Bimaxillary simultaneous immediate loading of full-arch restorations: a case series
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Iñaki Cercadillo-Ibarguren [1] ; Alba Sánchez-Torres [1] ; Rui Figueiredo [1] ; Eduard Valmaseda-Castellón [1]
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[1] Universitat de Barcelona
Universitat de Barcelona
Barcelona, España
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- Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 9, Nº. 9 (Septiembre), 2017, págs. 1147-1152
- Idioma: inglés
- Enlaces
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Resumen
To describe a bimaxillary simultaneous immediate loading protocol with full-arch implant-supported fixed prostheses.
A prospective case series of 8 patients who required full-arch rehabilitation was conducted. The main inclusion criteria were patients with teeth that required extraction. At least 1 molar per arch was temporarily employed to stabilize the surgical template and the provisional prosthesis during intraoral relining.
Two upper implants failed in 1 patient. Structural fracture was registered in 3 patients, around 3 months after loading. All of them had bruxism. Three esthetic complications were registered: midline deviation, canting of the oclusal plane and color mismatch.
Although this protocol achieves optimal results, some mechanical complications were encountered. The fracture of the provisional prosthesis is a relatively common mechanical complication but does not seem to jeopardize the final treatment result.
