Page 7 - GP Spring 2020

mandibular flexure and torsion, flexure of comparing different areas within in the 6. Pesun IJ. Intrusion of teeth in the combination
the fixed partial denture metal framework, arch such as anterior vs. posterior. implant-to-natural-tooth fixed partial denture: A
impaired rebound memory, debris impac- review of the theories. Journal of Prosthodon-
tion, and the ratchet affect. Overall, it was Conclusion: tics 1997;6:268-277.
6
noted that the natural tooth receives high The best treatment option for this patient 7. Ormianer Z, Brosh T, Laufer BZ, Shifman A.
mechanical stress because the implant is was for a single crown for his natural ca- Strains recorded in a combined tooth-implant
rigid and, thus, conserves energy, while nine tooth #6, and a cantilever bridge to restoration: and in vivo study. Implant Dentistry
the natural tooth absorbs the energy. With connecting the pontic #7 to the implant 2005;14:58-62.
the persistent pressure being applied to the abutment #8. In doing this, we were able 8. Lin CL, Chang SH, Wang JC. Finite element
natural tooth, the PDL is constantly com- to address all the concerns for our patient. analysis of biomechanical interactions of a
pressing and will lose the elastic memory We removed the non-restorable fractured tooth-implant splinting system for various bone
and remodel itself to a new position that is root #7 and the defective old crown and qualities. Chang Gung Medical Journal 2006;
29:143-153.
less traumatic. This new position is often recurrent decay on tooth #6. We restored
apical to the original position. Intrusion of the missing space of tooth #7 with a can- 9. Becker W, Becker BE, Alsuwyed A, Al-
the tooth in such a position could lead to tilever bridge connecting to the implant mubarak S. Long-term evaluation of 282 im-
stress on the bridge, further leading to frac- #8, placed a crown on the canine tooth #6, plants in maxillary and mandibular molar
positions: a prospective study. Journal of Peri-
ture and the other complications previously and closed the open contact between teeth odontology 1999; 70:896-901.
discussed. #5 and 6. The treatment was completed in
three months with minimal office visits and
With limited support in the literature for an the patient was very pleased.
implant-to-natural tooth fixed partial den- Dr. Philip Gentry is a Fellow
ture, and concern for all the complications References of The Academy of Gener-
al Dentistry, and has been
noted, a cantilever bridge for #8-7 was 1. Davis SM, Plonka AB. Risks and benefits of in private practice for 30
used along with a separate crown on tooth connecting an implant and natural tooth. Im- years in Arlington, VA. He is
#6. This was done to eliminate the forces plant Dentistry 2014;23:253-257. Dean’s Faculty, Clinical As-
on tooth #6 and to prevent further tension 2. Rodrigues SJ. Tooth implant supported pros- sistant Professor, Advanced
and pressure on surrounding teeth. Of thesis: literature review. Journal of Interdisci- Education in General Den-
note, there have also been reports of more plinary Dentistry 2013;3:143-150. tistry at The University of Maryland School
failures in the maxillary arch compared 3. Davies SJ, Gray RJ, Young MPJ. Good occlusal of Dentistry.
to mandibular for tooth-implant FPD. practice in the provision of implant borne prosthe-
4
rd
Specifically, Becker et al. reported 91.5% ses. British Dental Journal 2002;192:79-88. Ms. Erin Golueke is a 3 year dental stu-
success in the mandibular arch compared 4. Al-Omiri MK, Al-Masri M, Alhijawi MM, dent at The University of Maryland School
to 82.9% success in the maxillary arch . Lynch E. Combined Implant and Tooth support: of Dentistry.
9
It is believed that this could be due to the and up to date comprehensive overview. Inter-
difference in bone quality for maxillary vs. national Journal of Dentistry 2017.
mandibular bone. Overall, more research 5. Cohen SR, Orenstein JH. The use of attach-
should be done to compare the effects for ments in combination implant and natural-tooth
maxillary vs. mandibular implant-to-nat- fixed partial denture: A technical report. Int J
ural-tooth fixed partial denture as well as Oral Maxillofacial Implants 1994; 9:230-234.

Congratulations to NYSAGD Board Members
Dr. Binod Verma and Dr. Stephen Akseizer as President and Secretary,
respectively, of the Nassau County Dental Society

Drs. Binod Verma, Howard Baylarian, Joseph Brodsky, Stephen Akseizer and David Miller.

www.nysagd.org l Spring 2020 l GP 7