Digital Occlusion's Role in Implant Rehabilitation

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Author(s): Henriette Lerner (HL Dentclinic and Academy, Germany & Johann Wolfgang Goethe University, Germany)
Copyright: 2025
Pages: 112
Source title: Handbook of Research on T-Scan Technology Applications in Dental Medicine
Source Author(s)/Editor(s): Robert B. Kerstein, DMD (Former Assistant Clinical Professor, Tufts University School of Dental Medicine, USA)
DOI: 10.4018/978-1-6684-9313-7.ch017

Keywords: Dentistry / Medical Information Science Reference / Medical Technologies / Medicine & Healthcare

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Abstract

Contemporary implant rehabilitations are aesthetically driven. Consequently, digital planning and guided surgery deliver higher predictability and precision, than do analog procedures. The aim of this chapter is to show the integration of digital occlusion in the different phases of full arch implant rehabilitation with immediate implant placement and immediate loading procedures. Digital occlusal analysis raises the precision of functional occlusal adjustments, while improving the long-term predictability and stability of both case function and aesthetics. This chapter will present a systematic digital workflow detailing every stage of full arch rehabilitation treatment while showcasing digital occlusal diagnosis with the T-Scan system, to install a precise implant prosthesis occlusal scheme. A full arch rehabilitation case involving immediate implant placement and immediate implant loading will be presented that was occlusally finished with the T-Scan. And, important new mechanical implant complications research that tested T-Scan measured digital occlusion case insertions against articulating paper only case insertions, is also detailed. The authors found that a measured approach with T-Scan to guide the adjusted occlusal contacts statistically lessened common mechanical complications that continue to plague the implant Digital Workflow. The chapter concludes with a detailed pictorial explanation of how to clinically perform the T-Scan + Articulating Paper method that was used in the mechanical complications research study to select the correct articulating paper marks where implant occlusal contacts are force overloaded.

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Digital Occlusion's Role in Implant Rehabilitation

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