Opinion in Off Occlusion Cantilevers in Immediate Load in All on 5 cases?
Last Updated: Aug 06, 2018
Not too long ago, I was I able to finish my very first All-on-5 case, in which two implants in areas #26 and 28 were placed four months prior before placement of 3 subsequent implants in the area of 20, 23 and 24. Upon conversion of the immediate lower denture to a temporary bridge, I left 2 teeth cantilevered in the area 29/30 knowing the fact that implants were nicely integrated in areas #26 and 28, and only one tooth in the area #19. Although I was aware of the fact that cantilevers in the temporary prosthesis can lead to the fractures of the prosthesis, I had to make sure that all cantilevered areas remained in hypoocclusion. I was wondering if someone could share their opinion on leaving cantilevers out of occlusion (by 1mm) just like we do in immediate temporization techniques for single unit implants. I also know that NobelBiocare discourages leaving cantilevers according to their All-on-4 protocol, yet their scholar Dr Steven Bongard in his educational All-on-4 treatment concept clinical case video leaves at least one to two teeth in cantilevers on each side. Please note that I used 13mm NP and RP Nobel Replace CC Implants that torqued over 45Ncm in placement of implants #20, 23 and 24. What are your views and what do you recommend? Your expertise in this matter is greatly appreciated.
18 Comments on Opinion in Off Occlusion Cantilevers in Immediate Load in All on 5 cases?
Dok
08/07/2018
Dr Daneshgar
08/07/2018
Dr S
09/04/2018
mwjdds,ms
08/07/2018
Raul R Mena
08/07/2018
Alex Zavyalov
08/07/2018
Raul Mena
08/07/2018
Ed Dergosits
08/08/2018
Dr A
08/11/2018
Bill McFatter
08/08/2018
roadkingdoc
08/09/2018
Raul R Mena
08/09/2018
AllON4
08/11/2018
yosef k
09/22/2018
yosrebco
09/22/2018
Greg Kammeyer, DDS, MS, D
11/19/2018
Greg Kammeyer, DDS, MS, D
11/19/2018
Featured Products
Classic 50/50 Mix
Promotes osteoconduction
Provides structural integrity
Convenient Syringe!
50/50 Cortical/Cancellous
Available in 3 sizes.
Eliminate hassle of mixing particulate grafts
Sold in packs of 5 or packs of 10.
Proven safe, and clinically effective
Resorbable collagen membrane derived from purified porcine pericardium
Fast hydration and excellent tensile strength
Good adaptation to various defects
Excellent tear function and duration
100% allograft
Eliminates mixing hassle
Moldable after hydration
roadkingdoc
08/06/2018