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Erhan Çömlekoğlu

M. Erhan Çömlekoğlu is a graduate of Ege University, School of Dentistry where he received his DDS degree. He attended Prosthesis Program of Graduate Study offered by Institute of Health Sciences at Ege University and graduated with Ph.D. degree at Prosthodontics. He is an Associate Professor and resident at the Department of Prosthodontics, School of Dentistry at Ege University, İzmir, Turkey. He completed several scientific projects supported by national and international institutions. He was honoured more than 30 national and international scientific awards. With these projects he authored more than 70 articles in peer-reviewed scientific journals in the field of adhesive and implant dentistry and established CAD/CAM restorative laboratory at the dental school. His clinical practice is limited to Prosthodontics at the Department of Prosthodontics, School of Dentistry, Ege University. Dr. Çömlekoğlu is intensely involved in scientific research regarding adhesive dentistry and implant dentistry. His current research interest particularly covers implant-periodontium interactions and their clinical outcomes.

Occlusion for Fixed and Removable Prostheses

Occlusion is of vital importance to the long-term success and comfort for the natural dentition as well as the prosthetic restorations. Immediate patient tolerance can be provided by applying the appropriate individual occlusal scheme which may differentiate relative to various restoration types. Using monolithic zirconia as a rastorative material for monolithic restorations became more popular paticularly for bruxing patients. Establishing digital flawless occlusal relationships in monolithic restorations prior to fabrication may minimize tooth wear and diminish chairside time loss. Same rule applies for the implant supported prostheses which are highly susceptible to occlusal interferences. Several clinical techniques and appliences may be used to avoid occlusal interferences in the centric state and during the eccentric moves. In this presentation, effect of erroneous occlusion on temporomandibuler joint disorders, practical use of face-bow for a well-balanced occlusion, rigid silicone bite registration technique for a correct centric occlusion, monolithic restorations for bruxing patients and modified lingualised occlusion concept will be described.

Long-Term Success Criteria for Implants in Anterior Region

One of the crucial problems regarding anterior implant restorations is to provide periimplantary soft tissue integrity in terms of esthetics. Pink&white esthetics may not be accomplished in some of the cases although a complete osseointegration is provided. Biological width hypothesis in important in this context and has gained support in recent years. Custom abutments have been widely used due to their optimal emergence profile and natural-like appearance when fabricated from zirconia or glass-ceramics. Custom abutments that are placed at the same day with the implant surgery and never detached again can provide both a better esthetic appearance and prevent any soft tissue related problems due to intact-remained biological width. In the first part of presentation differences in the periodontal and periimplantary soft tissues will be reminded, in the second part the rules of implant placement for optimal esthetics will be mentioned and in the last part the immediate definitive customized abutment technique will be described. Moreover, 50-month comparative results will be shown.