Principles of Implant Occlusion: Part 3 – Recommendations for Fixed Full-Arch Implant Prostheses

Randolph Resnik image
Randolph R. Resnik, DMD, MDS
Principles of Implant Occlusion: Part 3 Online Course

Course Objectives

1 CE Credit

To optimize the longevity of a completely implant-supported full-arch prosthesis, the correct occlusal scheme is of paramount importance. In this multimedia presentation, Dr. Randolph Resnik discusses the accepted and recognized ideal occlusal schemes for full-arch restorations with respect to functional and excursive positions of the mandible, including methods for reducing the biomechanical stress on the implant interface and maximizing the long-term success of the prosthesis. Topics include:

  • Advantages of fixed full-arch implant restorations
  • The introduction of monolithic zirconia in full-arch indications
  • Variables for rehabilitating the fully edentulous arch
  • Bilateral balanced occlusion
  • Group function occlusion
  • Mutually protected occlusion
  • Occlusal modifications for full-arch implant prostheses
  • The principles of implant-protected occlusion

Summary

Occlusion plays a major role in the functional and biological aspects of the full-arch implant-supported prosthesis, and the concept of implant-protected occlusion was developed to minimize the possibility of occlusal-related issues. Therefore, a properly developed and well-controlled occlusal scheme can reduce mechanical and biological complications, thus increasing the longevity of the prosthesis.

CAUTION: When viewing the techniques, procedures, theories and materials presented, you must make your own decisions about specific treatment for patients and exercise professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.

Recognition & Approval

Pace Approval

Glidewell Education Center
Nationally Approved PACE Provider for FAGD/MAGD credit
Approval does not imply acceptance by any regulatory authority, or AGD endorsement. 3/1/2024 to 2/29/2028.
Provider ID# 216789

Randolph Resnik image
Randolph R. Resnik, DMD, MDS

Dr. Randolph Resnik is a leading clinician, educator, researcher, and author in the field of prosthodontics and oral implantology. Dr. Resnik received his dental degree from The University of Pittsburgh School of Dental Medicine. Upon graduation from dental school, he continued his training at the University of Pittsburgh, receiving a specialty degree in prosthodontics, a surgical fellowship in Oral Implantology, and a master's degree in oral implantology/radiology. He is currently the director of the Resnik Implant Institute. Dr. Resnik serves on faculty positions at numerous universities, including The University of Pittsburgh (graduate prosthodontics), Temple University (oral implantology and periodontics), and Allegheny General Hospital (oral and maxillofacial surgery). Along with his passion for lecturing and education, Dr. Resnik is also an accomplished author, having published over 200 articles. His recent textbooks, Avoiding Complications in Oral Implantology, 4th Edition of Contemporary Implant Dentistry, and 3rd edition of Dental Implant Prosthetics are bestsellers in the field of implant dentistry. Dr. Resnik currently maintains a private practice in Orlando, Florida.


References

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  2. Wright PS, Glantz PO, Randow K, Watson RM. The effects of fixed and removable implant-stabilized prostheses on posterior mandibular residual ridge resorption. Clin Oral Implants Res. 2002 Apr;13(2):169-74.
  3. Castillo-Oyagüe R, Suárez-García MJ, Perea C, Río JD, Lynch CD, Gonzalo E, Torres-Lagares D, Preciado A. Validation of a new, specific, complete, and short OHRQoL scale (QoLFAST-10) for wearers of implant overdentures and fixed-detachable hybrid prostheses. J Dent. 2016 Jun;49:22-32.
  4. Müller F, Hernandez M, Grütter L, Aracil-Kessler L, Weingart D, Schimmel M. Masseter muscle thickness, chewing efficiency and bite force in edentulous patients with fixed and removable implant-supported prostheses: a cross-sectional multicenter study. Clin Oral Implants Res. 2012 Feb;23(2):144-50.
  5. Misch CE. Contemporary implant dentistry. 3rd ed. St. Louis: Mosby; 2007.
  6. Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J Clin Periodontol. 2002;29 Suppl 3:197-212.
  7. Stober T, Bermejo JL, Rammelsberg P, Schmitter M. Enamel wear caused by monolithic zirconia crowns after 6 months of clinical use. J Oral Rehabil. 2014 Apr;41(4):314-22.
  8. Carames J, Tovar Suinaga L, Yu YC, Pérez A, Kang M. Clinical advantages and limitations of monolithic zirconia restorations full arch implant supported reconstruction: case series. Int J Dent. 2015;2015:392496.
  9. Misch CE. Dental implant prosthetics. 2nd ed. St. Louis: Mosby; 2014.
  10. Schuyler CH. Factors of occlusion applicable to restorative dentistry. J Prosthet Dent. 1953;3(6):772-82.
  11. Williamson EH, Lundquist D. Anterior guidance: its effect on electromyographic activity of the temporal and masseter muscles. J Prosthet Dent. 1983 Jun;49(6):816-23.
  12. Misch CE. Occlusal considerations for implant-supported prostheses: implant-protective occlusion. In: Misch CE, editor. Dental implant prosthetics. 2nd ed. St. Louis: Mosby; 2014. p. 472-510.
  13. Kim Y, Oh TJ, Misch CE, Wang HL. Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale. Clin Oral Implants Res. 2005 Feb;16(1):26-35.
  14. Lindquist LW, Rockler B, Carlsson GE. Bone resorption around fixtures in edentulous patients treated with mandibular fixed tissue-integrated prostheses. J Prosthet Dent. 1988 Jan;59(1):59-63.
  15. Shackleton JL, Carr L, Slabbert JC, Becker PJ. Survival of fixed implant-supported prostheses related to cantilever lengths. J Prosthet Dent. 1994 Jan;71(1):23-6.
  16. Weinberg LA, Kruger B. A comparison of implant/prosthesis loading with four clinical variables. Int J Prosthodont. 1995 Sep-Oct;8(5):421-33.
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