biomechanics and implant occlusion 16-9
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8/19/2019 Biomechanics and Implant Occlusion 16-9
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8/19/2019 Biomechanics and Implant Occlusion 16-9
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Biomechanics and Implant DFoundations for Predictable Implant
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Biomechanics and Implant DFoundations for Predictable Implant
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What Is Biomechanics?
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Why Biom
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Why Biom
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Influence of Biomechanics
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Influence of Biomechanics
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Length of Implants: Do Crown/Root Ratios apply to impl
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Length of Implants: Do Crown/Root Ratios apply to impl
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Length of Implants: Do Crown/Root Ratios apply to impl
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Length of Implants: Do Crown/Root Ratios apply to impl
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Length of Implants: Do Crown/Root Ratios apply to impl
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Length of Implants: Do Crown/Root Ratios apply to impl
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Length of Implants: Do Crown/Root Ratios apply to impl
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What is the ideal length for Success?
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What is the ideal length for Success?
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Friction Vs End Bearing Piles
Foundation that existed for the World Trade Center
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Blanes RJ. To what extent does the crown-implant ratio affect the survival and complications of implant-supported reconstructioClin Oral implants Res, 2009,20 Suppl4, 67-72
“Current Literature shows that Crown/implant ratios of implant-supporeconstructions does not influence peri-implant crestal bone loss”
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Clinical Validation of Short Implants
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Guidelines When Using Short Implants
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The World of Digital Radiography
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800 (to 1200) rpm Program
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Gear Ratios
• Gear Ratio = Number of teeth on Gear
OR
D = Diameter of larger wheeld = diameter of smaller wheel
Number of teeth on Pinion
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Calculating the speed
Gear Ratio1st gear 2.97:12nd gear 2.07:13rd gear 1.43:14th gear 1.00:1
5th gear 0.84:16th gear 0.56:1reverse 3.28:1
Gear Inches per engine revolutiRPM1st gear 8.1 inches
2nd gear 11.6 inches
3rd gear 16.8
inches 4th gear 24.0 inches 5th gear 28.6 inches 6th gear 42.9 inches
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Car Speed Close ratios vs Wide ra
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Iyer’s RPM Formula
Diameter of Drill 1.5 - 2.0 2.3 2.8 3.4 3.8 4.4
Type of Bone
I
II
III
IV
1500 1200 1000 800 500 500
1200 1000 800 600 400 400
1000 800 600 400 50NCm 50NCm O
800 600 400 50NCm 50NCm Osteotome O
Note:1.Use the Dense bone drill protocol for specific implant systems2 Use taps in Type I bone prior to implant placement
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2.Use taps in Type I bone prior to implant placement3.In extreme type IV bone exclusive use of osteomes may be done to
expansion
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“1. Forces on the supporting implants can sometimes exceed the forces applieprosthesis
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Brunski et al. Biomaterials and Biomechanics or Oral and Maxillofacial implanMaxillofac Implants. 15: 1; 15 – 46, 2000
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tension
s h e a r
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Are Teeth Invested To be Axially loaded?
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Axial Loading A Biomechan
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Axial Loading A Biomechan
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Axial Loading A Biomechan
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Axial Loading A Biomechan
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Taylor T et al. Implant Prosthodontics; Current Perspective and FutureDirections Int J Oral Maxillofac Implants 2000; 15: 66 – 75
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Taylor T et al. Implant Prosthodontics; Current Perspective and FutureDirections Int J Oral Maxillofac Implants 2000; 15: 66 – 75
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Taylor T et al. Implant Prosthodontics; Current Perspective and FutureDirections Int J Oral Maxillofac Implants 2000; 15: 66 – 75
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“There is no scientific evidence that the osseointegrated interface living host and non living implant responds differently to compressthan it does to tensile or shear forces of similar magnitude”
Taylor T et al. Implant Prosthodontics; Current Perspective and FutureDirections Int J Oral Maxillofac Implants 2000; 15: 66 – 75
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“The limited evidence available does not demonstrate that non-axial loading is detrimen
