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Implant facilitated molar uprighting using CAD-CAM technology.

Brent A Talbot¹, Steven E Handel², Andrew S Ryser³

¹US Army Comprehensive Dentist, Fort Richardson, Alaska, USA.

Journal of Prosthodontics : Official Journal of the American College of Prosthodontists

|March 26, 2025

Summary

This summary is machine-generated.

Tooth loss can cause adjacent teeth to tilt, complicating dental implant placement. A new Implant Supported Distalising Piston (ISDP) device successfully uprighted tilted molars, enabling ideal implant restorations.

Keywords:

CAD‐CAM digital dentistry implants molar uprighting orthodontics zirconia

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Area of Science:

Dental Implantology
Orthodontics
Prosthodontics

Background:

Tooth loss leads to mesial drift of adjacent teeth, compromising masticatory function and hindering ideal prosthetic rehabilitation.
Mesially tilted teeth, particularly mandibular second molars, can encroach on space required for implant-supported crown fabrication with optimal contours.

Purpose of the Study:

To introduce and evaluate the efficacy of an osseointegrated implant-supported device, the Implant Supported Distalising Piston (ISDP), for uprighting mesially tilted mandibular second molars.
To assess the potential of the ISDP to facilitate more ideal implant restorations in cases of tooth loss.

Main Methods:

Utilized CAD-CAM technology to design custom implant-supported zirconia crowns incorporating a distalising piston.
Applied the ISDP device to upright two mesially tilted mandibular second molars in patients seeking prosthodontic treatment.
Documented the correction of molar tilt and the subsequent design of implant-supported crowns.

Main Results:

The Implant Supported Distalising Piston (ISDP) successfully uprighted two mesially tilted mandibular second molars.
The correction of molar tilt allowed for the fabrication of implant-supported crowns with more ideal contours.
The device facilitated improved space for prosthetic rehabilitation.

Conclusions:

The ISDP is an effective osseointegrated implant-supported device for correcting mesially tilted molars.
This innovative approach enhances the possibilities for ideal implant restorations in complex clinical scenarios.
The ISDP offers a viable solution for managing space encroachment caused by tooth migration after tooth loss.