Meeting abstract
Solving Total Edentulousness with a Removable Bridge Anchored on Four Implants
M. Stilinović-Bjelica
Irina Filipović-Zore
Ž. Balen
Abstract
In everyday dental practice the problem of prosthetic solution of total edentulousness in a more or less marked atrophic lower jaw, is a particularly difficult problem. Beside classical prior prosthetic procedures such problems can also be solved with the placement of dental implants. It is then essential to carefully plan the position of the implant, calculate height, width and density of the bone on the planned area, calculate anatomic and intermaxillary relations and plan the correct superstructure in order to ensure for the patient optimal retention and stabilisation of the prosthetic restoration. Such a restoration must functionally, aesthetically and phonetically satisfy the patient. Whether the condition of the lower edentulousness with implantoprosthetic rehabilitation is solved with a mobile prosthetic or fixed prosthetic superstructure depends on the possibilities of inserting a particular number of implants, the patient’s wish and also financial possibilities.
The paper presents the case of a 58-year-old female patient who came to the surgery because of loose fixed prosthetic devices in the lateral region of periodontologically compromised frontal lower jaw. The patient had a total denture in the upper jaw with which she was satisfied. After radiographic treatment extraction of the remaining teeth was indicated and implantoprosthetic rehabilitation agreed. With the healing of the extractive wounds, a further orthopantomogram showed the possibility of inserting only four Ankylos implants in regions 46, 43, 33, 36. The patient expressed the desire to again have fixed prosthetic rehabilitation. As a compromise, at the end of osseointegration, the implants were loaded with a removable bridge on the telescope principle. The paper presents one of the methods of implantoprosthetic rehabilitation of the atrophic lower jaw.
Keywords
Hrčak ID:
625
URI
Publication date:
15.12.2005.
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