Reface Dental


T-40, Phase-2, Pallavpuram,
Near Chauhan Market.
Meerut 250001,

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Complete Arch Implant

As dentists, we all understand that good teeth and a beautiful smile are more than just symbols of health and success. The direct and indirect relationships between oral health and general health have been extensively investigated. There is now compelling evidence that a full and functional dentition is closely linked to multiple quality of life dimensions including physical health, psycho-social health and emotional well-being. We are slowly becoming aware of how integrated oral cavity microbiology and biochemistry are with systemic health. However, we (healthcare providers with good teeth) take for granted the benefits of a fully dentate mouth. It has been shown that an individual’s perceived inability to smile or laugh due to ‘bad’ or missing teeth is a strong predictor of clinical depression. Measures of diet and nutritional sufficiency are also directly tied to the number of functional teeth an individual has. As would be expected the ability to chew dictates dietary choices which positively correlate with BMI (body mass index), nutrient levels and ultimately an individual’s longevity. The time-honored treatment of edentulism with full or removable partial dentures may not actually improve the quality of life in older adults. When considering the significance of all these relationships, particularly in circumstances where the retention of the natural dentition is no longer a viable option, implant-supported fixed prosthetic rehabilitation takes on an extremely important role.

Replacement of missing teeth with ‘implants’ has been attempted for thousands of years. Archeologic evidence from China dating back to 4000 BC reveals the use of bamboo pegs as dental replacements in tooth sockets. However, it was not until 1965 that Per-Ingvar Branemark placed the first modern titanium endosteal dental implant in a patient.

Despite their unequaled potential for treating the failing dentition, osseointegrated implants have not been a panacea. Long-term success has been shown to be dependent on not only the engineering of the dental implant but also on technique. ‘Success’ is more than just having an implant integrate. Contemporary implantology is unequivocally prosthetically driven. The widespread placement of dental implants by dental providers has clearly shown that treatment success is directly related to operator experience and an in-depth understanding of how a final restoration must be designed and ultimately function. Furthermore, multiple implants supporting multi-unit prosthesis which are placed by clinicians that do not have the advantages of ‘real-time’ prosthodontic and laboratory support may have excellent implant integration yet have poor long-term survival and early prosthetic failure.

The progression from single tooth replacement to multiple-unit or full arch reconstruction has demonstrated a need for innovative approaches. Many practitioners still consider multi-unit implant-supported prostheses as a simple extension of a single unit replacement. Although superficially similar, multi-unit implant-supported prostheses are fundamentally different and defined by a unique set of protocols.

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