International Journal of Oral Implantology & Clinical Research

Register      Login

VOLUME 2 , ISSUE 1 ( January-April, 2011 ) > List of Articles


A Simplified Approach for Achieving Harmonious Occlusion in Implant Supported Complete Arch Fixed Prosthesis

Suresh S, Nandakishore B

Citation Information : S S, B N. A Simplified Approach for Achieving Harmonious Occlusion in Implant Supported Complete Arch Fixed Prosthesis. Int J Oral Implantol Clin Res 2011; 2 (1):43-47.

DOI: 10.5005/jp-journals-10012-1034

License: CC BY-ND 4.0

Published Online: 01-12-2014

Copyright Statement:  Copyright © 2011; The Author(s).


Occlusal philosophy for dental implants in complete arch prosthesis depends on several parameters. The occlusal philosophy selected should also satisfy patient's esthetic and functional demands of patient. This case report is demonstration of simplified approach in establishing harmonious occlusion at centric and eccentric mandible positions. Establishing guidance by provisional restoration ensured predictable occlusion in final restoration and also minimum occlusion adjustment at final insertion stage.

PDF Share
  1. Misc Carl E. Elsevier Mosby. Dental implant prosthetics.
  2. Weinberg Lawrence A. Atlas of tooth supported and Implant supported prosthodontics; Chapter 5, 67-84; Quintessence publishing Co.
  3. Lee Dong-Hwan. Myths and misbelief of biomechanics and occlusion in implant therapy. Uploads lecture on implant occlusion. Accessed October 2009.
  4. Misch Carl E. Elsevier Mosby: Contemporary implant dentistry (2nd ed); Chapter 10, 135-39.
  5. Hobo Sumiyo, Takayama Hisao. Oral rehabilitation clinical determinants of occlusion: Occlusion for osseointegrated implants Quintessence publishing Co Chapter 11, 119-34.
  6. Hobo Sumiya, Ichida Eji, Garcia Lily T. Osseointegration and Occlusal Rehabilitation; Quintessence Publishing Company Chapter 18, 315-28.
  7. Hidding J, Lazar F, Zoller JE. The vertical distraction of the alveolar bone. J Craniomaxillofac Surg 1998;26:72-76.
  8. Sailer HF. A new method of inserting endosseous implants in totally atrophic maxillae. J Craniomaxillofac Surg 1989;17: 299-305.
  9. Isaksson S, Edfeldt A, Alberius P, Blomquist JE. Early results from reconstruction of severely atrophic (Class VI) maxillas by immediate endosseous implants in conjunction with bone grafting and Le Fort I osteotomy. Int J Oral Maxillofac Surg 1993;22:144-48.
  10. Li KK, Stephens WL, Gliklich R. Reconstruction of the Severely Atrophic Edentuous Maxilla Using Le Fort I Osteotomy with Simultaneous Bone Graft and Implant Placement. J Oral Maxillofac Surg 1996;54:542-46. Discussion 547.
  11. Hierl T, Hemprich A. Callus distraction of the midface in the severely atrophied maxilla: A case report. Ceft Palate Craniofac J 1999 Sep;36:457-61.
  12. Malik NA, Kumar VV, Bora P. Le Fort I. Distraction osteogenesis of the edentulous maxilla. Int J Oral Maxillofac Surg 2010. doi:10.1016/j.ijom.2010.09.024.
  13. Kumar VV, Malik NA. Use of indigenous internal maxillary distraction device for hypoplastic maxilla: An Indian experience. Int J Oral Maxillofac Surg 2007;36:1000.
  14. Lim K, Cheung LK, Qian Zhangq, Wong MC, Wong LS. Stability consideration for internal maxillary distractors. Journal of Cranio-Maxillofacial Surgery 2003;31:142-48 doi:10.1016/ S1010-5182(03)00005-2.
