Meeting abstract

Implantoprosthetic Treatment of Complete and Partial Edentulousness - Case Presentation

E. Hodžić
Robert Ćelić
S. Nedoklan
D. Komplenović
S. Senzel

Abstract

Today osseointegrated implants and prosthetic superstructures represent a form of standard care for patients in whom there is the loss of one or all teeth in both jaws. Slowly but surely prosthetic devices, supported by osseointegrated implants, have taken prevailed over the advantages of conventional prosthetic techniques of treatment of complete or partial edentulousness. Indications for prosthetic devices supported by osseointegrated implants are: a) edentulous patients, b) patients with prostheses who cannot, or refuse to, wear mobile prosthesis, c) patients with unilateral edentulousness where it is impos-sible to construct fixed bridges of longer span, d) patients with poor muscular coordination and low tissue tolerance (simple term for attachment gingiva in the lower jaw), e) patients with periofunctional habits which destabilise conventional prostheses, f) patients with marked reflex to vomiting, g) unsatisfactory number and position of natural teeth as possible abutments, and f) loss of one tooth in order to avoid grinding of adjacent intact teeth. Absolute contraindications for placement of implants are: a) patients radiated with high doses, b) patients with mental problems, c) haematological system disorders. Relative contraindications are: a) pathology of soft and hard oral tissues, b) the area of fresh extractive wounds, c) patients using drugs, alcohol or tobacco (smoking or chewing of tobacco).
Initial information received from each patient must include medical and dental history, radiographic finding (orthopantomograph or CT), analysis of study models and photographs, or with the purpose of achieving optimal treatment plan. The patient must understand the plan of treatment and be motivated for such treatment, while the clinician during diagnostic and therapeutic procedures learns about the mental - physical condition of the patient and acquires his/her confidence.
The object of this presentation was to show the clinical laboratory course of the insertion of implants and construction of prosthetic devices in clinical situations of complete and partial edentulousness. Emphasis is placed on prosthetic systems such as a combination of telescope crown and attachment (CEKA type attachment) and individually milled bars, which optimise retention and stabilisation of the prosthetic device with the object of obtaining maximal function, aesthetics and patient satisfaction.

Keywords

Hrčak ID:

628

URI

https://hrcak.srce.hr/628

Publication date:

15.12.2005.

Article data in other languages: croatian

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