title: The use of implant-supported titanium prostheses for treatment of periodontally compromised patients including functional and orthodontic therapy. Report of 2 cases.
abstract: Due to its corrosion resistance and biocompatibility, titanium appears to be an alternative material for implant-supported restorations. However, due to technological difficulties, the clinical application of titanium in implant restorations has been limited. Only after recent progress in technology could the clinical use of ceramo-metal titanium restorations be recommended. The therapeutic repertoire for treating patients with missing teeth has been significantly expanded by modern implant methods. Osseointegrated prostheses have become an integral part of restorative therapy also for periodontally compromised dentitions. This article presents 2 case reports for the use of ceramo-metal implant-supported titanium cast prostheses for restorative treatment of periodontally compromised patients requiring comprehensive treatment involving periodontal, functional, orthodontic and prosthodontic therapy. Favourable clinical results have been obtained and a complication-free service of these reconstructions has been documented throughout a 12- to 24-month observation period. These observations suggest that implant-supported ceramo-metal titanium prostheses may be a valuable part of restorative therapy for periodontally compromised dentitions in that they facilitate restorations with optimal biocompatibility. However, controlled clinical studies are needed to establish the long-term serviceability of these titanium restorations.
authors.affiliation: Department of Prosthetic Dentistry II, University Hospital Benjamin Franklin, Free University of Berlin, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Knabe
authors.forename: K U
authors.initials: KU
authors.lastname: Schendel
mesh_terms: D000368:Aged; D001672:Biocompatible Materials; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D005260:Female; D006801:Humans; D007180:Incisor; D008310:Malocclusion / Q000150:complications / Q000628:therapy; D016876:Metal Ceramic Alloys; D008875:Middle Aged; D009065:Mouth Rehabilitation; D009971:Orthodontics, Corrective; D010347:Patient Care Planning; D010510:Periodontal Diseases / Q000150:complications* / Q000628:therapy; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000628:therapy; D014025:Titanium; D016388:Tooth Loss / Q000150:complications / Q000209:etiology / Q000534:rehabilitation*
chemical_list: D001672:Biocompatible Materials; D015921:Dental Implants; D016876:Metal Ceramic Alloys; D014025:Titanium