  15. Rachmiel A, Aizenbud D, Peled M. Long-term results in maxillary deficiency using intraoral devices. Int J Oral Maxillofac Surg 2004;34:473-79. doi:10.1016/j.ijom.2005.01.004.
  16. Bell WH, Buckles RL. Correction of the atrophic alveolar ridge by interpositional bone grafting: A progress report. J Oral Surg 1978;36:693-700.
  17. Freihofer HPM. Stability after osteotomy of the edentulous maxilla. J Craniomaxillofac Surg 1989;17:306-08.
  18. Sailer HF, LI KK, Stephens WL, Gliklich R. In Discussion: Reconstruction of the Severely Atrophic Edentuous Maxilla Using Le Fort I Osteotomy with Simultaneous Bone Graft and Implant Placement. J Oral Maxillofac Surg 1996;54:547.
  19. Cawood JI, Stoelinga PJW, Brouns JJA. Reconstruction of the severely resorbed (Class VI) maxilla. A two-step procedure. Int J Oral Maxillofac Surg 1994;23:219-25.
  20. Nystrom E, Lundgren S, Gunne J, Nilson H. Interpositional bone grafting and Le Fort I osteotomy for reconstruction of the atrophic edentulous maxilla. Int J Oral Maxillofac Surg 1997;26:423-27.
  21. Gaggl A, Rainer H, Chiari FM. Horizontal distraction of the anterior maxilla in combination with bilateral sinuslift operation: Preliminary report. Int J Oral Maxillofac Surg 2005;34:37- 44.doi:10.1016/j.ijom.2004.03.00.
  22. Natiella JR, Armitage JE, Greene GW Jr, Meenaghan MA. Current evaluations of dental implants. J Am Dent Assoc 1972; 84:1358-61.
  23. Parr GR, Gardner LK, Toth RW. Titanium—the mystery metal of implant dentistry: Dental materials aspects. J Prosthet Dent 1985;54:410-13.
  24. Lemons JE. Dental Implant Biomaterials. J Am Dent Assoc 1990;121:716-19.
  25. Haubenreich JE, Robinson FG, West KP, Frazer RQ. Did we push dental ceramics too far? A brief history of ceramic dental implants. J Long Term Eff Med Implants 2005;15(6):617-28.
  26. Jarcho M. Biomaterial aspects of calcium phosphates : Properties and applications. Dent Clin North Am 1986;30(1):25-47.
  27. Block MS, Finger IM, Fontenot MG, Kent JN. Hydroxyapatite coated and grit blasted titanium implants in dogs. Int J Oral Maxillofac Implants 1989;4:219-25.
  28. Schrooten J, Helsen JA. Adhesion of bioactive glass coating to Ti6A14V oral implant. Biomaterials 2000;21(14):1461-69.
  29. Strnad Z, Strnad J, Povysil C, Urban K. Effect of plasma— sprayed hydroxyapatite coating on the osteoconductvity of commercially pure titanium implants. J Oral Maxillofac Implants 2000;15:483-90.
  30. Bosetti M, Verne E, Ferraris M, Ravaglioli A, Cannas M. In vitro characterization of zirconia coated by bioactive glass. Biomaterials 2001;22(9):987-94.
  31. Lewis G. Hydroxyapatite-coated bioalloy surfaces: Current status and future challenges. Biomed Mater Eng 2000;103:157-88.
  32. Squier RS, Agar JR, Duncan JP, Taylor TD. Retentiveness of dental cements used with metallic implant components. Int J Oral Maxillofac Implants 2001;16:793-98.
  33. Bernal G, Okamura M, Muñoz CA. The effects of abutment taper, length and cement type on resistance to dislodgement of cement-retained, implant-supported restorations. J Prosthodont 2003;12:111-15.
  34. International Organization for Standardization. ISO TR 11405. Dental materials-guidance on testing of adhesion to tooth structure. Geneva, Switzerland: International Organization for Standardization 1994;1-15.
  35. Webber RL, Horton RA, Tyndall DA, et al. Tuned aperture computed tomography (TACT): Theory and application for 3D dentoalveolar imaging. Dentomaxillofac Radiol 1997;26: 53-62.
