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Rigid connections between natural teeth and implants: a technical note

T Lindh1, J Gunne, S Danielsson

  • 1Department of Prosthetic Dentistry, Faculty of Odontology, Umeå University, Sweden.

The International Journal of Oral & Maxillofacial Implants
|October 23, 1997
PubMed
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Combining dental implants with natural teeth offers a solution for fixed prostheses in partially edentulous jaws. This approach overcomes anatomical limitations, restoring function and aesthetics.

Area of Science:

  • Dental Implantology
  • Prosthodontics
  • Biomaterials

Background:

  • Partially edentulous posterior jaws often present anatomical challenges like maxillary sinuses and mandibular nerves.
  • These limitations frequently prevent the use of traditional freestanding implant-retained prostheses.
  • Combining implants with natural abutments provides an alternative for fixed prosthesis fabrication.

Observation:

  • Three patient cases involving fixed prostheses combining implant-retained ceramotitanium crowns and natural tooth abutments were analyzed.
  • The prostheses utilized custom-designed rigid attachments to connect the implant and natural abutment components.
  • A specific design for a rigid custom-made attachment compatible with the Brånemark system was developed.

Findings:

  • A fixed dental prosthesis can be successfully fabricated by connecting implant-retained crowns to natural abutments.

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  • The described attachment design, utilizing standard components and spark-erosion techniques, proved effective for this combined approach.
  • This method allows for the restoration of the dental arch extending to the premolar region.

    • Implications:

    • This technique offers a viable alternative for fixed restorations in partially edentulous posterior jaws, overcoming common anatomical limitations.
    • The use of custom attachments provides a predictable and stable solution for combining implant and natural tooth support.
    • Further research into the long-term efficacy and material science of these attachments could advance restorative dentistry.