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A Multidisciplinary Approach to Restoring Posterior Bite Collapse

1 CE Credit

You will receive 1 unit of continuing education credit upon successful completion of this course.

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ADA Member: $28.00
Nonmember: $42.00
Dental Team Member: $15.00

Author:

To see the author's profile please click on their name.
Joseph Kelly, Jr.

Learning Objectives:

Upon completion of this course, participants should be able to do the following:

  1. Identify the different phases of reconstruction of the partially edentulous dentition using implants, orthodontics, periodontal plastic surgery and restorative dentistry.
  2. Describe techniques for augmentation of the mucogingival complex around implants.
  3. Describe the versatility of using implants for orthodontic anchorage.

Abstract:

Treatment planning of posterior bite collapse cases with loss of vertical dimension can be complex. In cases where a patient's vertical dimension of occlusion has been lost, there often is drifting of posterior teeth, flaring of maxillary anterior teeth and inadequate inter-arch space for a restoration. These factors are further complicated by the esthetic demands of the patient and the dentist and by the use of implants to replace missing teeth. This article presents a case report of a multidisciplinary treatment plan to achieve a functional and esthetic restoration.

Outline:

Course Outline

  1. Introduction

  2. Diagnostic Phase

  3. Implant Surgical Phase

  4. Orthodontic Phase

  5. Periodontal Plastic Surgical Phase

  6. Prosthetic Phase

  7. Summary


 

References:

  1. Amsterdam M. Periodontal prosthesis: twenty-five years in retrospect. Alpha Omegan. 1974; 67:8-52.
  2. Misch CM, Misch CE, Resnik R, et al. Reconstruction of maxillary alveolar defects with mandibular symphysis grafts for dental implants: a preliminary report. Int J Oral Maxillofac Implants. 1992; 7:360-366
  3. Sullivan D, Sherwood R. Considerations for successful single tooth implant restorations. J Esthet Dent. 1993; 5(3):119-124.
  4. Speilman HP. Influence of the implant position on the esthetics of the restoration. Pract Periodontics Aesthet Dent. 1996; 8(9):897-904.
  5. Daftary F. Natural esthetics with implant prosthesis. J Esthet Dent. 1995; 7(1):9-17.
  6. Saadoun AP, Sullivan D, Krischek M, et al. Single-tooth implant management for success. Pract Periodontics Aesthet Dent. 1994; 6(3):73-82.
  7. Smalley W. Implants for tooth movement: determining implant location and orientation. J Esthet Dent. 1995; 7(2):62-72.
  8. Salama H, Salama M, Garber D, et al. Developing optimal peri-implant papillae within the esthetic zone: guided soft tissue augmentation. J Esthet Dent. 1995; 7(3):125-129.
  9. Roberts WE, Helm FR, Marshall KJ, et al. Rigid endosseous implants for orthodontic and orthopedic anchorage. Angle Orthod. 1989; 59:247-256.
  10. Turley PK, Kean C, Schur J, et al. Orthodontic force application to titanium endosseous implants. Angle Orthod. 1988; 58:151-162.
  11. Odman J, Lekholm U, Jempt T, et al. Osseointegrated titanium implants? A new approach in orthodontic treatment. Eur J Orthod. 1988; 10:98-105.
  12. Higuchi KW, Slack JM. The use of titanium fixtures for intraoral anchorage to facilitate orthodontic tooth movement. Int J Oral Maxillofac Implants. 1991; 6:338-344.
  13. Seibert JS. Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. Part 1. Technique and wound healing. Compend Contin Educ Dent. 1983; 4(5):437-453.
  14. Abrams L. Augmentation of deformed residual edentulous ridge for fixed prosthesis. Compend Contin Educ Dent. 1980; 1(3):205-214.
  15. Belser U. Esthetic checklist for fixed prosthodontics. In Schrarer P, Rinn LA, Kopp FR (eds): Esthetic Guidelines for Restorative Dentistry. Chicago, Quintessence Publishing, 1982.
  16. Struder S, Zellweger U, Schrarer P. The aesthetic guidelines of the mucogingival complex for fixed prosthodontics. Pract Periodontics Aesthet Dent. 1996; 8(4):333-341.
  17. Jansen CE, Weisgold A. Presurgical treatment planning for the anterior single-tooth implant. Compend Contin Educ Dent. 1995; 16(8):746-764.

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