IMPLANT AND NATURAL TEETH? WHAT ARE THE DIFFERENT FORCES ACTING ON AN IMPLANT?

MOMENT (MESIAL FORCE)


HEIGHT OF THE PROSTHESIS BECOMES THE MOMENT ARM

Carl. E. Mish; contemprory implant dentistry,3rd ed.

QUERIES ?
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?

HOW SPLINTING HELPS REDUSE FORCE?

Carl. E. Mish; contemprory implant dentistry,3rd ed.

QUERIES ?
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 SO IMPORTANT ABOUT OCCLUSION? 1. Masticatory efficiency 2. Comfort and stability 3. Long term success of prosthesis

QUERIES ?
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?

WHAT IS AN IDEAL OCCLUSION? DAWSON(1974)

QUERIES ?
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?

NATURAL DENTITION WHAT ARE THE DIFFERENT Canine protected TYPE OF OCCLUSION? 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

CANINE PROTECTED

BILATERAL BALANCED OCCLUSION


GROUP FUNCTION LINGUALIZED OCCLUSION

MUTUALLY PROTECTED

QUERIES ?
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?

CANINE PROTECTED OCCLUSION D AMICO(1958)

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 ?
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?

CANINE PROTECTED OCCLUSION WHY CANINE?

QUERIES ?
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?

GROUP FUNCTION SCHUYLER 1959

QUERIES ?
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?

FREEDOM OF OCCLUSION (LONG CENTRIC) POSSELT (1952) in study 0.5- 1.5mm

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 ?
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?

MUTUALLY PROTECTED STUART & STALLARD (1960)

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 ?
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?

ORGANIC OCCLUSION Stuart & Stallard (1961)

QUERIES ?
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?

BILATERAL BALANCED OCCLUSION SEAR (1925)

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 ?
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?

LINGUALIZED OCCLUSION GYSI (1927)

FRENCH (1935)

Rodney;Lingualized occlusion revisited; J Prosthet Dent 2010;104:342-46.

QUERIES ?
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?

LINGUALIZED OCCLUSION PAYNE (1941) 30 tooth

POUND (1973) > 30 MAXILLA <20 MANDIBULAR

Rodney;Lingualized occlusion revisited; J Prosthet Dent 2010;104:342-46.

QUERIES ?
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?

LINGUALIZED OCCLUSION

Jim Collis CDT; Lingualized Occlusion Simplifying the Set-up Enhancing Function and Esthetics.

QUERIES ?
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?

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

Misch CE, Bides MW. Implant-protected occlusion. Int J Dent Symp, 2: 32-37, 1994.

QUERIES ?
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?

IMPORTANCE OF THE OCCLUSAL TABLE? 1. Occlusal table width 2. Height of the prosthesis 3. Occlusal form

QUERIES ?
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?

Occlusal table width

Carl. E. Mish; contemprory implant dentistry,3rd ed.

QUERIES ?
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?

Height of the prosthesis


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 DENTISTRYJULY/AUGUST 2009.

QUERIES ?
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?

Occlusal form
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 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?

WHAT IS THE MATERIAL OF CHOICE FOR OCCLUSAL TABLE?

QUERIES ?
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?

HOW TO CHECK THE FINAL IMPLANT OCCLUSION? 16 : Removable implant prosthesis 12 : Removable natural tooth 8 : fixed implant prosthesis

Force bearable by implant to implant prosthesis is 3 (nearly 0)

Dawson PE. Functional occlusion: from TMJ to smile design. Vol.1. St. Louis (MO): Mosby and Co. 2007. p. 347. & 393- 410.

QUERIES ?
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?

T- SCAN

Robert.B.; Artculating paper mark misconceptions and computerized occlusal analysis technology: a clinical brief.

QUERIES ?
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 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

Carl. E. Mish; contemprory implant dentistry,3rd ed.

Stewarts , Clinical Removable Partial Prosthodontics 3rd ed

QUERIES ?
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?

CLINICAL SITUATIONS (single tooth)

GROUP FUNCTION

Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.

QUERIES ?
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?

