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KMID : 0613420220310020047
Journal of the Korean Academy of Esthetic Dentistry
2022 Volume.31 No. 2 p.47 ~ p.55
Considerations for minimizing food impaction after implant prosthesis: Adjacent and antagonistic teet
Cho Lee-Ra
Abstract
Food impaction due to proximal space opening after implant restoration is a very common phenomenon in patients who have implant prosthesis. This occurs because the movement mechanism between the implant and the tooth is different, and it occurs about 30-60% over time. Contributing factors include the arch (mandible), region (posterior teeth), adjacent teeth (non-vital teeth), and antagonist teeth (natural teeth or implants), etc. While this phenomenon cannot be prevented, efforts should be made to minimize it. In order to have an ideal proximal contact as much as possible, the concave shape or the prominent lower proximal shape should be modified to create a symmetrical proximal shape. with the buccal dentate in the upper third height should be adjusted. Other conditions should be modified so that the heights of the marginal ridges are similar. Since an irregular occlusal plane is a cause of poor prognosis, food impaction should be minimized by restoring the ideal occlusal plane by correcting the extruded antagonist and reduction of the disto-buccal cusp.
KEYWORD
Food impaction, Adjacent teeth, Antagonist, Proximal shape, Occlusion
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