  36. Webber RL, Horton RA, Underhill TE, et al: Comparison of film, direct digital, and tuned-aperture computed tomography images to identify the location of crestal defects around endosseous titanium implants. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;81:480-90.
  37. Kobayashi K, Shimoda S, Nakagawa Y, Yamamoto A. Accuracy in measurement of distance using limited cone-beam computerized tomography. Int J Oral Maxillofac Implants 2004;19:228-31.
  38. Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA. A new volumetric CT machine for dental imaging based on conebeam technique: Preliminary results. Eur Radiol 1998;8: 1558-64.
  39. Maria Eugenia Guerrero, Reinhilde Jacobs, Miet Loubele, Filip Schutyser, Paul Suetens, Daniel van Steenberghe. State of the art on cone-beam CT imaging for preoperative planning of implant placement. Clin Oral Invest 2006;10:1-7.
  40. Abrahams JJ, Frisoli JD, Dembner J. Anatomy of the jaw, dentition, and related regions. Semin Ultrasound CT MR 1995;16:453-67.
  41. Jolesz F, Nabavi A, Kikinis R. Integration of interventional MRI with computer assisted surgery. Journal of Magnetic Resonance Imaging 2001;13:69-77.
  42. Lauterbur PC. Image formation by induced local interactions: examples employing nuclear magnetic resonance. Nature 1973;242:190-91.
  43. Parkkola RK, Mattila KT, Ekfors TO, Komu MES, Vaara T, Aro HT, MR-guided core biopsies or soft tissue tumors on an open 0.23 T Imager. Acta Radiologica 2001;42:302-05.
  44. Stark DD, Bradley WG (Eds). Magnetic Resonance imaging. St. Louis: CV Mosby, 1999.
  45. Gray CF, Redpath TW, Smith FW, Staff RT. Advanced imaging: Magnetic resonance imaging in implant dentistry. Clin Oral Impl Res 2003;14:18-27.
  46. Gray CF, Redpath TW, Smith FW. Presurgical dental implant assessment by magnetic resonance imaging. Journal of Oral Implantology 1996;22:147-53.
  47. Guler AU, Sumer M, Sumer P, Bicer I: The evaluation of vertical heights of maxillary and mandibular bones and the location of anatomic landmarks in panoramic radiographs of edentulous patients for implant dentistry. J Oral Rehabil 2005;32:741-46.
  48. Bennett DA. Computed tomography: Reducing the Cost and Increasing The Effectiveness of Dental Implantology. Dent Implantol Update 2005;16:57-63.
  49. Xie Q, Bedran-Russo AK, Wu CD. In vitro remineralization effects of grape seed extract on artificial root caries. J Dent 2008 Nov;36(11):900-906.
  50. Vinitha M, Balal M. In vitro anticandidal activity of cinnamomum vernum. J Med Sci 2008;8(4):425-428.
  51. Aneja KR, Joshi R. “Antimicrobial activity of Amomum subulatum and Elettaria cardamomum against dental caries causing microorganisms. Ethnobotan Leaflets 2009 Jul;13: 840-849.
  52. Arweiler NB, Donos N, Netuschil L, Reich E, Sculean A. Clinical and antibacterial effect of tea tree oil—a pilot study. Clin Oral Investig 2000 Jun;4(2):70-73.
  53. Soukoulis S, Hirsch R. The effects of a tea tree oil-containing gel on plaque and chronic gingivitis. Aust Dent J 2004 Jun;49(2):78-83.
  54. Michie CA, Cooper E. Frankincense and myrrh as remedies in children. J R Soc Med 1991 Oct;84(10):602-605.
  55. Greene DA. Gold, frankincense, myrrh, and medicine. N C Med J 1993 Dec;54(12):620-622.
  56. Bonifait L, Grenier D. Cranberry polyphenols: potential benefits for dental caries and periodontal disease. J Can Dent Assoc 2010;76:a130.
