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Modification of framework design for an implant-retained fixed restoration helps when proximal contact loss occurs

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tps://doi.org/10.1016/j.jds.2019.03. 91-7902/a 2019Association for Denta e CC BY-NC-ND license (http://creati Among the post-treatment complications that arise after the implant prosthesis installation, the problem of disconcerting both the patient and clinician… Click to show full abstract

tps://doi.org/10.1016/j.jds.2019.03. 91-7902/a 2019Association for Denta e CC BY-NC-ND license (http://creati Among the post-treatment complications that arise after the implant prosthesis installation, the problem of disconcerting both the patient and clinician is a loss of proximal contact between the restored implant’s crown and the adjacent natural teeth. When this occurs, patients may a food impaction, caries, and periodontal issues. Although it is not fully understood, the physiological mesial drifting of the adjacent natural teeth seems to be the most probable etiology for this phenomenon. Regardless of the etiology, regaining the proper proximal contact can be quite challenging and troublesome unless the implant prostheses are retrievable. Therefore, securing the retrievability of implant prostheses becomes a prerequisite for solving complications associated with improper proximal contact. This article presents a simple clinical method using a modified framework design to repair the proximal contact loss between implant retained fixed prostheses and adjacent natural teeth.

Keywords: contact; proximal contact; etiology; contact loss; framework design

Journal Title: Journal of Dental Sciences
Year Published: 2019

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