Occlusal Practice in the Provision of Implant Borne Prostheses

Course Outline

The increased use of endosseous dental implants means that many dentists will encounter patients with dental implants in their everyday practice. Dental practitioners might be actively involved in the provision of implant borne prostheses at both the surgical and restorative phases, or only at the restorative stage. This section is written for all dentists and aims to examine the subject of occlusion within implantology. It aims to provide guidelines of good occlusal practice to be used in the design of the prosthesis that is supported or retained by one or more implants. As implantology is a ‘new’ discipline of dentistry, there are fewer standard texts and this section, therefore, is much more extensively referenced than the subjects that have been considered to date.


Learning Objectives

After completing this course you’ll be able to:

  1. Discuss the fundamental principles of implantology.
  2. Describe how occlusal factors might influence implant success.
  3. List general considerations of implant case planning.
  4. Describe how to increase the chances of implant success by prescribing an ideal occlusion.

Course Contents

Good Occlusal Practice in the Provision of Implant Borne Prostheses

  • Osseointegration
  • Current Application of Oral Implants
  • Implant Success
  • Implant Success Vs Implant Survival
  • The Failing Implant Case Responsibility
  • Occlusal Overload as a Cause of Implant Failure
  • Technique
    • Recommendations for Occlusal Schema for Implant Supported Prostheses
  • To Conform or to Re-Organise?
  • Classification of Osseointegrated Prostheses
    • Single Tooth Replacement by Implant Retained Crown
  • Ideal Occlusion for Single Tooth Implant
    • Full-Arch, Implant Supported Prosthesis
    • Free-standing, Fixed-Bridges ( Kennedy Classes I -IV Inclusive)
    • Overdentures
    • Implant and Tooth-Retained, Fixedprosthesis
  • Considerations of Case Planning
    • Relationship Between Occlusal Table and Implant Diameter
    • Ideal Occlusal Morphology Provide an Occlusion Which is:
      • The Significance of Implant Length-Crown Length Ratio
      • The Site and Nature of the Implant Bed
      • The Importance of Monitoring of Occlusal Load
      • Pre-Treatment Examination and Case ‘Work Up’
  • The Completed List of Guidelines of Good Occlusal Practice