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Implants in the Aesthetic Zone: Occlusal Considerations

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Implants in the Aesthetic Zone

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Abstract

Occlusion is the relationship of the mandibular teeth to those in the maxillary arch, when they are brought together. Knowledge of occlusion is key in developing a successful implant restoration as most technical implant complications are related to biomechanical issues: fractured crowns, chipping, screw loosening, fractured abutments, and also fractured implants are attributed to uncontrolled forces on the implant-restoration complex. Understanding and delivering optimal occlusal schemes for natural teeth will serve as a premise for majority of this chapter, as it is important to note that very little evidence exists to support most of the recommendations with respect to implant occlusion. Therefore, the strategy recommended here is to utilize known concepts of occlusion for natural dentition with the added understanding that implants fail by a completely different mechanism. Although little is known, the material outlined here provides a sound, logical, and perhaps growing evidence base for delivery of implant restorations in the aesthetic zone. There is emphasis on certain principles of occlusion which, if ignored, cause early failures of implants and implant restorations. The ultimate goal of this chapter is to describe the clinical techniques required to fabricate implant restorations which are aesthetically appealing with significantly successful longevity—not just survival.

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Authors and Affiliations

  1. Stevenson Dental Solutions, Inc., San Dimas, CA, USA

    Richard G. Stevenson III

  2. Arthur A Dugoni School of Dentistry, San Francisco, CA, USA

    Anirudha Agnihotry

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  1. Richard G. Stevenson III
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  2. Anirudha Agnihotry
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Correspondence to Richard G. Stevenson III .

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Editors and Affiliations

  1. Division of Constitutive and Regenerative Sciences, University of California, Los Angeles, CA, USA

    Todd R. Schoenbaum

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Stevenson, R.G., Agnihotry, A. (2019). Implants in the Aesthetic Zone: Occlusal Considerations. In: Schoenbaum, T. (eds) Implants in the Aesthetic Zone. Springer, Cham. https://doi.org/10.1007/978-3-319-72601-4_15

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  • DOI: https://doi.org/10.1007/978-3-319-72601-4_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72600-7

  • Online ISBN: 978-3-319-72601-4

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