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Screw Vs Cemented Implant Supported Prosthesis

Ahmad AlAwadhi

Fixed Implant supported prosthesis improved patient comfort and functional capabilities. It all started with using fixed detachable casted metal bar with acrylic teeth by Branemark. Technology in implant supported prosthesis fabrication improved and treatment options have been diversified for the past 40 years. For simple cases, there is a huge controversy in making the choice between cemented and screw retained implant crowns. New objectives and criteria need to be suggested to simplify treatment modalities. Several authors discussed major principles for treatment planning and these principles should serve as a foundation for any treatment options that involve advanced technology. Unfortunately, these principles lack important clinical factors. The purpose of this presentation is to propose more detailed criteria that help in decision making during treatment planning fixed implant supported restorations. These criteria can be used as a guide for clinicians to simplify the process of treatment planning and to expect more predictable and safe outcome in regards to functional and esthetic aspects.