Complex rehabilitation of atrophic mandible with implant-supported prosthesis

• Salomão Israel Monteiro Lourenço Queiroz ^[1] ; Anderson Nicolly Fernandes-Costa ^[1] ; Bruno Cesar de Vasconcelos Gurgel ^[1] ; Carla Martins de Carvalho ^[1] ; Rodrigo Fromer ^[1] ; Saulo Hilton Botelho Batista ^[1]
  1. [1] Universidade Federal do Rio Grande do Norte

     Universidade Federal do Rio Grande do Norte

     Brasil

     
• Localización: Revista clínica de periodoncia, implantología y rehabilitación oral, ISSN-e 0719-0107, Vol. 11, Nº. 1, 2018, págs. 47-48
• Idioma: inglés
• Enlaces
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• Resumen

  • ABSTRACT: In this study, we report the case of a patient presenting a severe atrophic mandible that was treated with short implants and stable internal fixation, without using bone grafts or biomaterials. The patient had a long history of failure of several previous consecutive treatments. Cone-bean tomography revealed a small amount of mandibular bone, suggesting a high risk of fracture of the mandible during drilling and installation of osseointegrated implants. We opted to place 5 implants (4.0 × 7.0 mm) between the mental foramens. Since the mandible presented a high risk of fracture, we inserted a titanium plate (2.3 mm) as bone reinforcement along the entire length of the mandible, including the bilateral mandibular angles. A Branemark type prosthesis was installed 5 days after the procedure. After 24 months, the patient continues to be satisfied and presents good masticatory functions without any complications.