Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: 01 Dec 2001

Therapeutic Biomechanics Concepts and Clinical Procedures to Reduce Implant Loading. Part I

DDS, MS, FACD, FICD
Page Range: 293 – 301
DOI: 10.1563/1548-1336(2001)027<0293:TBCACP>2.3.CO;2
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Abstract

A new approach called therapeutic biomechanics that uses 5 possible corrective procedures that can be used in conjunction with each other to reduce implant loading has been suggested. These procedures are the following: (1) a cross-occlusion (to reduce horizontal implant offset); (2) the head (hex) of the implant should be placed as close to the midline of the restoration as possible; (3) angled or custom reangulated abutment; (4) shallow cusp inclines; and (5) modified centric occlusal anatomy. On maxillary anterior restorations, a horizontal lingual stop redirects the resultant line of force in a vertical direction much closer to the implant and supporting bone. Part II of this paper will focus on laboratory and clinical procedures to implement the concept of therapeutic biomechanics.

Copyright: American Academy of Implant Dentistry
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