Implant Occlusion that Makes Sense! – PDP204

Protrusive Dental Podcast

Implant crowns should be out of occlusion, right? Think again!

In my experience, single tooth implant crowns when I see them are IN occlusion and holding shim – even when this was not intended by the Restorative Dentist.

When this happens, should we be adjusting the implant crown? Or perhaps the adjacent tooth? *shock horror*

And how often would this need to be repeated?

This podcast will show you a better way to manage implant occlusion!

https://youtu.be/l8WOiamk06M

Watch PDP204 on Youtube

In this episode, I’m thrilled to chat with Professor Riaz Yar, an occlusion expert and mentor who greatly influenced me early in my career. Together, we’ll debunk common myths and dive into practical approaches to managing implant occlusion.

Even if implants aren’t part of your practice, understanding occlusion on implants is crucial for patient care. Tune in as we uncover best practices and clear up misconceptions to help you achieve better results for your patients!

Protrusive Dental Pearl: Dr. Pav Khaira has created a free implant assessment form, now available to the Protrusive community. Accessible at www.protrusive.co.uk/implant – this responsive PDF includes key areas like patient goals, biotype, and occlusion, with an 8-minute video guide for easy use.

Key Takeaways

-Implant occlusion is a major factor in implant failure.
-Understanding the biology of the implant system is crucial.
-Functional loading is more important than static loading!
-Chewing dynamics can reveal important insights about occlusion.
-Guidelines for occlusion should be followed but adapted to individual cases.
-Patient education on post-implant care is essential.
-Shared loading on implants is vital for their longevity.

Highlights of this Episode:

• 01:34 Protrusive Dental Pearl
• 02:47 Introducing Professor Riaz Yar
• 05:07 Understanding Implant Failure Causes
• 08:04 Analyzing Implant Occlusion and Peri-Implantitis
• 10:27 The Chewing Gum Test
• 13:20 Guidelines and Challenges with Implant Occlusion and Lab Protocols
• 17:33 Bone Regeneration and Functional Guidance
• 19:22 Dynamic Movements and Occlusion Analysis
• 23:48 Practical Tips for Implant Bridges
• 28:19 Patient Guidelines for Implant Care

Join Riaz for an innovative implant restorative program developed with top dentists (Nik Sissodia, Martin Wanendeya, Sanjay Sethi, and Nik Sethi), designed to enhance your skills in implant restoration.

Check out Riaz’s one-day course on implant occlusion at profriazyar.com and Elevate Dental. Sign up now and boost your implant expertise!

This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance.

This episode meets GDC Outcomes B and C.

AGD Subject code: 690 IMPLANTS

Dentists will be able to:

1. Recognize key factors that contribute to implant failure and how occlusion plays a role.
2. Utilize practical approaches, such as the Chewing Gum Test, to assess and manage implant occlusion (function) effectively.
3. Discuss guidelines for implant occlusion and understand the challenges involved in lab protocols.

If you liked this episode, be sure to watch An Idiot’s Guide to Restoring Single Implant Crowns Part 1 and Part 2