Complex rehabilitation of atrophic mandible with implant-supported prosthesis
| Autor: | Anderson Nicolly Fernandes-Costa, Bruno César de Vasconcelos Gurgel, Rodrigo Fromer, Saulo Hilton Botelho Batista, Carla Martins de Carvalho, Salomão Israel Monteiro Lourenço Queiroz |
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| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Revista clínica de periodoncia, implantología y rehabilitación oral v.11 n.1 2018 SciELO Chile CONICYT Chile instacron:CONICYT |
| ISSN: | 0719-0107 |
| Popis: | In this study, we report the case of a patient presenting a severe atrophic mandible that was treated with short implants and stable internal fixation, without using bone grafts or biomaterials. The patient had a long history of failure of several previous consecutive treatments. Cone-bean tomography revealed a small amount of mandibular bone, suggesting a high risk of fracture of the mandible during drilling and installation of osseointegrated implants. We opted to place 5 implants (4.0 × 7.0 mm) between the mental foramens. Since the mandible presented a high risk of fracture, we inserted a titanium plate (2.3 mm) as bone reinforcement along the entire length of the mandible, including the bilateral mandibular angles. A Branemark type prosthesis was installed 5 days after the procedure. After 24 months, the patient continues to be satisfied and presents good masticatory functions without any complications. |
| Databáze: | OpenAIRE |
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