  57. Bodet C, Grenier D, Chandad F, Ofek I, Steinberg D, Weiss EI. Potential oral health benefits of cranberry. Crit Rev Food Sci Nutr 2008 Aug;48(7):672-680.
  58. Weiss EI, Kozlovsky A, Steinberg D, Lev-Dor R, Bar Ness Greenstein R, Feldman M, Sharon N, Ofek I. A high molecular mass cranberry constituent reduces mutans streptococci level in saliva and inhibits in vitro adhesion to hydroxyapatite. FEMS Microbiol Lett 2004 Mar;232(1):89-92.
  59. Abdul Sattar BA, Hassan AM, Hassan AS. In vitro antimicrobial activity of thymus vulgaris, origanum vulgare and rosmarinus officinalis against dental caries pathogens. Ibn Al-Haitham J Pure Appl Sci 2012 Jan;25(2):1-7.
  60. Huang MT, Ho CT, Wang ZY, Ferraro T, Lou YR, Stauber K, Ma W, Georgiadis C, Laskin JD, Conney AH. Inhibition of skin tumorigenesis by rosemary and its constituents carnosol and ursolic acid. Cancer Res. 1994 Feb;54(3):701-708.
  61. Bernardes WA, Lucarini R, Tozatti MG, Souza MG, Silva ML, Filho AA, Martins CH, Crotti AE, Pauletti PM, Groppo M, et al. Antimicrobial activity of tosmarinus officinalis against oral pathogens: relevance of carnosic acid and carnosol. Chem Biodivers 2010 Jul;7(7):1835-1840.
  62. Parolia A, Thomas MS, Kundabala M, Mohan M. Propolis and its potential uses in oral health. Int J Med Sci 2010 Jul;2(7): 210-215.
  63. Oncag O, Cogulu D, Uzel A, Sorkun K. Efficacy of propolis as an intracanal medicament against Enerococcus faecalis. Gen Dent 2006 Sep-Oct:54(5):319-322.
  64. Martin MP, Pileggi R. A quantitative analysis of propolis: a promising new storage media following avulsion. Dent Traumatol 2004 Apr:20(2):85-89.
  65. Carbajal D, Casaco A, Arruzazabala L, Gonzalez R, Tolon Z. Pharmacological study of Cymbopogon citratus leaves. J Ethnopharmacol 1989 Feb;25(1):103-107.
  66. Sanches NR, Cortez DAG, Schiavini MS, Nakamura CV, Filho BPD. An evaluation of antibacterial activities of Psidium guajava. Braz Arch Biol Technol 2005 May;48(3):4229-4230.
  67. Sanda KA, Grema HA, Geidam YA, Bukar-Kolo YM. Pharmacological aspects of Psidium guajava: an update. Int J Pharmacol 2011 May;7:316-324.
  68. Menezes SM, Cordeiro LN, Viana GS. Punica grantum (pomegranate) extract is active against dental plaque. J Herb Pharmacother 2006;6(2):79-92.
  69. Vasconcelos LC, Sampaio FC, Sampaio MC, Pereira Mdo S, Higino JS, Peixoto MH. Minimum inhibitory concentration of adherence of punica granatum linn (pomegranate) gel against S. mutans, S. mitis and C albicans. Braz Dent J 2006;17(3): 223-227.
  70. Prasad D, Kunnaiah R. Punica granatum: a review on its potential role in treating periodontal disease. J Indian Soc Periodontol 2014 Jul;18(4):428-432.
  71. Sauvaire Y, Petit P, Baissac Y, Ribes G. Chemistry and pharmacology of fenugreek. In: Herbs, botanicals and teas. Mazza G, Oomah BD, editors. Lancaster, Pennsylvania: Technomic Pub. Co; 2000. p. 107-129.
  72. Acharya SN, Basu SK, Thomas JE. Methods for the improvement of plant medicinal properties with particular reference to fenugreek (Trigonella foenum-graecum L.). In: Acharya SN, Thomas JE, editors. Advances in medicinal plant research. Kerala, India: Research Signpost; 2007b p. 491-412.
  73. Al-Habori M, Raman A. Pharmacological properties in fenugreek. - In: Petropoulos GA, editor. The genus trigonella. 1st ed. London and New York: Taylor and Francis 2002. p. 163-182.
