Use of Endodontic Cores for Rigid Screw Retention of the Natural Dentition to Dental Implants by Means of Fixed Partial Prostheses for the Atrophic Mandible: Long-Term Clinical Results

Online Journal of Dentistry & Oral Health

Implant-supported prostheses have been first choice for treating lost teeth. However, there are challenging cases that only reach resolution by exploring unconventional options. In order to overcome specific shortcomings, tooth-implant supported prostheses have shown to be a predictable treatment option. The most significant difference between an implant-supported prosthesis, when compared to a tooth-supported, is the absence of a periodontal ligament (PDL). This anatomic structure is responsible for tooth movement, shock absorption, and proprioception [1- 3]. Implant-supported prostheses have the same limitations and challenges as the tooth-supported prostheses [4,5], which do not have the benefit of a PDL. Therefore, splinting an implant to a tooth may indirectly increase the proprioception of the implant and, consequently, protect the stomatognathic system.

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