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Occlusion for maxillary dentures opposing osseointegrated mandibular prostheses
H W Denissen1, W Kalk, M A van Waas
1Institute for Dental Clinical Research, School of Medicine and Dentistry, University of Nijmegen, The Netherlands.
The International Journal of Prosthodontics
|September 1, 1993
Summary
This study offers occlusal strategies for successful maxillary dentures opposing mandibular implants. Key considerations include patient satisfaction, bone preservation, and arch length, favoring balanced articulation for better outcomes.
Area of Science:
- Dental Prosthetics
- Biomaterials Science
- Oral Rehabilitation
Background:
- Osseointegrated mandibular prostheses provide a stable base for dental restorations.
- Maxillary dentures opposing such prostheses present unique occlusal challenges.
- Optimizing occlusion is crucial for long-term success and patient comfort.
Purpose of the Study:
- To present a combined occlusal concept for maxillary dentures against osseointegrated mandibular prostheses.
- To identify critical factors for successful prosthetic outcomes.
- To provide specific recommendations for centric and eccentric occlusion.
Main Methods:
- Review and synthesis of established occlusal concepts.
- Integration of factors: patient satisfaction, maxillary anterior bone preservation, mandibular arch shortening.
- Proposal of specific tooth contacts for centric and eccentric occlusion.
Main Results:
- Recommended centric occlusion: lingual contact for molars, buccal contact for premolars, open anterior relationship.
- Favored eccentric occlusion: balanced articulation over mutually protected occlusion.
- Consideration of three key factors for positive outcomes.
Conclusions:
- A combined occlusal strategy enhances maxillary denture success with mandibular implants.
- Attention to patient-specific factors and precise occlusal schemes is vital.
- Balanced articulation is recommended for eccentric movements in this prosthetic scenario.