  74. Saini P, Al-Shibani N, Sun J, Zhang W, Song F, Gregson KS, Windsor LJ. Effects of calendula officinalis on human gingival fibroblasts. Homeopathy 2012 Apr;101(2):92-98.
  75. Khairnar MS, Pawar B, Marawar PPA. Evaluation of calendula officinalis as an anti-plaque and anti-gingivitis agent. J Indian Soc Periodontol 2013 Nov-Dec;17(6):741-747.
  76. Chakraborthy GS. Antimicrobial activity of leaf extract of calendula officinalis Linn. J Herb Med Toxicol 2008 Jun;2(2):65–66.
  77. Zilda CG, Claudia MR, Sandra RF. Antifungal activity of the essential oil from calendula officinalis L growing in Brazil. Braz J Microbiol 2008;39(1):61-63.
  78. Bussadori SK, Castro LC, Galvão AC. Papain gel: a new chemo-mechanical caries removal agent. J Clin Pediatr Dent 2005 Winter;30(2):115-119.
  79. Bertassoni LE, Marshall GW. Papain-gel degrades intact nonmineralized type I collagen fibrils. Scanning 2009 Nov- Dec;31(6):253-258.
  80. Moon SE, Kim HY, Cha JD. Synergistic effect between clove oil and its major compounds and antibiotics against oral bacteria. Arch Oral Biol 2011 Sep;56(9):907-916.
  81. Pinto E, Vale-Silva L, Cavaleiro C, Salgueiro L. Antifungal activity of the clove essential oil from Syzygium aromaticumon, candida, aspergillus and dermatophyte species. J Med Microbiol 2009 Nov;58(Pt 11):1454-1462.
  82. Olajide OA, Makinde JM, Awe SO. Evaluation of the pharmacological properties of nutmeg oil in rats and mice. Pharma Biol 2000;38(5):385-390.
  83. Thanoon SZ, Al-Refai AS, Kamal A. Antibacterial effect and healing potential of nutmeg oil for chemically induced oral ulcerations in rabbits. Zanco J Med Sci 2013;17(2): 393-399.
  84. Mitwally MF, Casper RF. Use of an aromatase inhibitor for induction of ovulation in patients with an inadequate response to clomiphene citrate. Fertil Steril 2001;75:305-09.
  85. Sammour A, Bijan MM, Tan SL, Tulandi T. Prospective randomised trial comparing the effects of letrazole (LE) and clomiphene citrate (CC) on follicular development, endometrial thickness and pregnancy rate in patients undergoing superovulation prior to intrauterine insemination (IUI). Fertil Steril 2001;76(Suppl 1):S110.
  86. Mitwally MF, Casper RF. Single-dose administration of an aromatase inhibitor for ovarian stimulation. Fertil Steril 2005;83:229-31.
  87. Fisher SA, Reid RL, Van Vugt DA, Casper RF. A randomized double-blind comparison of the effects of clomiphene citrate and the aromatase inhibitor letrozole on ovulatory function in normal women. Fertil Steril 2002;78:280-85.
  88. Fatemi HM, Kalibianakis E, Tournaye H, Camus M, Van Steirteghem AC, Devroey P. Clomiphene citrate vs letrozole for ovarian stimulation: A pilot study. Reprod Biomed Online 2003;7:543-46.
  89. Hu Y, Cortvrindt R, Smitz J. Effects of aromatase inhibition on in vitro follicle and oocyte development analyzed by early preantral mouse follicle culture. Mol Reprod Dev 2002;61: 549-59.
  90. Shetty G, Krishnamurthy H, Krishnamurthy HN, Bhatnagar S, Moudgal NR. Effect of estrogen deprivation on the reproductive physiology of male and female primates. J Steroid Biochem Mol Biol 1997;61:157-66.
  91. Mitwally MF, Casper RF. Aromatase inhibition reduces gonadotrophin dose required for controlled ovarian stimulation in women with unexplained infertility. Hum Reprod 2003;18:1588-97.
  92. Mitwally MF, Casper RF. Aromatase inhibition improves ovarian response to follicle-stimulating hormone in poor responders. Fertil Steril 2002;77:776-80.
