Transition from hopeless dentition to full-arch fixed-implant-supported rehabilitation by a staged extraction approach: rationale and technique.
Transition from a hopeless dentition to a fixed-implant-supported full-arch reconstruction can be difficult for patients if wearing a transitional removable denture is involved. In addition, an increased risk for trauma to bone augmentation areas and to the implant-bone interface exists when using a removable transitional complete denture during the implant healing period; such risk can compromise implant success or increase crestal bone loss around implants before the final restoration. This article describes a treatment approach that allows replacement of the hopeless dentition with an osseointegrated fixed prosthesis, without rendering the patient totally edentulous before the delivery of the final implant-supported prosthesis. A staged approach using a few hopeless teeth to support a provisional fixed restoration during the healing process can help avoid discomfort and improve implants' outcome. A treatment plan for a maxillary arch reconstruction is used to illustrate the staged approach protocol. This protocol addresses patients' psychologic need to remain dentate during partial or full-mouth rehabilitation, while providing good esthetics and function during restoration of a dental arch.
From the *Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel; †Department of Medical Science, Faculty of Medicine, University of Eastern Piedmont, Novara, Italy; ‡Department of Maxillofacial Surgery, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv, Israel; §Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus, Haifa, Israel; and ∥Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Eitan
E
Mijiritsky
Ziv
Z
Mazor
Adi
A
Lorean
Carmen
C
Mortellaro
Ofer
O
Mardinger
Liran
L
Levin
D003724:Dental Arch / Q000601:surgery*; D003758:Dental Implantation, Endosseous / Q000379:methods; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003779:Denture Design; D003827:Denture, Complete, Upper; D003830:Denture, Partial, Fixed; D003833:Denture, Partial, Temporary; D005260:Female; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation / Q000601:surgery; D008437:Maxilla / Q000601:surgery*; D008875:Middle Aged; D016348:Osseointegration / Q000502:physiology; D010347:Patient Care Planning; D059546:Sinus Floor Augmentation / Q000379:methods; D014081:Tooth Extraction / Q000379:methods*
D015921:Dental Implants