In recent years, treatment using implants has become common. Since 2016, dental implants have been insured as part of strengthening health insurance coverage. Consequently, the demand for implants is increasing. Accordingly, the importance of implant maintenance has been emphasized. Of which, implant retrievability is an important factor in implant success. Although the screw-retained type is an advantageous easy-to-retrieve prosthesis, an occlusal point cannot make it to the central axis of the implant. Thus, we aimed to introduce an implant setting method (screw hole indexing) that enables the maintenance of the proper occlusal point and enables retrievability by marking the screw holes of the implant.

In recent years, treatment using implants has become common. Since 2016, dental implants have been insured as part of strengthening health insurance coverage. Consequently, the demand for implants is increasing. Accordingly, the importance of implant maintenance has been emphasized. Of which, implant retrievability is an important factor in implant success. Although the screw-retained type is an advantageous easy-to-retrieve prosthesis, an occlusal point cannot make it to the central axis of the implant. Thus, we aimed to introduce an implant setting method (screw hole indexing) that enables the maintenance of the proper occlusal point and enables retrievability by marking the screw holes of the implant.

In recent years, treatment using implants has become common. Since 2016, dental implants have been insured as part of strengthening health insurance coverage. Consequently, the demand for implants is increasing. Accordingly, the importance of implant maintenance has been emphasized. Of which, implant retrievability is an important factor in implant success. Although the screw-retained type is an advantageous easy-to-retrieve prosthesis, an occlusal point cannot make it to the central axis of the implant. Thus, we aimed to introduce an implant setting method (screw hole indexing) that enables the maintenance of the proper occlusal point and enables retrievability by marking the screw holes of the implant.

In recent years, treatment using implants has become common. Since 2016, dental implants have been insured as part of strengthening health insurance coverage. Consequently, the demand for implants is increasing. Accordingly, the importance of implant maintenance has been emphasized. Of which, implant retrievability is an important factor in implant success. Although the screw-retained type is an advantageous easy-to-retrieve prosthesis, an occlusal point cannot make it to the central axis of the implant. Thus, we aimed to introduce an implant setting method (screw hole indexing) that enables the maintenance of the proper occlusal point and enables retrievability by marking the screw holes of the implant.

Attrition is the loss of tooth hard tissue due to contact between teeth, and in severe cases, dentin is exposed, accompanied by selective corrosion and excessive wear of teeth, which is called cupping. If these lesions are left untreated, the size of the lesion gradually increases, breaking the unsupported enamel, resulting in a decrease in aesthetics and chewing function. In this case report, patients with cupping and enamel fracture due to severe attrition were directly restored using a resin with soft properties containing organic fillers. In the follow-up observation six years later, most of the filling of the occlusal surface was eliminated, but the filling on the buccal surfaces remained relatively intact, and it was confirmed that this type of resin was suitable for the area where the occlusal force was relatively weak rather than the area where the occlusal force was greatly applied.

Maxillary bone defects may follow surgical treatment of benign and malignant tumors, trauma, and infection. Palatal defects often lead to problems with swallowing and pronunciation from the leakage of air into the nasal cavity and sinus. Obturators have been commonly used to solve these problems, but long-term use of the device may cause irritation of the oral mucosa or damage to the abutment teeth. Utilizing implants in the edentulous area for the fabrication of the obturators has gained attention. This case report describes a patient, who had undergone partial resection of the maxilla due to adenocarcinoma, in need of a new obturator after losing abutment teeth after long-term use of the previous obturator. Implants were placed in strategic locations, and an implantretained maxillary obturator was fabricated, showing satisfactory results in the rehabilitation of multiple aspects, including palatal defect, masticatory function, swallowing, pronunciation, and aesthetics.

Dental implants are accepted as an effective treatment tools; however, they have a biomechanically disadvantageous structure compared with natural teeth. To compensate for the structural limitations of dental implants, occlusal must be considered to minimize the stress applied to the implants. This study aimed to verify whether the basic biomechanical principle that stress should be applied along the long axis of the implant fixture could be appropriately applied to actual implant clinical treatment. To evaluate whether the major axis of the implant is located at the center of the occlusion surface, the location of the screw hole was analyzed using the image of the stereolithographic file formed during the digital laboratory process, and the accuracy of implant placement was confirmed indirectly.The study included 261 patients and 392 implant cases. By tooth type, the numbers of samples were 57 in the first premolar, 66 in the second premolar, 152 in the first molar, and 117 in the second molar. The location of the screw hole was analyzed by dividing the occlusion surface of the implant crown into nine grids of the same size based on the outermost boundary. Consequently, the accuracy of implant placement tended to decrease from the premolar to the molar, upper jaw to the lower jaw, and left to right.

Dental implants are accepted as an effective treatment tools; however, they have a biomechanically disadvantageous structure compared with natural teeth. To compensate for the structural limitations of dental implants, occlusal must be considered to minimize the stress applied to the implants. This study aimed to verify whether the basic biomechanical principle that stress should be applied along the long axis of the implant fixture could be appropriately applied to actual implant clinical treatment. To evaluate whether the major axis of the implant is located at the center of the occlusion surface, the location of the screw hole was analyzed using the image of the stereolithographic file formed during the digital laboratory process, and the accuracy of implant placement was confirmed indirectly.The study included 261 patients and 392 implant cases. By tooth type, the numbers of samples were 57 in the first premolar, 66 in the second premolar, 152 in the first molar, and 117 in the second molar. The location of the screw hole was analyzed by dividing the occlusion surface of the implant crown into nine grids of the same size based on the outermost boundary. Consequently, the accuracy of implant placement tended to decrease from the premolar to the molar, upper jaw to the lower jaw, and left to right.

Dental implants are accepted as an effective treatment tools; however, they have a biomechanically disadvantageous structure compared with natural teeth. To compensate for the structural limitations of dental implants, occlusal must be considered to minimize the stress applied to the implants. This study aimed to verify whether the basic biomechanical principle that stress should be applied along the long axis of the implant fixture could be appropriately applied to actual implant clinical treatment. To evaluate whether the major axis of the implant is located at the center of the occlusion surface, the location of the screw hole was analyzed using the image of the stereolithographic file formed during the digital laboratory process, and the accuracy of implant placement was confirmed indirectly.The study included 261 patients and 392 implant cases. By tooth type, the numbers of samples were 57 in the first premolar, 66 in the second premolar, 152 in the first molar, and 117 in the second molar. The location of the screw hole was analyzed by dividing the occlusion surface of the implant crown into nine grids of the same size based on the outermost boundary. Consequently, the accuracy of implant placement tended to decrease from the premolar to the molar, upper jaw to the lower jaw, and left to right.

Dental implants are accepted as an effective treatment tools; however, they have a biomechanically disadvantageous structure compared with natural teeth. To compensate for the structural limitations of dental implants, occlusal must be considered to minimize the stress applied to the implants. This study aimed to verify whether the basic biomechanical principle that stress should be applied along the long axis of the implant fixture could be appropriately applied to actual implant clinical treatment. To evaluate whether the major axis of the implant is located at the center of the occlusion surface, the location of the screw hole was analyzed using the image of the stereolithographic file formed during the digital laboratory process, and the accuracy of implant placement was confirmed indirectly.The study included 261 patients and 392 implant cases. By tooth type, the numbers of samples were 57 in the first premolar, 66 in the second premolar, 152 in the first molar, and 117 in the second molar. The location of the screw hole was analyzed by dividing the occlusion surface of the implant crown into nine grids of the same size based on the outermost boundary. Consequently, the accuracy of implant placement tended to decrease from the premolar to the molar, upper jaw to the lower jaw, and left to right.