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Year : 2018  |  Volume : 18  |  Issue : 5  |  Page : 6

Redesigned materials in full mouth implant supported prosthesis

Date of Web Publication31-Oct-2018

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-4052.244587

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How to cite this article:
. Redesigned materials in full mouth implant supported prosthesis. J Indian Prosthodont Soc 2018;18, Suppl S1:6

How to cite this URL:
. Redesigned materials in full mouth implant supported prosthesis. J Indian Prosthodont Soc [serial online] 2018 [cited 2019 Mar 26];18, Suppl S1:6. Available from: http://www.j-ips.org/text.asp?2018/18/5/6/244587

Dr K Mahendranadh Reddy

Indian Prosthodontic Society

Implant supported restorations is most accepted treatment modality restoring edentulous spaces. Restoring partial tooth loss and complete edentulous arches faces a different challenges. Long term success of Complete edentulous situations meticulous planned considering, Consequences of tooth loos, amount of bone resorption, bone availability, aesthetic challenges, Prosthesis weight, and functional load distributing to underlying implants and bone. Many materials and designs of prosthesis are in use for restorations of full arch implant supported prothesis. The traditional materials like nobel metals, base metals alloys, both casted and milled forms were used as reinforcing structures. Ceramics, composites, and Acrylics were used for layering to produce hybrid prosthesis. Development of the newer materials and present day polymer technology has made possible to reach our goals achievable with ease and producing consistent and predictable prosthetic success. Development of primers and bonding agents to enhance the adhesion between various materials has greatly changed the performance of these material when used in combination producing hybrid prosthesis.

Poly Ether Ether Ketone (PEEK) based polymer material are known as skeleton and composite for aesthetic and functional layering. The long term success and methods of fabrication of such prosthesis will be presented. Processing these materials could use traditional lost wax moulding technique and also digital work flow (CAD CAM) method making it compatible with modern technology bringing in consistency and predictability in prosthesis fabrication. Bio-Hpp is a PEEK based reinforced frame work material from Bredent, with excellent physical and mechanical properties desired and matched closely to the bone helping the loads generated by functional prosthesis being distributed in most favourable manner to underlying bone through the integrated implants. Challenge has always been adhesion between laying composite, Reinforcing skeleton, and components that fixes to implants. Various techniques will be presented which are proven with long term success.

The clinical case presentation of this kind of prosthesis will certainly conclude that the newer material like Bio-Hpp and modern day ceramic filled composite in combination of newer generation primers and adhesives will make full arch implant supported prosthesis very successful and also protect the underlying implants and the tissues remaining.


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