Reference to Zakrisson work that you need to change the crown of the implant every 5 years.
That is actually age dependent. We cannot do implant therapy at a young age. What I prefer in younger individuals is resin bonded bridges. They are technique sensitive but offer retrievability and thus can be removed and implant can be placed at a later stage when the individual has reached the age of maturity.
Best wishes
That is actually age dependent. We cannot do implant therapy at a young age. What I prefer in younger individuals is resin bonded bridges. They are technique sensitive but offer retrievability and thus can be removed and implant can be placed at a later stage when the individual has reached the age of maturity.
Best wishes
Implant ahould be given after the cesation of growth. At younger age removable prosthesis is the treatment for missing incisor. Bridge should be dalayed because of wide pulp chambers.
Dear Naveen
Do bear in mind that resorption rates are higher for individuals using removable prosthesis.
Regards
I agree with Dr. Rashid that an implant should be placed after the growth of the individual ceases.
Till then, in my opinion a removable or fixed prosthesis can be given.
Though the chances of ridge resorption are more in removable prosthesis, but if bridge on lateral incisors is placed, it might need intentional root canal treatments and tooth cutting, which also needs to be considered. So the benefits of either treatment has to be judged for every case based on the time period remaining for the patient to achieve his complete growth/ age of maturity.
Dear Dr. Saway;
A Maryland bridge would be better as it is fixed, so no chance of loss and also cheeper if you compare it with many time loss and fabrication of new ones.
Hi Dr. Saway from Colombia.
Tooth autotransplantation could be an excellent option in cases of premature loss of anterior teeth.
this is a procedure that has been used for more than 40 years.
If you make a good case selection the success rate is over 95 %.
Dear Doctor Saway
Replacing a central incisor by implant always reach a problem due to the lengthening of facial bones throughout life. This entail a gap on incisive edges which could be compensated by the change of the prosthesis but also on the gingival festoon much difficult to correct. Also the brige glued cantilever seems far preferable to the extent that it does not lock the intermaxillary suture. Finally if, on a young person, is envisaged an orthodontic treatment with premolar extraction, the autograft is the solution that seems to me the best and I fully share the opinion of Dr. Jose Luis Mejia
As in any dental treatment procedure, a thorough assessment of adverse effects is a prerequisite for adequate treatment planning. The literature was searched for references to reported unwanted side effects in implant treatment in the anterior maxilla from 1990 to September 2015 in Medline via PubMed and an additional handsearch was performed.
An awareness of the risk of treatment failures and complications is required as implant treatment outcomes are not as predictable as treatment outcomes of conventional therapies particularly in circumstances where esthetic considerations are the overriding concern. Due to an eruptive movement of the teeth, a vertical development of their
28
investing tissues and posterior rotation of the mandible and uprighting of the upper incisors throughout life clinicians should refrain from placing implants in the anterior maxilla of females. Males are less prone to implant submersion but cases with narrow teeth and therefore a short distance between a planned implant and the adjacent teeth should be treated with care. In order to avoid failures and complications and to establish optimal treament goals and results the planning for implant placement in the anterior maxilla should be done with caution not only in adolescents but also in adults prior to the fourth decade of life. When canine substitution is not possible in cases with multiple agenesis of teeth the use of temporary mini-implant supported crowns might offer a solution but we need more research on basic level and clinical follow-up studies of large samples in this subject to make evidence-based decisions.
Primum nihil nocere. The end justifies the means only when the end enhances the patient’s welfare.
Good question.. Please share me the best answer might you trust...
Regards…
- Badges
- Science topic
- Similar topics
- Correction