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Interdisciplinary treatment planning for orthodontic-prosthetic implant anchorage in a partially edentulous patient
G Willems1, C E Carels, I E Naert
1Department of Orthodontics, University Leuven, Faculty of Medicine, School of Dentistry, Oral Pathology and Maxillo-Facial Surgery, Belgium. guy.willems@uz.kuleuven.ac.be
Abstract:
Successful orthodontic treatment is characterized by optimal anchorage control. Teeth or groups of teeth are united to counteract biomechanical reactive forces during orthodontic treatment. These classic anchorage control mechanisms are less efficient or even non-existent in partially edentulous patients who are missing multiple posterior teeth. However, osseointegrated oral implants ad modum Brånemark can provide optimal anchorage control for orthodontic tooth alignment and rehabilitation of occlusion through prosthetic implant restorations. Careful multidisciplinary planning based on complex diagnostic wax setup casts to determine exact implant location and orientation in line with future orthodontic tooth displacements and prosthetic implant crown restorations is the most important step in the overall treatment planning.