title: Optimal restoration of dental esthetics and function with advanced implant-supported prostheses: a clinical report.
abstract: For more than 25 years, computer-aided design and computer-aided manufacturing (CAD/CAM) technology has been used in implant restorative dentistry. Today this technology offers a means of milling titanium frameworks that fit dental implants accurately. This report presents a restoratively driven protocol employing advanced implant restorative and surgical techniques. Treatment of a patient with advanced periodontitis with extensive loss of hard and soft tissues is presented. After extraction of the patient's remaining hopeless teeth, dental implants were placed, along with interim, fixed-margin abutments and abutment protection caps. Two days later, acrylic resin fixed-interim prostheses restored the patient's esthetics and partial masticatory function. After implant osseointegration, maxillary, and mandibular frameworks for definitive prostheses were milled from Ti alloy, using one specific CAD/CAM technology. The benefits of this technology are also discussed.
authors.affiliation: Midrand Dental Ceramics, Johannesburg, South Africa. info@ceidi.co.za
authors.forename: Peter van der
authors.initials: Pv
authors.lastname: Meulen
authors.forename: Wynand van der
authors.initials: Wv
authors.lastname: Linden
authors.forename: Ronnie van
authors.initials: Rv
authors.lastname: Eeden
mesh_terms: D000368:Aged; D000497:Alloys; D017076:Computer-Aided Design; D003442:Crowns; D003722:Dental Alloys / Q000737:chemistry; D059605:Dental Implant-Abutment Design; D003758:Dental Implantation, Endosseous; D015921:Dental Implants; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003794:Dental Restoration, Temporary; D004955:Esthetics, Dental; D006801:Humans; D057893:Immediate Dental Implant Loading; D007574:Jaw Relation Record; D008297:Male; D008409:Mastication / Q000502:physiology*; D016876:Metal Ceramic Alloys / Q000737:chemistry; D009065:Mouth Rehabilitation / Q000379:methods; D016348:Osseointegration / Q000502:physiology; D010347:Patient Care Planning; D010518:Periodontitis / Q000628:therapy; D014025:Titanium / Q000737:chemistry; D014716:Vertical Dimension
chemical_list: D000497:Alloys; D003722:Dental Alloys; D015921:Dental Implants; D016876:Metal Ceramic Alloys; C031462:titanium alloy (TiAl6V4); D014025:Titanium