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

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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.

Need to Read it? Check out the Full Episode Transcript below!

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: 

Recognize key factors that contribute to implant failure and how occlusion plays a role.

Utilize practical approaches, such as the Chewing Gum Test, to assess and manage implant occlusion (function) effectively.

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

Click below for full episode transcript:

Teaser: If you overload it, the risk is that you're going to get bone loss around the neck of the tooth, just from a biological perspective. That then means, okay, how do you apply those forces? And so if you apply those forces to a tensile at an angle, that's definitely going to occur. But static forces, it's still going to get some transference through it.

Teaser:So it's about understanding how to manage those forces. The one, the thing that I noticed, if it's an issue is screw loosening of the crown and an implant that tells me straight away, I have some of axia loading on my implant. So I need to deal with that straight away.