Abstract (EN):
Facing the challenges imposed by cases, technique and scientific knowledge available will always be the alma mater of those clinicians who do the best for their patients’ health. Tooth-implant supported fixed prosthesis present a potential biomechanical problem: the implant is rigidly connected to the alveolar bone and, by opposition, the tooth possesses periodontal ligament and greater amplitude of intrusion, which may lead to bone loss around the latter. The use of cantilever extensions is a common procedure in fixed rehabilitation, keeping its role in the therapeutic options of much of the clinicians, despite the fact that potentially destructive forces are transmitted to the abutments. These two options in oral rehabilitation are not consensual in scientific literature. Far from a temerary practice, this clinical case – tooth-implant supported bridge with mesial cantilever - reflects the expecting success, even when controversial techniques are employed, once appropriate planning is established, using careful protocol and one is aware of the limits or complications of each option to be taken. In this kind of prosthetic rehabilitation and, to improve the performance and longevity of it, evidence- based biomechanical considerations are of the most important significance.
Language:
English
Type (Professor's evaluation):
Scientific