A legion of dental implant supported fixed restorations are delivered every year around the world.
Dental implants are unique in that they are man-made contrivances that penetrate through all three layers of the human body, ecto, meso and endoderms. It behooves clinicians performing these miraculous modern treatments to take an active role in the long-term maintenance of their efforts. Controversy exists regarding the optimal method to retain fixed dental implant restorations. Available literature seems to support both sides of the issue and, like many issues in dentistry, either side can be supported using ‘Evidence Based Research’. Cemented or screw retained superstructures are debated and the winner seems to be whichever one you like. Nonetheless, a key concept, beyond restoration retention, is how to maintain and evaluate the supporting tissues around the dental implants for the long term. An alternative fixation philosophy and long term maintenance program will be suggested in this presentation.
Learning Objectives:
- Screw mechanics, problems and alternatives
- Microbial interactions with dental implant restorations
- Proposed dental implant restoration maintenance
Bio: Dr. Brent L. Beyak
Engaged 100 % in private practice in Victoria, British Columbia since 1993 as a Certified Specialist of Prosthodontics. DDS Program, University of Alberta, 1980 – 1984. Course Coordinator, didactic and clinical instructor of complete removable prosthodontics. University of Alberta, 1984 – 1987. Private practice in General Dentistry Edmonton, Alberta, 1984 – 1989. Private practice in General Dentistry Victoria, British Columbia, 1989 – 1990. Advanced Prosthodontic Graduate Program University of Southern California, Los Angeles, California, 1990 – 1992. American Board of Prosthodontics Diplomate, 1995. Fellow of the American College of Prosthodontists, 1995. Fellow of the Royal College of Dentists of Canada (Pros), 2005.
Memberships
College of Dental Surgeons of British Columbia
Association of Dental Surgeons of British Columbia
Canadian Dental Association
Association of Prosthodontists of Canada
American Board of Prosthodontics
American College of Prosthodontists
International College of Prosthodontists
CAIC
Served on Executive and as President of the B.C. Society of Prosthodontists 2000 – 2004. Served on Executive and as President of the Association of Prosthodontists of Canada 2004 – 2009. Serves as Examiner in Prosthodontics for the Specialist Entry Examination for the Royal College of Dentists of Canada 2007 – 2015. Mentor of the Vancouver Society of Restorative Dentistry 2011- present.
Publications
Compatibility of elastomeric impression materials for use as soft tissue casts. Beyak BL, Chee WW, J Prosthet Dent. 1996 Nov;76(5):510-4
Patient’s ability to localize adjustment sites on the mandibular denture. Yeoman LR. Beyak BL. J Prosthet Dent. 1995 Jun;73(6):542-7
