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Publication
Ajuste oclusal em prótese sobre implantes com dentes naturais adjacentes
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| PPG_37314 | 202.89 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
A sobrecarga oclusal é um fator etiológico de perda de osso ao redor do implante,
perda de torque, fractura de parafusos e perda da osteointegração. Existe uma diferença
biomecânica e fisiológica entre dentes e implantes, as quais devem ser levadas em
consideração no momento do ajuste oclusal, portanto, este trabalho teve como objetivo
entender à luz da evidência científica actual, que cuidados e técnicas devemos executar
no ajuste oclusal de próteses sobre implantes com dentes naturais adjacentes. Foi
elaborada uma revisão de literatura, com recurso à base de dados informática PubMed.
Foi suportada por artigos de revisão, meta-análises e estudos clínicos. Esta pesquisa foi
sujeita a aplicação de critérios de inclusão e exclusão. Esta revisão de literatura pode
concluir que os contactos prematuros e interferências devem ser evitados. Em mordida
leve somente dentes naturais devem apresentar contactos, já em mordida forte todos os
dentes e próteses sobre implantes devem contactar.
The occlusal overload is a risk factor for implant bone loss, screw torque loosening, screw fracture and osteointegration failure. There is biomechanics and physiological diferences between implants and teeth, and it should be taken into consideration when we are going to perform occlusal adjustments. This review had the purpose to understand which techniques and precaution should we have when we are performing oclusal adjustments over implant crowns with adjacent teeth. A literature research was made with PubMed computer database. Was supported by review articles and meta-analyzes and clinical studies. This research was subjected to the application of inclusion and exclusion criteria. Within the literature evidences, it was concluded that premature contacts and interferences should be avoided. In a normal bite only natural teeth should have contact and in a stronger bite all teeth and prothesis should have contacts.
The occlusal overload is a risk factor for implant bone loss, screw torque loosening, screw fracture and osteointegration failure. There is biomechanics and physiological diferences between implants and teeth, and it should be taken into consideration when we are going to perform occlusal adjustments. This review had the purpose to understand which techniques and precaution should we have when we are performing oclusal adjustments over implant crowns with adjacent teeth. A literature research was made with PubMed computer database. Was supported by review articles and meta-analyzes and clinical studies. This research was subjected to the application of inclusion and exclusion criteria. Within the literature evidences, it was concluded that premature contacts and interferences should be avoided. In a normal bite only natural teeth should have contact and in a stronger bite all teeth and prothesis should have contacts.
Description
Keywords
Prótese sobre implantes Oclusão Implantes Prótese Ajuste oclusal Implant prosthesis Occlusion Implants Prothesis Occlusal adjustments