Consensus statements and recommended clinical procedures regarding loading protocols for endosseous dental implants.
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The atrophic edentulous mandible is treated successfully with a mandibular staple bone plate. The lower denture must be tissue-borne with retention and stability provided by the implant. An attachment with stress-breaking capability is necessary for the success of the reconstruction.
Teeth that are unsuitable as abutments for a fixed bridge or removable partial denture may be retained as roots under an overdenture. While these roots remain, the vertical height of the bony ridge is preserved. In addition, the roots give support to the denture and reduce stress on the alveolar ridge.
A technique for retaining alveolar bone beneath complete dentures involving sumergence of vital canine roots below the level of the alveolar bone is reported. Early or late complications occurred in five of the eight roots retained. Radiographic and histologic examination showed the continuance of pulpal vitality and an absence of resorption of roots during the test period. The clinical at the end of 20 months' observation indicated that the procedure may provide a practical means of retaining alveolar bone for some individuals.
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