title: Complete transition from failing restorations to implant-supported fixed prostheses in a patient with scleroderma.
abstract: In a case involving a patient with scleroderma, the authors demonstrate how to treatment plan and sequence the transition from a failing restored dentition to complete implant-supported fixed prostheses with sequential extractions and implant placements. The article also presents surgical and prosthodontic considerations for a complete-mouth implant-supported fixed rehabilitation while achieving optimal esthetics without compromising function in patients with this condition. Sequential treatment provided the patient with fixed provisional restorations during treatment in multiple, short surgical appointments with less psychosocial trauma. This case posed treatment challenges due to limited oral access, unpredictable disease progression, and limited data on the success of treatment with endosseous dental implants in these patients.
authors: Jung
authors: J
authors: Nam
authors: Jim
authors: J
authors: Janakievski
authors: Ariel J
authors: AJ
authors: Raigrodski
mesh_terms: D000368:Aged; D019094:Dental Prosthesis, Implant-Supported; D019232:Dental Restoration Failure; D003779:Denture Design; D003830:Denture, Partial, Fixed; D005260:Female; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000000981:diagnostic imaging / Q000534:rehabilitation*; D008312:Malocclusion, Angle Class II / Q000000981:diagnostic imaging / Q000534:rehabilitation; D010347:Patient Care Planning; D011862:Radiography, Panoramic; D011928:Raynaud Disease / Q000150:complications; D012595:Scleroderma, Systemic / Q000150:complications*; D059546:Sinus Floor Augmentation; D012859:Sjogren's Syndrome / Q000150:complications; D014081:Tooth Extraction