Characteristics of hybrid prostheses on implants

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Dental implants have become increasingly important in oral rehabilitation, with a high success rate for rehabilitations with implant-supported prostheses. To obtain these satisfactory functional and esthetic results, it is essential to achieve osseointegration and the ideal placement of the implants to support the desired restoration.

The main goal of implant treatments is to avoid complete removable dentures through the placement of implant-supported fixed prostheses or to improve the retention and stability of removable complete dentures through implant-retained systems.

Types of implant-supported prostheses

Basically, there are two approaches to an implant-supported fixed prosthesis:

Fixed prosthesis on metal-ceramic or zirconia implants consisting of a ceramic layer adhered to a metal or zirconia framework that can be cemented to abutments or fixed with prosthetic retention screws.

Another alternative to this type of fixed prosthesis is a hybrid implant-supported prosthesis.

A hybrid prosthesis on implants is a complete fixed dental prosthesis made of acrylic resin and supported by implants.

The hybrid prosthesis was introduced to address the problems caused by unstable and uncomfortable mandibular prostheses.

What is the hybrid prosthesis for?

This type of prosthesis is used to replace missing teeth and gum tissue. They are recommended when there is a lot of bone loss both in the mandible and in the upper jaw, offering a more natural and stable appearance, compensating for that bone loss. To do this, you will need four to six dental implants to create a solid base for the dentures.

Advantages of the hybrid prosthesis

Hybrid prostheses have a large number of advantages:

Reduced chewing force

They are less expensive to manufacture

They are highly aesthetic.

Drawbacks

However, they have a number of drawbacks such as:

food impaction

phonation problems

Difficulties managing hygiene

Despite the favorable long-term results achieved with prosthetic restorations with implants, biological and technical complications such as surgical complications, loss of an implant, bone loss, soft tissue complications around implants are frequent. , mechanical complications and aesthetic and phonetic complications. Many of these complications are affected by a wide variety of factors, including the design of the prosthesis, the materials used, patient-specific factors, and local and systemic conditions and habits such as bruxism, smoking, the presence of periodontal disease. , and maintenance.

Differences between hybrid dentures and overdentures

The difference between this type of prosthesis and overdentures is that the hybrid ones are screwed to the pillars and the patient cannot remove them. On the other hand, overdentures, although they are retained by osseointegrated implants, are removable and the patient can remove them on their own.

Since the patient cannot remove hybrid prostheses, more skills and capacity are required to clean them and prevent the accumulation of food debris and bacterial plaque from affecting the health of the implants.

Maintenance of hybrid prostheses

To achieve proper maintenance of hybrid prostheses, it is important to follow the following guidelines:

Using a water irrigator or dental shower: It is an oral health device designed for home dental care. It works by means of a jet of water that passes under the dental prosthesis and removes plaque, food particles and bacteria in an effective and simple way.

Use SuperFloss type dental floss: The Superfloss has a rigid part that will allow the easy introduction of the floss under the hybrid prosthesis. The spongy part will help to remove all the remains of retained food.

Use interdental brushes: these brushes have a small head and can be inserted under the prosthesis and between the pillars themselves to remove retained food debris.

Visit the dentist every 6 months: It is recommended that the patient visit their specialist dentist every 6 months, so that the dentist can completely remove the prosthesis and perform a thorough cleaning of the abutments and prosthesis.

In short, implant-supported hybrid prostheses can be a reliable alternative treatment procedure when a fixed metal-porcelain restoration does not meet the patient's esthetic, phonetic, oral hygiene and oral comfort requirements, although it is important to follow the correct ones. hygiene and maintenance guidelines to ensure its durability.

Source: adeslasdental

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