CLINICAL SITUATIONS ( KD class 1)

MUTUALLY 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 ?
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?

CLINICAL SITUATIONS ( KD class 2)

MUTUALLY PROTECTED CANINE 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 ?
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?

CLINICAL SITUATIONS ( KD class 3)

GROUP FUNCTION

Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.

QUERIES ?
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?

CLINICAL SITUATIONS ( KD class 4)

GROUP FUNCTION

Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.

QUERIES ?
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?

CLINICAL SITUATIONS (implant supported fixed prosthesis opposing natural dentition)

GROUP FUNCTION (OR) MUTUALLY PROTECTED WITH SHALLOW ANTERIOR GUIDANCE

Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.

QUERIES ?
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?

CLINICAL SITUATIONS (implant supported fixed prosthesis opposing complete denture)

BILATERAL BALANCED OCCLUSION


Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.

QUERIES ?
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?

CLINICAL SITUATIONS (implant supported overdenture for normal ridge)

BILATERAL BALANCED LINGUALIZED OCCLUSION

Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.

QUERIES ?
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?

CLINICAL SITUATIONS (implant supported overdenture for severely resorbed ridge)

MONOPLANE OCCLUSION

Shantanu Jambhekar;Occlusion and Occlusal Considerations in Implantology; INDIAN JOURNAL OF DENTAL ADVANCEMENTS 2(1), 2010.

QUERIES ?
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?

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?

PREVENT THIS !!!

REFERENCES
1. H T Shillingburg, Fundamentals of Fixed Prosthodontics, 3rd edition; Fundamentals of occlusion, Pp 11-24 2. 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. Stewarts , Clinical Removable Partial Prosthodontics 3rd ed 6. 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): S60S68.

REFERENCES
7. Yongsik Kim; Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale; Clin. Oral Impl. Res. 16, 2005; 2635. 8. YU-YING CHEN; Implant occlusion: biomechanical considerations for implant-supported prostheses; J Dent Sci 2008EVol 3ENo 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.

REFERENCES
12. 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): S69S81. 14. Steven Kendrick; Vertical and Horizontal Dimensions of Implant Dentistry: Numbers Every Dentist Should Know; INSIDE DENTISTRYJULY/AUGUST 2009. 15. James A. Ward; Immediate Loading of Dental Implants; Chapter 21; 340pg 454pg. 16. Jim Collis CDT; Lingualized Occlusion Simplifying the Set-up Enhancing Function and Esthetics.

REFERENCES
17. Klineberg; Osseoperception: Sensory Function and Proprioception; ADR 1999 13: 120 18. H .W. Anselm Wiskott; Rationale for a simplified occlusal design in restorative dentistry; historical review and clinical guidelines; J Prosthet Dent 1995;73:169-83. 19. Thomas ; Evidence based considerations for removable prosthodontics and dental implant occlusion ; review; J Prosthet Dent 2005;94:555-60. 20. Weinberg; A comparision of imlant/prosthesis loading with four clinical variables; Int J prosthodont 1995;8;421-433. 21. 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. 22. Rodney;Lingualized occlusion revisited; J Prosthet Dent 2010;104:342-46.

REFERENCES
23. Clark; Toward an understanding of implant occlusion and stain adaptive bone modeling and remounting; J Prosthet Dent 1999;81:553-61. 24. Mohamed Moataz; A comparison of the effect of different occlusal form in mandibular implant overdentures; J Prosthet Dent 1998;79:422-9. 25. Tong-mei; Effect of prosthesis materials and prosthesis splinting on peri-implant bone stress around implant in poor-quality bone;Int J Oral Maxillofac Implants 2002;17;231-37. 26. Deniel; Factors to consider in selecting an occlusal concept for patients with implants in the edentulous mandible; J Prosthet Dent1995;74:308-4.

REFERENCES
27. Davies; what is occlusion; 8 volumes; British dental journal,2001 vol 191;235-659. 28. Ali M. El-Sheikh; Passive tactile sensibility in edentulous subjects treated with dental implants: A pilot study; J Prosthet Dent 2004;91:26-32.