  93. Goswami SK, Das T, Chattopadhyay R, Sawhney V, Kumar J, Chaudhury K, Chakravarty BN, Kabir SN. A randomized single blind controlled trial of letrozole as a low-cost IVF protocol in women with poor ovarian response: A preliminary report. Hum Reprod 2004;19:2031-35.
  94. Newkirk KM, Chandler HL, Parent AE, et al. Ultraviolet radiation-induced corneal degeneration in 129 mice. Toxicol Pathol 2007;35:819-26.
  95. Pettenati MJ, Sweatt AJ, Lantz P, et al. The human cornea has a high incidence of acquired chromosome abnormalities. Hum Genet 1997;101:26-29.
  96. Snibson GR. Collagen cross-linking: A new treatment paradigm in corneal disease—a review. Clin Experiment Ophthalmol 2010;38:141-53.
  97. Spoerl E, Raiskup-Wolf F, Kuhlisch E, Pillunat LE. Cigarette smoking is negatively associated with keratoconus. J Refract Surg 2008;24:S737-40.
  98. Rabinowitz YS, Nesburn AB, McDonnell PJ. Videokeratography of the fellow eye in unilateral keratoconus. Ophthalmology 1993;100:181-86.
  99. Goodrich DW, Lee WH. The molecular genetics of retinoblastoma. Cancer Surv 1990;9:529-54.
  100. Moodaley LC, Woodward EG, Liu CS, Buckley RJ. Life expectancy in keratoconus. Br J Ophthalmol 1992;76:590-91.
  101. Honein MA, Dawson AL, Petersen EE, Jones AM, Lee EH, Yazdy MM, Ahmad N, Macdonald J, Evert N, Bingham A, et al. Birth defects among fetuses and infants of US women with evidence of possible Zika virus infection during pregnancy. JAMA 2017 Jan 3;317(1):59-68.
  102. Chervenak FA, Jeanty P, Cantraine F, Chitkara U, Venus I, Berkowitz RL, Hobbins JC. The diagnosis of fetal microcephaly. Am J Obstet Gynecol 1984 Jul 1;149(5):512-517.
  103. Papageorghiou AT, Thilaganathan B, Bilardo CM, Ngu A, Malinger G, Herrera M, Salomon LJ, Riley LE, Copel JA. ISUOG Interim Guidance on ultrasound for Zika virus infection in pregnancy: information for healthcare professionals. Ultrasound Obstet Gynecol 2016 Apr;47(4):530-532.
  104. Chibueze EC, Parsons AJ, Lopes KD, Yo T, Swa T, Nagata C, Horita N, Morisaki N, Balogun OO, Dagvadorj A, et al. Diagnostic accuracy of ultrasound scanning for prenatal microcephaly in the context of Zika virus infection: a systematic review and meta-analysis. Sci Rep 2017 May 23;7(1):2310.
  105. Cordeiro MT. Zika virus: laboratory diagnosis. In: Zika in focus. Springer International Publishing; 2017. pp. 59-62.
  106. Mlakar J, Korva M, Tul N, Popović M, Poljšak-Prijatelj M, Mraz J, Kolenc M, Resman Rus K, Vesnaver Vipotnik T, Fabjan Vodušek V, et al. Zika virus associated with microcephaly. N Engl J Med 2016 Mar 10;374(10):951-958.
  107. Zare Mehrjardi M, Keshavarz E, Poretti A, Hazin AN. Neuroimaging findings of Zika virus infection: a review article. Jpn J Radiol 2016 Dec;34(12):765-770.
  108. Oliveira Melo AS, Malinger G, Ximenes R, Szejnfeld PO, Alves Sampaio S, Bispo de Filippis AM. Zika virus intrauterine infection causes fetal brain abnormality and microcephaly: tip of the iceberg? Ultrasound Obstet Gynecol 2016 Jan;47(1):6-7.
  109. Araujo AQ, Silva MT, Araujo AP. Zika virus-associated neurological disorders: a review. Brain 2016;139(8):2122-2130.
  110. Brasil P, Pereira JP Jr, Moreira ME, Ribeiro Nogueira RM, Damasceno L, Wakimoto M, Rabello RS, Valderramos SG, Halai UA, Salles TS, et al. Zika virus infection in pregnant women in Rio de Janeiro. N Engl J Med 2016 Dec 15;375(24):2321-2334.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.