Mandibular full-arch fixed prostheses supported by three-dental-implants: A protocol of an overview of reviews

Afrashtehfar, Kelvin I.; Moawad, Rosalin A; F-Eddin, Afaf W; Wang, Hom‐Lay

doi:10.1371/journal.pone.0265491

Cited by 4 publications

(2 citation statements)

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“…Wolff's Law and the threshold of implant loading (approximately 20 N/cm²) serve as the foundation of our idea (13,14). Existing literature reveals the complex interplay between force magnitude, bone remodeling, and implant stability (15)(16)(17)(18)(19)(20)(21)(22). We address concerns related to overloading, implant location, and rotational forces.…”

Section: Biomechanical Basismentioning

confidence: 99%

A proof of concept on implant-supported bilateral cantilever bridges: The T-Bridge approach

Afrashtehfar,

Stawarczyk,

Micovic Soldatovic

et al. 2024

Swiss Dent. J. SSO

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The concept of bilateral cantilevers on a single central implant (T-design) for three-unit implant-supported fixed dental prostheses (ISFDPs) has not been explored nor tested. This technical hypothesis aimed to explore the feasibility of such an approach as a cost-effective alternative to conventional treatments. Careful considerations regarding implant diameter, length, ideal position, occlusal scheme, and bone remodeling are essential to ensure adequate support, stability, and prevention of complications. In this proof of concept, we present a preliminary case with this novel design to replace missing posterior teeth in a patient with narrow bone conditions. In addition, a series of planned investigations and preliminary results, including preclinical studies, are presented to illustrate our concept and its potential clinical implications. Clinically, after two-year follow-up, healthy and stable peri-implant tissues around the ISFDP exemplarily demonstrated excellent stability, functionality, and comfort, which is supported by acceptable fracture resistance data in vitro, suggesting indeed the practical potential and suitability. Thus, we claim that such a treatment modality has the at least theoretical potential to revolutionize implant dentistry by providing innovative and cost-effective treatment options for patients with partial ISFDPs in very specific cases. Of course, further research and evaluations are necessary to validate the clinical implications of this innovative hypothesis. Implementing the 3-on-1 T-bridge approach in partial ISFDPs could offer a promising alternative to traditional methods. If proven successful, this technique may lead to significant advancements in clinical practice, providing a less invasive cost-effective treatment option.

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Section: Biomechanical Basismentioning

confidence: 99%

A proof of concept on implant-supported bilateral cantilever bridges: The T-Bridge approach

Afrashtehfar,

Stawarczyk,

Micovic Soldatovic

et al. 2024

Swiss Dent. J. SSO

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“…It is expected that the need to rehabilitate fully edentulous patients will increase significantly globally in the future [1] . Edentulism is a global phenomenon that is described as the complete loss of dental organs, it is a common disability within the elderly population [2] .…”

Section: Introductionmentioning

confidence: 99%

All on four: A systematic review

Flores,

Leos,

Cruz

et al. 2023

Int. J. Appl. Dent. Sci.

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Introduction:The need to rehabilitate fully edentulous patients is expected to increase significantly globally in the future. Objective: To carry out a review of the literature published in high-impact journals about the "All on four" technique, the most common complications when performing this technique, the difference between analog and digital flow, the materials from which implant-supported prostheses can be made and the postoperative satisfaction of patients. Methodology: A search was conducted in the Pubmed, EBSCO and Google Scholar databases. The terms "All on four", "Fixed prostheses", "Removable prostheses" and "implant-supported full dentures" were used in an advanced search. Results: Complications can be divided into early and late, prosthetically the ones that we can avoid with good planning are the late ones. Patient satisfaction is usually high with implant-supported prostheses, although a structured maintenance program must be in place for the long-term success of the implants. The digital flow streamlines the protocol and presents a wide variety of materials for rehabilitation. Conclusions:The digital flow represents a valid treatment alternative for the rehabilitation of edentulous arches with implant-supported prosthesis, the risks and complications must be considered prior to case planning to obtain a better treatment result and patient satisfaction. There are many material options for prostheses, both metal, ceramic and materials for milling in the digital flow; the choice of material will depend on the case and the oral conditions of the patient.

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Dynamic navigation may be used for most implant surgery scenarios due to its satisfactory accuracy

Afrashtehfar¹,

Jurado²,

Moshaverinia³

2022

Journal of Evidence-Based Dental Practice

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Mandibular full-arch fixed prostheses supported by three-dental-implants: A protocol of an overview of reviews

Cited by 4 publications

References 50 publications

A proof of concept on implant-supported bilateral cantilever bridges: The T-Bridge approach

A proof of concept on implant-supported bilateral cantilever bridges: The T-Bridge approach

All on four: A systematic review

Dynamic navigation may be used for most implant surgery scenarios due to its satisfactory accuracy

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