The way splinting of the prosthesis on the implant

 

(57) Abstract:

The method is suitable for splinting mobile teeth adhesive tire on fiber reinforcement and includes the tyre manufacturing, installation on prepared teeth and hold on them. The tire is mounted based on supragingival portion of the implant and the adjacent natural teeth and fixed with adhesive composite cement. Splinting is done when not occurred bony ankylosis of the root portion of the implant, and the formed fibrous capsule, which is manifested in small (grade 1) mobility of the implant. The technical result is an increase in the duration of functioning of the implant without damaging the enamel of natural teeth belonging to the bus, the preservation of the aesthetics of natural teeth and the possibility of reversibility of the prosthesis on these teeth.

Dentures on implants (artificial supports) are widely available. /1/. Not always engraftment intraosseous implant is the type of bone fusion (osseointegration); also, the formation of fibrous capsule with some flexibility and therefore less functional value of the implant. Muratori /2/ believes that osseointegration is not an option, and studijni. In such cases it is advisable to sidirovat an artificial crown on the implant and the adjacent teeth, so that through the latter to relieve the implant. Thus, the problem splinting artificial crown on the implant seems relevant.

The invention relates to medicine, namely to prosthetic dentistry and can be used in the manufacture of prostheses on implants.

As a counterpart, the authors propose a way to use more of the combined full crowns as fixed bus-prosthesis with the implant and the adjacent teeth /3/.

The disadvantages of the method, adopted as similar, is the need for preparation of the teeth, which causes undesirable trauma to the tooth, need pain relief, change (often worse) appearance due to the "artificiality" of the crown, and not as a temporary splinting (you cannot return to the previous condition of the teeth).

As the prototype is invited to take way splinting mobile teeth adhesive tire on fiber reinforcement (your) /4/. Like your overlap repreparliament teeth and fixed on the Bates who go as a prototype, is to limit the field of application of your only natural stabilization of mobile teeth with periodontal disease or for strengthening of teeth after orthodontic movement.

The authors propose a way of using fiber adhesive splints-prosthesis (your) when shinirovanie artificial crown on the implant with the adjacent natural teeth.

The aim of the invention is the provision of immobility artificial crown on the implant when shinirovanie with the neighboring natural teeth without breaking their enamel.

This goal is achieved by applying a fixed fiber adhesive splints-prosthesis that combines artificial crown (prosthesis) with adjacent natural teeth without drilling the last.

As the fiber reinforcing element for your can be used laminated glass FiberSplint ("Polydentia") and the wiring-stockings GlasSpan ("GlasSpan"), fiberglass Vectris (Vivadent), or polyethylene tape Ribbond ("Ribbond") Connect ("Kerr").

The method is as follows.

1. Is clinical and radiological assessment of the functional value (mobility) engraftment of the implant after joining the nao splinting to adjacent teeth.

2. Made your prosthesis based on supragingival portion of the implant and the adjacent natural teeth.

3. your prosthesis reinforced adhesive composite cement on the implant and the enamel of adjacent teeth.

Clinical example.

Patient F., 31, and/b N 15674, was to continue the prosthesis 5 months after the introduction of the root portion of intraosseous implant in place of the missing of the first upper premolar. After dissection of the mucosa and remove the stub of the implant in its place was established supragingival portion of the implant. Was determined by 1 the degree of mobility of the implant. Radiographically confirmed signs of a fibrous capsule around the implant.

Solved before the planned non-metal (composite fiber) crown Targis/Vectris with the implant to sidirovat with the neighboring teeth (canine and second premolar) using your prosthesis.

Constant your prosthesis was fabricated and fixed to the adhesive cement. Examinations take place after the year showed good functional and aesthetic results.

The proposed method ensures the strengthening of a fixed prosthesis (crowns), fixed on the implant, p is well-prosthesis. This, in turn, preserves the aesthetics of natural teeth and the possibility of reversibility of the prosthesis on these teeth.

The list of abbreviations.

vamp - fiber adhesive bridges;

your fiber adhesive tire;

References

1. Severe O. N. Of reality dental implantation. // New in dentistry. - 1998. - N 3. - S. 9-13.

2. Muratori D. properties of two-stage and one-stage implants. // New in dentistry. - 1996. - N 2. - S. 36-38.

3. Astrand, P., Borg K., Gunne J., Olsson M. Combination of natural teeth and osseointegrated implants a I-year longitudinal study //Int-J - Oral-Maxillofac-Implants. - 1991. - Vol. - 6(3). - P. 305-312.

4. Ribbond Bondable Reinforcement Ribbon. Instruction Manual. (U. S. Patents N 5,176,951).

The way splinting mobile teeth adhesive tire on fiber reinforcement, including the manufacture of tires, installing on the prepared teeth and hold on them, characterized in that the tire is mounted based on supragingival portion of the implant and the adjacent natural teeth and fixed with adhesive composite cement.

 

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