Risk factors in implant dentistry by Franck Renouard

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By Franck Renouard

Paris V Univ., France. textual content exhibiting clinicians how one can establish, hinder, and keep away from difficulties in implant remedy by means of following logical scientific protocols. contains top quality colour and halftone pictures and illustrations. For clinicians. DNLM: Dental Implants--adverse results.

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The mandibular left first and second premolars will be replaced. The mesiodistal distance is not sufficient for placement of two implants under favorable conditions. It was decided to place one implant i n position 34 and to connect it to the crown of the first molar. Fig 3-13 Same patient, 1 year after loading. Note the intrusion of the natural tooth. This type of orthodontic movement is associated with the use of connectors that allow vertical movements. If connection is planned, it should be rigid.

Fig 3-5 Same patient. The gold screw Fig 3-6 The gold screw had to be of the CeraOne abutment has loos- changed. However, if the prosthetic ened and the crown has become mo- concept is not modified, there is a risk bile. In this situation, it is difficult to that the complication will reoccur. Also, break the crown cement from the abut- if the fixture has a diameter smaller than ment without damaging the internal 4 mm, it will be at risk of fracturing. thread of the implant. One solution is to pierce the crown and retighten the gold screw.

The patient does not show any signs of bruxism or parafunction. (Prosthesis by Dr F. Decup and S. ) 58 Fig 3-56 Fig 3-57 Fig 3-58 Fig 3-59 Chapter 3 Biomechanical Risk Factors 59 Chapter 3 Biomechanical Risk Factors Case 3 (Figs 3-60 to 3-62) Clinical situation The patient is edentulous distal to position 12. Two Regular Platform implants have been placed in positions 13 and 15. Note the offset of screw access holes and the cantilever at position 13 (Figs 3-60 and 3-61). 0 in this situation. Less than 1 year after prosthesis placement, the prosthetic screws fractured (Fig 3-62, arrow).

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