Prevention and Management of Cheek and/or Tongue Biting Related to Posterior Implant‐Supported Fixed Dental Prostheses (ISFDPs)

摘要

Abstract After the loss of several adjacent posterior teeth, bone resorption occurs that can lead to a marked occlusal discrepancy between arches. This discrepancy may originate from the more pronounced resorption at the facial portion of the alveolar bone crest, often resulting in a more palatal implant position. Therefore, establishing normal overbite and cusp‐fossa relation may become difficult, namely causing inappropriate crown contours and emergence profiles. This manuscript describes a technique in which a different occlusal configuration is given to solve some problems that edge‐to‐edge occlusal configuration produces. For instance, patients may suffer from cheek and/or tongue biting after the delivery of a maxillary posterior implant‐supported fixed dental prosthesis resulting in an edge‐to‐edge occlusal configuration. In instances of severe maxillary resorption in the posterior buccal zone, it is recommended to consider a distinct cross‐bite occlusion and by this prevent the well‐known discomfort and clinical signs associated with both an edge‐to‐edge interarch relationship or a so‐called “stretched” transversal overbite.