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Case Reports
. 2017 Jan 21;10(4):477-487.
doi: 10.11138/orl/2017.10.4.477. eCollection 2017 Oct-Dec.

"All on short" prosthetic-implant supported rehabilitations

G Falisi  1 , S Bernardi  1 , C Rastelli  1 , D Pietropaoli  1 , F DE Angelis  2 , M Frascaria  1 , C DI Paolo  2
Affiliations
Case Reports

"All on short" prosthetic-implant supported rehabilitations

G Falisi et al. Oral Implantol (Rome). .

Abstract

Objectives: Short implants are increasing their popularity among clinicians who want to fulfill the constant demanding of fixed prosthetic solutions in edentulous jaws. The aim of this report was to propose a new possibility to project and realize an occlusal guided implant cross-arch prosthesis supported by ultra-short implants, describing it presented an edentulous mandible case report.

Methods: A 61-year-old, Caucasian, female patient who attended the dental clinic of the University of L'Aquila presented with edentulous posterior inferior jaw and periodontitis and periimplantitis processes in the anterior mandible. The remaining tooth and the affected implant were removed. Six 4-mm-long implants were placed to support a cross-arch metal-resin prosthesis.

Results: At 1-year follow-up clinical and radiological assessment showed a good osseointegration of the fixtures and the patient was satisfied with the prosthesis solution.

Conclusion: The method, even if it requires further validation, seems to be a valid aid in solving lower edentulous clinical cases, and appears less complex and with more indications of other proposals presented in the current clinical literature. Our case report differs from the current technique All-on-Four, which uses four implants in the mandible to support over-denture prosthesis, assuring a very promising clinical result.

Keywords: atrophic jaw; occlusal guided cross-arch prosthesis; ultra-short implants.

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Figures

Figure 1
Figure 1
Clinical situation of the patient.
Figure 2
Figure 2
Orthopantomography of the patient, showing osteolytic lesion on the 3.3 element, inflammation lesions around the implant and the poor length of the 4.3 root.
Figure 3
Figure 3
Radiological study of the case. a,b) Measurements distance of the alveolar crest to the alveolar cana; c) tri-dimensional view.
Figure 4
Figure 4
a) Teeth extraction; b) provisional denture try.
Figure 5
Figure 5
a) Implant insertion according the previously chose positions; b) rubber dam placement; c) placing of the provisional denture; d) finishing of the margins for a correct oral hygiene.
Figure 6
Figure 6
3 months OPT follow-up.
Figure 7
Figure 7
a) Metal bar realization and b) verification on the patient.
Figure 8
Figure 8
One-year OPT follow-up.
Figure 9
Figure 9
Periapical radiographs on ruled pellicles. Each square is measuring 1 mm. No marginal bone loss is observable.
Figure 10
Figure 10
View of the final prosthesis.
See this image and copyright information in PMC

References

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