title: Full-arch fixed prosthesis supported by four implants in patients with recessive dystrophic epidermolysis bullosa.
abstract: OBJECTIVE
  The aim of this study was to describe the rehabilitation of patients diagnosed with recessive dystrophic epidermolysis bullosa (RDEB), with edentulous maxillas and/or mandibles, by using fixed full-arch short-expand prostheses supported by 4 anterior implants.
  
  
  METHODS
  A retrospective study was carried out to study edentulous patients with RDEB rehabilitated with fixed full-arch prostheses supported by 4 anterior implants.
  
  
  RESULTS
  In total, 32 anterior implants were placed and used to support 8 full-arch fixed prostheses; 20 implants were placed in the maxilla by using osteotomes and 12 in the mandible by using conventional drilling. Implant success rate was 100% after an average follow-up of 22.9 (range 12-48) months after prosthetic loading. Patient satisfaction with the implant therapy was very high (mean 9.0) for all the factors assessed.
  
  
  CONCLUSIONS
  Fixed full-arch short-expand prostheses supported by 4 anterior implants can be successfully used to rehabilitate patients with recessive dystrophic epidermolysis bullosa, considerably improving these patients' quality of life.
authors.affiliation: Valencia University Medical and Dental School, Valencia, Spain.
authors.forename: David
authors.initials: D
authors.lastname: Peñarrocha-Oltra
authors.forename: María
authors.initials: M
authors.lastname: Peñarrocha-Diago
authors.forename: Jose
authors.initials: J
authors.lastname: Balaguer-Martínez
authors.forename: Javier
authors.initials: J
authors.lastname: Ata-Ali
authors.forename: Miguel
authors.initials: M
authors.lastname: Peñarrocha-Diago
mesh_terms: D000328:Adult; D000540:Alveolar Ridge Augmentation / Q000379:methods; D018786:Bone Substitutes / Q000627:therapeutic use; D016025:Bone Transplantation / Q000379:methods; D000044:Dental Abutments; D003758:Dental Implantation, Endosseous / Q000295:instrumentation / Q000379:methods; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003781:Denture Retention; D003824:Denture, Complete; D016108:Epidermolysis Bullosa Dystrophica / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation / Q000601:surgery; D008297:Male; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D008875:Middle Aged; D010027:Osteotomy / Q000295:instrumentation; D017060:Patient Satisfaction; D011788:Quality of Life; D011862:Radiography, Panoramic; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D018786:Bone Substitutes; D015921:Dental Implants