Prosthodontic management of a combination transosteal/endosteal implant reconstruction: a clinical report.
This is a clinical report of a patient who was not referred for prosthodontic evaluation and treatment until after undergoing Bränemark endosseous implant placement to supplement the previously existing mandibular staple bone plate implant. This supplemental treatment was the surgeon's attempt to resolve the patient's complaint of loose dentures. Creativity with implant biomechanics and prosthodontic design were necessary to restore the patient, in a predictable manner, to normal function. A fixed, detachable cast overdenture bar rigidly connected to all the implants was constructed utilizing resilient attachments to retain the tissue-supported mandibular overdenture. A presurgical prosthodontic evaluation could have averted many of the problems encountered with treatment. More effective conventional prosthodontic treatment may have resolved the patient's complaints and eliminated the need for additional implant placement.
Wolfinger
G J
GJ
Department of Prosthodontics, Temple University School of Dentistry, Philadelphia, PA, USA.
Rogoff
G S
GS
Harrison
J A
JA
Callum
J O
JO
D001860:Bone Plates; D003758:Dental Implantation, Endosseous / Q000379:methods; D015921:Dental Implants; D017267:Dental Prosthesis Design; D017268:Dental Prosthesis Retention / Q000295:instrumentation*; D019094:Dental Prosthesis, Implant-Supported; D003799:Dental Stress Analysis; D003828:Denture, Overlay; D005260:Female; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation*; D008334:Mandible / Q000601:surgery; D008875:Middle Aged; D010347:Patient Care Planning; D017060:Patient Satisfaction; D017755:Prosthesis Fitting
D015921:Dental Implants