The Dawson Academy Blog

Dental Articles on Occlusion, Centric Relation, Restorative Dentistry & More

Implant vs. Natural Teeth

One of the most important and obvious differences between implants and teeth is the lack of the Periodontal Ligament (PDL). The PDL contains mechanoreceptors that help determine the amount of force being applied to a tooth. This helps act as a safety mechanism for the tooth, so that it is not overloaded with stress.

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2 Considerations of Treatment Planning a Maxillary Implant Prosthesis

When we have patients with an existing maxillary denture who want to transition to some type of implant prosthesis, there are many things to consider when we are treatment planning these types of cases. Number of implants, A/P spread, and vertical space are a few important clinical decisions that must be made. The decision to do a fixed or removable prosthesis, however, can be patient driven, meaning, most patients will want a fixed prosthesis if given the choice.

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Developing Your Implant Team

As general dentists, when we think about developing our implant team and with some training, we can get comfortable with all aspects of this. If only one person has to visualize the case all the way through, it makes a little bit easier. We are going to start with our usual data, our photos and all the things that we would do to do our occlusal analysis. We should add a CBCT to this process and begin to figure out where the tooth or the teeth will be in space, so we can start our reverse engineering process.

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Transitioning to a Fixed Implant Supported Prosthesis

When patients come to us with existing maxillary dentures and want to transition to afixed implant supported prosthesis, sometimes the treatment planning process can be a little confusing and a little challenging.

And we tend to maybe let the patient drive that decision and we end up doing a fixed prosthesis. But really the question is, is that the best prosthesis for them?

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How are Real Teeth and Implants Different?

When looking at implants versus teeth, it is very important to consider the differences between them. There are many differences.

One difference that's very important for us as Dawson Dentists to consider is that a tooth has a periodontal ligament, the PDL. An implant does not.

An implant is essentially an ankylosed unit.

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