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Implants
1or 2 peaces splint over lower jaw
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<blockquote data-quote="JohnWilson" data-source="post: 343814" data-attributes="member: 213"><p>Mandible flexure is real, but is a small reason why there are complications in full arch implant restorations.</p><p></p><p>Most of the complications I see are based upon restorations that were surgically driven rather than prosthetically driven. Poor planning is the reason why things fail most often. The materials we are using today are brutally strong. However if passivity is not achieved no matter how strong the material is you will have complications. </p><p></p><p>Now take it one step further, the type of restoration will have larger windows of success, meaning if I am doing a standard FP1 roundhouse my joints to the restorations even on the most perfectly planned surgical outcome will be much much less than a poorly planned FP3. Even if I have ups and downs to the bone if the volume of the material is 3 times the joint diameter of my PERFECTLY planned FP1 we will likely have success and overcome any flexing of the jaw.</p><p></p><p>Like all things in dentistry we are looking for the LARGEST window of success with the hopes we can offset the known challenges ALL cases will have. With every choice we make there is a tradeoff, wisdom is what allows us to make the better choices but we are never foolproof in our paths.</p></blockquote><p></p>
[QUOTE="JohnWilson, post: 343814, member: 213"] Mandible flexure is real, but is a small reason why there are complications in full arch implant restorations. Most of the complications I see are based upon restorations that were surgically driven rather than prosthetically driven. Poor planning is the reason why things fail most often. The materials we are using today are brutally strong. However if passivity is not achieved no matter how strong the material is you will have complications. Now take it one step further, the type of restoration will have larger windows of success, meaning if I am doing a standard FP1 roundhouse my joints to the restorations even on the most perfectly planned surgical outcome will be much much less than a poorly planned FP3. Even if I have ups and downs to the bone if the volume of the material is 3 times the joint diameter of my PERFECTLY planned FP1 we will likely have success and overcome any flexing of the jaw. Like all things in dentistry we are looking for the LARGEST window of success with the hopes we can offset the known challenges ALL cases will have. With every choice we make there is a tradeoff, wisdom is what allows us to make the better choices but we are never foolproof in our paths. [/QUOTE]
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Implants
1or 2 peaces splint over lower jaw
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