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conferenceseries.com
May 22-23, 2017 Las Vegas, USA
30th International Conference on
Dental Science & Advanced Dentistry
Volume 7, Issue 5 (Suppl) Dentistry
ISSN: 2161-1122, an open access journal Advanced Dentistry 2017
May 22-23, 2017
Fixed prosthesis on implants with gingival preservation
Eduardo Antonio de Castro Vieira
University teacher School Thoppi Brazil
The selection of prosthetic components depends on factors, such as: Type of implant connection, interocclusal free space,
provisional or definitive prosthesis, cemented or screwed, quantity and quality of the mucosa and the need to correct
angulation problems or parallelism. The most esthetic prosthetic rehabilitations are directly linked to the emergency profile
of the crowns. Conventional stent-supported prostheses, normally, present problems in the gingival-pontic transition area,
since the absence of a retentive element prostheses are made with vestibular over configuration, in order to simulate the
existence of a gingival concave arch and, consequently, to optimize its emergency aspect. In implant-supported prostheses;
this emergency is facilitated itself because the insertion of an artificial root in the case of the implant in the prosthetic space
provides a foundation for the emergency of the prosthetic crown. After conditioning the gingival tissue, it can be brought
back to its original configuration with return of the papillae and a new regular concave arch. The choice of a fixed prosthesis
rather than isolated elements is guided by the number of implants installed which often does not coincide with the number
of crowns to be replaced or by the size of the anchorages when short implants can work connected to each other or to other
longer ones favoring the biomechanical aspect of reconstruction. In order to achieve partial or total fixed prostheses with a
subgingival emergency profile it is necessary that the bone area where the implants will be installed do not have loss of alveolar
height after exodontia or if it occurred that it was very small or even with an immediate placement of implants after exodontia.
Clinical studies performed in the UNINCOR Implantodon specialization, based on the literature, reveal exceptional aesthetic
probabilities for these cases.
Biography
Eduardo Antonio de Castro Vieira, Unincor University School of Odontology, Belo Horizonte, Brazil Master in Materials Engineering UFOPMG, Specialist in
Prosthesis by UNICAMP-SP, Specialist in Teaching Higher Education, Qualified in Laser Therapy, Professor of Graduate and Post Graduation of UNINCOR
University, professor of Post-Graduation in Prosthodontics and Implantology of ABO Belo Horizonte. Clinical in private practice.
Eduardo Antonio de Castro Vieira, Dentistry 2017, 7:5 (Suppl)