The European Association for Osseointegration (EAO) is at the forefront of dental research, bringing together experts to discuss and disseminate evidence-based practices. In a recent consensus conference, the focus was on dental reconstructions, specifically the materials and methods that can enhance clinical outcomes. This article summarises the key findings from the conference, providing practical takeaways for dental professionals.
Bridging the Gap Between Research and Practice One of the primary challenges in dental practice is the availability of high-quality, large-scale evidence. Often, sample sizes are too small or new techniques evolve too quickly for comprehensive studies. To address this, the EAO organises consensus conferences, where leading researchers and clinicians review the latest literature and develop guidelines for practice. The 2013 consensus conference produced a comprehensive 300-page report, summarised in a digest for easier application in daily clinical settings.
Key Areas of Focus: Digital Workflows and Material Choices The conference delved into several critical areas of dental reconstructions, including the use of digital versus conventional workflows and the materials for abutments and restorations.
Digital vs. Conventional Workflows:
Preference-Based Choices: The conference found no significant scientific reason to prefer digital workflows over conventional ones or vice versa. The choice largely depends on the clinician's preference and comfort. Digital impressions can be faster and more efficient in certain settings, reducing turnaround times and potentially lowering costs. Clinical Implication:
Dentists can confidently choose between digital and conventional workflows based on their practice needs and preferences without compromising on the quality of care. Materials for Reconstructions:
Single Implants: When it comes to single implants, various materials such as ceramics and metals are used. The key finding is that both types of materials can be effective, but each comes with its own set of considerations. Ceramic implants, while aesthetically pleasing, may have a higher risk of chipping and fractures compared to metal implants. Clinical Implication:
While ceramic implants offer aesthetic advantages, dentists should consider the patient's specific needs and the potential for material-related complications. Partial and Full Arch Reconstructions: For partial and full arch reconstructions, zirconia emerged as a popular material due to its strength and aesthetics. However, its use is not without challenges. Zirconia can be prone to chipping, particularly in complex cases involving high masticatory forces. Clinical Implication:
Zirconia is a viable option for reconstructions, but clinicians should be mindful of its limitations and consider monolithic zirconia for better long-term results. Abutments and Connections:
Material Choices: Abutments can be made from metal, ceramic, or a combination of both. The choice of material impacts the long-term success of the implant. Internal connections were found to be more reliable than external ones, providing better stability and less risk of complications. Clinical Implication:
Use internal connections for abutments to enhance implant stability and longevity. The choice between metal and ceramic abutments should be guided by the specific clinical scenario and patient needs. Practical Recommendations for Clinical Practice The consensus conference highlighted several practical points for dental practitioners:
Personalised Workflow Choices:
Tailor the choice of digital or conventional workflows based on practice logistics and personal preference, ensuring efficiency and quality. Material Selection:
Select implant and abutment materials that best suit the patient’s clinical situation, balancing aesthetic desires with functional durability. Adopt Reliable Connections:
Prefer internal connections for abutments to reduce the risk of complications and improve patient outcomes. Conclusion The findings from the EAO consensus conference provide valuable insights that can significantly enhance clinical practice in dental reconstructions. By integrating these recommendations, dental professionals can ensure they are providing evidence-based, high-quality care to their patients. For more detailed information and to stay updated on the latest research, practitioners are encouraged to visit the EAO website and explore the full digest of the conference findings.
Staying informed and adaptable is crucial in the ever-evolving field of dental implantology. Embrace these insights to elevate your practice and contribute to the advancement of dental science.