title: Attachment-retained gingival prosthesis for implant-supported fixed dental prosthesis in the maxilla: a clinical report.
abstract: The rehabilitation of edentulous maxillae is a complex procedure due to the involvement of esthetic and functional requirements. A trial maxillary denture can be used to identify the need for adequate upper lip support when replacing removable complete dentures by implant-fixed dental prostheses. This clinical report describes the outcome of the rehabilitation of an edentulous atrophic maxilla with unfavorable maxillomandibular relationship and deficient upper lip support. A trial denture was fabricated and used to diagnose the need for a prosthesis capable of restoring the upper lip support. The reduced upper lip support was also confirmed by a lateral cephalogram. The patient was rehabilitated by an implant-fixed dental prosthesis associated with an attachment-retained gingival prosthesis. The case presented shows that when loss of upper lip support is detected and the patient does not wish to undergo further surgical reconstruction procedure, the retention of a gingival prosthesis using a ball attachment is a satisfactory treatment option.
authors.affiliation: Professor, Master's Program Director, Latin American Institute of Dental Research and Education (ILAPEO), Curitiba, Brazil.
authors.forename: Ivete
authors.initials: I
authors.lastname: Aparecida de Mattias Sartori
authors.forename: Yuri
authors.initials: Y
authors.lastname: Uhlendorf
authors.forename: Luiz Eduardo Marques
authors.initials: LE
authors.lastname: Padovan
authors.forename: Paulo Domingos Ribeiro
authors.initials: PD
authors.lastname: Junior
authors.forename: Ana Cláudia Moreira
authors.initials: AC
authors.lastname: Melo
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Tiossi
mesh_terms: D002508:Cephalometry / Q000379:methods; D003758:Dental Implantation, Endosseous / Q000379:methods; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003819:Denture Bases; D003779:Denture Design; D005260:Female; D005881:Gingiva; D006801:Humans; D007575:Jaw, Edentulous / Q000534:rehabilitation*; D008046:Lip / Q000033:anatomy & histology; D008437:Maxilla / Q000473:pathology*; D008875:Middle Aged; D010515:Periodontal Prosthesis; D014716:Vertical Dimension
chemical_list: D015921:Dental Implants
keywords: Implant-supported dental prosthesis; dental implants; edentulous mouth; maxillary complete denture; mouth rehabilitation