An alternative method to treat a case with severe maxillary atrophy by the use of angled implants instead of complicated augmentation procedures: a case report.
Several treatment options with implants have been described for maxillary edentulous patients. Maxillary implant-supported overdentures have been shown to be a predictable, accepted treatment option for the edentulous maxilla. Patients with severe bone resorption present additional difficulties, and implant treatment in the atrophic maxilla represents a challenge. Anatomical limitations and patient desires in this case have forced the treatment to be 4 angulated implants supporting an upper overdenture. Since conventional single-retention mechanisms such as ball (O-ring), locator, or telescopes would transfer too much force to the implants, especially because of their angulation, an individual bar was fabricated. One-year follow-up of the case showed a stable peri-implant condition on bone as well as soft tissue level. Although further follow-up and higher case numbers will give more information about this treatment modality, the actual result is encouraging and can be recommended for similar cases.
Bilhan
Hakan
H
Istanbul University, Faculty of Dentistry, Department of Removable Prosthodontics, Capa-Istanbul, Turkey. bilhan@istanbul.edu.tr
D016301:Alveolar Bone Loss / Q000534:rehabilitation*; D003758:Dental Implantation, Endosseous / Q000379:methods*; D015921:Dental Implants; D017267:Dental Prosthesis Design; D019094:Dental Prosthesis, Implant-Supported; D003799:Dental Stress Analysis; D003781:Denture Retention / Q000295:instrumentation*; D003828:Denture, Overlay; D005260:Female; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged
D015921:Dental Implants