Guidelines for splinting implants☆
Section snippets
Avoid splinting natural teeth to implants
Certain authors have stated that splinting implants to natural teeth provides needed proprioception, requires fewer implants for the prosthesis, and/or stabilizes mobile teeth.5, 11, 12, 16 The preponderance of evidence suggests that using multiple implant abutments in a stand-alone design is prudent and avoids complications associated with splinting natural teeth to implants. This may imply the use of more and wider implants to support the prosthesis whenever possible23, 24 (Fig. 1, A and B ).
Summary
Guidelines have been presented for splinting of prosthetic components when dental implants are involved as abutments. Options for splinting of prosthetic components were also presented.
Supplementary Files
References (29)
- et al.
A 15-year study of osseointegrated implants in the treatment of the edentulous jaw
Int J Oral Surg
(1981) - et al.
A comparison of the stress transfer characteristics of a dental implant with a rigid or resilient internal element
J Prosthet Dent
(1989) - et al.
Apparent intrusion of natural teeth under an implant supported prosthesis: a clinical report
J Prosthet Dent
(1992) - et al.
natural tooth intrusion and reversal in implant-assisted prosthesis: evidence of and a hypothesis for the occurrence
J Prosthet Dent
(1993) - et al.
Tooth intrusion in implant-assisted prosthesis
J Prosthet Dent
(1997) - et al.
Clinical complications of osseointegrated implants
J Prosthet Dent
(1999) - et al.
Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period
Scand Plast Reconstr Surg
(1977) Biomechanical concerns with fixed partial dentures involving implants
Implant Dent
(1993)- et al.
Intramobile cylinder (IMZ) two stage osseointegrated implant system with the intramobile element (IME). Part 1: its rationale and procedure for use
Int J Oral Maxillofac Implants
(1987) - et al.
The IMZ endosseous two phase implant system: a complete oral rehabilitation treatment concept
J Oral Implant
(1986)
Combination of natural teeth and osseointegrated implants as prosthetic abutments: a 2 year longitudinal study
Int J Oral Maxillofac implants
A survey of natural tooth abutment intrusion with implant-connected fixed partial dentures
Int J Periodont Rest Dent
Intrusion of teeth in the combination implant-to-natural-tooth fixed partial denture: a review of the theories
J Prosthodont
Aspects of biomechanical considerations
Cited by (27)
Stress analysis of effects of nonrigid connectors on fixed partial dentures with pier abutments
2008, Journal of Prosthetic DentistryIndications for splinting implant restorations
2005, Journal of Oral and Maxillofacial SurgeryImplant-retained cantilever fixed prosthesis: Where and when
2000, Journal of Prosthetic DentistryCitation Excerpt :Implants are usually avoided in the maxillary lateral incisor position and mandibular incisor positions. In general, splinted restorations have been restricted to 3 to 4 units.16 Placement of wide-diameter implants in central positions and cantilevered lateral incisors (Fig. 3) is preferable when missing multiple maxillary anterior teeth.
Tooth-implant-supported fixed prostheses
2023, Current Research in Dental Sciences
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Reprint requests to: Dr David A. Kaiser, Department of Prosthodontics, University of Texas Health Science Center, at San Antonio Dental School, 7703 Floyd Curl Dr, San Antonio, TX 78284-7890, Fax: (210)567-6376, E-mail: [email protected]