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Conclusions : Current status of implant prosthetics in Japan: a survey among certified dental lab technicians

Conclusions : Current status of implant prosthetics in Japan: a survey among certified dental lab technicians

author: Yoshiyuki Hagiwara, Tatsuya Narita, Yohei Shioda, Keisuke Iwasaki, Takayuki Ikeda, Shunsuke Namaki, Thomas J Salinas | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

This survey served to clarify the current status of implant prosthodontics, issues, and considerations in their fabrication, and the status of prosthetic complications and preventive initiatives, all from a laboratory perspective.

Concerning implant treatment, it was concluded that dentists either play the leading role or work in collaboration with technicians, including in the formulation of treatment direction and that a team approach has been achieved to a certain extent.

This survey identified the problems that technicians address on a frequent basis in the fabrication of prostheses (these should be noted by dentists), including implant location and angulation, impression and bite registration precision, and occlusal considerations.

Concerning prevention of veneer fractures, it was also concluded that the best approach consists of metal occlusal (including a metal backing for the distal-most area) and coping designs.

The results of this survey suggest that, to fabricate prostheses with a high level of predictability, functional utility, and aesthetic satisfaction, it is necessary to reaffirm the importance of dentists increasing their prosthetic knowledge and working together with dental technicians to develop comprehensive treatment plans, design prostheses, and accomplish occlusal reconstruction.

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