osseointegrated interface between bone and implant surface”
Taylor et al. Evidence based considerations for removable prosthodontic and dental iliterature review. J Prosthet Dent 2005;94; 555-560
Cruz Mauro et al. Finite Element Stress Analysis of Dental prostheses Supported by St
Implants, IJOMI 2009,24:391-403
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“The limited evidence available does not demonstrate that non-axial loading is detrimen
osseointegrated interface between bone and implant surface”
Taylor et al. Evidence based considerations for removable prosthodontic and dental iliterature review. J Prosthet Dent 2005;94; 555-560
Cruz Mauro et al. Finite Element Stress Analysis of Dental prostheses Supported by St
Implants, IJOMI 2009,24:391-403
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“The limited evidence available does not demonstrate that non-axial loading is detrimen
osseointegrated interface between bone and implant surface”
Taylor et al. Evidence based considerations for removable prosthodontic and dental iliterature review. J Prosthet Dent 2005;94; 555-560
Cruz Mauro et al. Finite Element Stress Analysis of Dental prostheses Supported by St
Implants, IJOMI 2009,24:391-403
8/19/2019 Biomechanics and Implant Occlusion 16-9
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“The limited evidence available does not demonstrate that non-axial loading is detrimen
osseointegrated interface between bone and implant surface”
Taylor et al. Evidence based considerations for removable prosthodontic and dental iliterature review. J Prosthet Dent 2005;94; 555-560
Cruz Mauro et al. Finite Element Stress Analysis of Dental prostheses Supported by St
Implants, IJOMI 2009,24:391-403
8/19/2019 Biomechanics and Implant Occlusion 16-9
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“The limited evidence available does not demonstrate that non-axial loading is detrimen
osseointegrated interface between bone and implant surface”
Taylor et al. Evidence based considerations for removable prosthodontic and dental iliterature review. J Prosthet Dent 2005;94; 555-560
Cruz Mauro et al. Finite Element Stress Analysis of Dental prostheses Supported by St
Implants, IJOMI 2009,24:391-403
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“No cantilevers” – Misch CE ed. Contemporary Implant DentElsevier Pub. 2008.Pages: 314, 315,319,375,376,377,386,415,416,417,771,772
Misch text Misch tex
“Prognosis of implant supported FPDs and marginal bone loss
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Romeo E, et al. Implant-supported fixed cantilever prosthesis in partially edea cohort prospective study,Clin Oral Implants Res 2009, 20; 1278-1285
Pr ognosis of implant-suppor ted FPDs and mar ginal bone losswere not influenced by the position or the length of the cantilevof the bridge or opposing dentition”
1999 2002 2005
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1.Jemt T et al. Prosthesis misfit and marginal bone loss in edentulous implant patients Int JOral Maxillofac Implants 1996;11:620-6252. Isa ZM, Hobkirk JA. The effects of superstructure fit and loading on individual implant unitsPart I. Eur J Proshthodont Rest Dent 1995;3:247-2533.Taylor T et al. Implant Prosthodontics; Current Perspective and Future Directions Int J Oral
Maxillofac Implants 2000; 15: 66 - 754.Carr AB, et al. The response of bone in primates around unloaded dental implants
supporting prostheses with different levels of fit. J Prosthet Dent 1996; 76: 500-509
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1.Jemt T et al. Prosthesis misfit and marginal bone loss in edentulous implant patients Int JOral Maxillofac Implants 1996;11:620-6252. Isa ZM, Hobkirk JA. The effects of superstructure fit and loading on individual implant unitsPart I. Eur J Proshthodont Rest Dent 1995;3:247-2533.Taylor T et al. Implant Prosthodontics; Current Perspective and Future Directions Int J Oral
Maxillofac Implants 2000; 15: 66 - 754.Carr AB, et al. The response of bone in primates around unloaded dental implants
supporting prostheses with different levels of fit. J Prosthet Dent 1996; 76: 500-509
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1.Jemt T et al. Prosthesis misfit and marginal bone loss in edentulous implant patients Int JOral Maxillofac Implants 1996;11:620-6252. Isa ZM, Hobkirk JA. The effects of superstructure fit and loading on individual implant unitsPart I. Eur J Proshthodont Rest Dent 1995;3:247-2533.Taylor T et al. Implant Prosthodontics; Current Perspective and Future Directions Int J Oral
Maxillofac Implants 2000; 15: 66 - 754.Carr AB, et al. The response of bone in primates around unloaded dental implants
supporting prostheses with different levels of fit. J Prosthet Dent 1996; 76: 500-509
m96$aG#330>*n U4 67 G&634"*303
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1.Jemt T et al. Prosthesis misfit and marginal bone loss in edentulous implant patients Int JOral Maxillofac Implants 1996;11:620-6252. Isa ZM, Hobkirk JA. The effects of superstructure fit and loading on individual implant unitsPart I. Eur J Proshthodont Rest Dent 1995;3:247-2533.Taylor T et al. Implant Prosthodontics; Current Perspective and Future Directions Int J Oral
Maxillofac Implants 2000; 15: 66 - 754.Carr AB, et al. The response of bone in primates around unloaded dental implants
supporting prostheses with different levels of fit. J Prosthet Dent 1996; 76: 500-509
m96$aG#330>*n U4 67 G&634"*303
