title: Occlusal concepts application in resolving implant prosthetic failure: case report.
abstract: The prosthetic management of a poor implant treatment is presented in this case report. The recommended occlusion concepts for implant-supported prostheses were applied for the resolution of the case. The rehabilitation of the posterior segments provided a mutually protected occlusion with adequate distribution of the axial and lateral bite forces with stable posterior occlusion. The clinical exam indicated the need for modification in the vertical dimension of occlusion. Sufficient interocclusal rest space was present to test the alteration in the vertical dimension. The aim was to achieve an occlusion scheme that followed four specific criteria: (1) centric contacts and centric relation of the jaw-to-jaw position; (2) anterior guidance only; (3) shallow anterior angle of tooth contact; and (4) vertical dimension of occlusion with acceptable tooth form and guidance. The success of an oral rehabilitation relies in following the aforementioned criteria, appropriate interaction between the dental laboratory technician and the clinician, careful elaboration of the provisional rehabilitation with all the desired details to be reproduced in the final prosthetic restoration and sufficient follow-up time of the provisional prostheses before placing the final restoration.
authors.affiliation: 1 Latin American Institute of Dental Research and Education, ILAPEO, Curitiba, Paraná, Brazil.
authors.forename: Vanessa Helena
authors.initials: VH
authors.lastname: Jamcoski
authors.forename: Fernanda
authors.initials: F
authors.lastname: Faot
authors.forename: Ivete Aparecida
authors.initials: IA
authors.lastname: de Mattias Sartori
authors.forename: Rogéria Acedo
authors.initials: RA
authors.lastname: Vieira
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Tiossi
mesh_terms: D000328:Adult; D001732:Bite Force; D016302:Centric Relation; D003442:Crowns; D015921:Dental Implants; D003768:Dental Occlusion, Centric; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D019232:Dental Restoration Failure; D003801:Dental Veneers; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008313:Malocclusion, Angle Class III / Q000628:therapy*; D010347:Patient Care Planning; D011378:Prognathism / Q000628:therapy; D019233:Retreatment; D014087:Tooth Movement Techniques / Q000379:methods; D014716:Vertical Dimension
chemical_list: D015921:Dental Implants