Traditional Prosthetics are simply not designed to mitigate the ROOT CAUSES of prostheses installation related complications.
Why? Because our dental industry was either unaware of their root causes or lacked solutions for them. Well this has changed. Dr. Svoboda has clearly identified and named them as Prosthesis Dimensional Error and the Tissue Effects. They cause misfit connections between implant parts, open and overhanging prosthesis margins and residual subgingival cement. They create unstable joints and environments in the tissue environment that foster the growth of oral pathogens. Yes, they expose our patients to mechanical complications and related peri-implant disease.
Efforts to treat peri-implant disease are often uncomfortable, unreliable and expensive. Peri-implant disease is a serious disease that not only causes premature failure of prosthetics but can have dire systemic health consequences.
Red Arrows show dark area around failing dental implants. This is where the bone has been destroyed by peri-implantitis. These implants were removed and a bone graft placed, in an attempt to regrow lost bone.
THIS CAN CHANGE
Intra-oral cementation can reduce or eliminate several problems related to the screw-in technique but has been plagued by complications related to poor prosthesis margins and residual subgingival cement. While removal of excess cement can often result in the resolution of related peri-implant disease, an intra-oral cementation system that prevented it could be key to reducing complications. [read more…]
What is the Standard of Care? It is a dynamic concept that changes as improvements to treatment become available.
What is the Standard of Care? It is a dynamic concept that changes as improvements to treatment become available. What was best yesterday, may no longer be best today.