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1.Jemt T et al. Prosthesis misfit and marginal bone loss in edentulous implant patients Int JOral Maxillofac Implants 1996;11:620-6252. Isa ZM, Hobkirk JA. The effects of superstructure fit and loading on individual implant unitsPart I. Eur J Proshthodont Rest Dent 1995;3:247-2533.Taylor T et al. Implant Prosthodontics; Current Perspective and Future Directions Int J Oral
Maxillofac Implants 2000; 15: 66 - 754.Carr AB, et al. The response of bone in primates around unloaded dental implants
supporting prostheses with different levels of fit. J Prosthet Dent 1996; 76: 500-509
m96$aG#330>*n U4 67 G&634"*303
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1.Jemt T et al. Prosthesis misfit and marginal bone loss in edentulous implant patients Int JOral Maxillofac Implants 1996;11:620-6252. Isa ZM, Hobkirk JA. The effects of superstructure fit and loading on individual implant unitsPart I. Eur J Proshthodont Rest Dent 1995;3:247-2533.Taylor T et al. Implant Prosthodontics; Current Perspective and Future Directions Int J Oral
Maxillofac Implants 2000; 15: 66 - 754.Carr AB, et al. The response of bone in primates around unloaded dental implants
supporting prostheses with different levels of fit. J Prosthet Dent 1996; 76: 500-509
Occlusion and Implants
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Occlusion and Implants
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Occlusion and Implants
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Occlusion and Implants
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•Types of Occlusion: –Physiologic:
•sufficient harmony with the anatomic and physiologic controls with no patholo(premature wear, chronic headache, TMD, periodontal breakdown etc)
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• Types of Occlusion: – Pathologic:
– there is insufficient harmony with the anatomic and physiologic controls of the mandimovement)producing breakdown processes within the tissues of the stomatognathic s
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movement)producing breakdown processes within the tissues of the stomatognathic sexistence of disease
• Types of Occlusion: – Pathologic:
– there is insufficient harmony with the anatomic and physiologic controls of the mandimovement)producing breakdown processes within the tissues of the stomatognathic s
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movement)producing breakdown processes within the tissues of the stomatognathic sexistence of disease
• Types of Occlusion:
– Malocclusion: is one in which the contacts of adjacent and opposing occlusteeth are not in harmony – does not state health or disease
–Adaptive vs. pathology
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• Types of Occlusion:
– Malocclusion: is one in which the contacts of adjacent and opposing occlusteeth are not in harmony – does not state health or disease
–Adaptive vs. pathology
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• Types of Occlusion: – Normal Occlusion: is one which is typical or usual in accordance with the
given population
–Normal does not mean health or disease
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Muscles
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Muscles
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Teeth
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wear
Bruxism
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Teeth
Muscles
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Periodontium
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wear
Bruxism
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Teeth
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Periodontium
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Bruxism
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Patholog
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Patholog
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Patholog
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Periodontium
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Teeth
Patholog
icalMigratio
n,
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Periodontium
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Patholog
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bite force magnitude. J Dent Res 1999;78:31-42
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1. Carr Ab, Laney WR. Maximum occlusal force levels in patients with osseointegrate
prostheses and patients with complete dentues. Int J Oral Maxillofac Implants. 1987;2:101-1082. Mericske-Stern R, Zarb GA. In vivo measurements of some functional aspects witfixed prostheses supported by implants. Clin Oral Implants Res 1996;7:153-161.
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•Direct the loads along the axial inclination of the implprovide the best stress distribution
•Decrease the bucco-lingual widths of the replacing tominimize cantilevers
Basic Principles
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Basic Principles
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•Decrease the cuspal angulations to minimize the torqueabutment screws and the implant body
•Consider cross-bite occlusion to compensate for maxilla
Basic Principles
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•Decrease the cuspal angulations to minimize the torqueabutment screws and the implant body
•Consider cross-bite occlusion to compensate for maxilla
Basic Principles
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•Decrease the cuspal angulations to minimize the torqueabutment screws and the implant body
•Consider cross-bite occlusion to compensate for maxilla
Basic Principles
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