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> Treatments > Prothetics > Prosthesis as dental implants Nowadays, prosthesis as dental implants gradually supersedes the usual prosthesis. The implants can basically replace single, several or all lost teeth. Thus, implants serve as anchors of crowns, bridges and dentures. Neighbouring teeth do not need to be ground, retaining elements do not loosen any tooth and the loss of the bone in the corresponding part of the jaw does not occur. In other respects, it is not possible to prevent this in toothless areas. |
Modern implant prosthetics will be planned backward from the desired treatment result (Backward planning). The forward planning, on the contrary, is no longer contemporary, as it is only oriented to the anatomical surgical condition. The initial situation of the prosthetics is very important: dental status, maxillomandibular relationship, anatomical condition of the oral hard tissue, intraoral and extraoral soft tissue, existing functional, phonetic and aesthetic restrictions of the patient. |
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The result of such prosthetic planning, which will be tested in the patient’s mouth, may be transferred to either classic drill templates or to navigation-based templates combined with PC-supported simulation program. Using navigation program in CT, it is possible to timely detect discrepancies between atrophied bones and crown positions requiring prosthetic as well as to plan corresponding preprosthetic steps. The optimal implant and crown position, with regard to aesthetics and functionality (e.g. position of the screw connectors), may be achieved by using „crown-down-planning“ in CT which transfers it to the corresponding drill template. The fixed prosthesis is always a target. In case the implant position for a fixed prosthesis cannot be effected for functional (implant load, crown length), aesthetic (soft part support) and hygienic reasons, a removable prosthesis should be planned. |
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The fixed prosthesis is always a target. In case the implant position for a fixed prosthesis cannot be effected for functional (implant load, crown length), aesthetic (soft part support) and hygienic reasons, a removable prosthesis should be planned. The result should be the individual treatment target, which is customized to the patient’s desires and chances and having considered the initial prosthetic condition. |
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