Full mouth rehabilitation with maxillary equator® attachment over denture and mandibular hybrid denture - A case report

2021 ◽  
Vol 12 (1) ◽  
pp. 388-391
Author(s):  
Marian Anand Bennis ◽  
Deepak Nallaswamy V

Implant-supported prosthodontic rehabilitation of total edentulism remains the most complex restorative challenges. The main reason being the number of variables that affect both the aesthetic and functional aspects of the prosthesis. A hybrid denture or the ‘Toronto prosthesis’ is one that is fabricated over a metal framework and retained by screws threaded into implants. This article presents the fabrication of implant-retained maxillary Equator® attachment overdenture opposing mandibular implant-retained hybrid prosthesis. A total of four implants (Equinox® Myriad plus) were placed the maxillary arch and six implants (Equinox® Myriad plus) in the mandibular arch. The patient's occlusal vertical dimension, centric relation, aesthetics and phonetics were determined and maintained throughout the restorative process. This case report describes the management of a completely edentulous patient with a mandibular implant-supported fixed prosthesis and maxillary implant-retained overdenture with Equator® attachment.

2018 ◽  
Vol 6 (02/03) ◽  
pp. 122-125 ◽  
Author(s):  
Aquib Mughal ◽  
Ritu Batra ◽  
Manjit Kumar ◽  
Ajay Bansal ◽  
Himani Jain

AbstractA hybrid denture is fabricated over a metal framework that is retained by screws into the implants. The anterior part of a hybrid denture is fixed on implants and the posterior part of the denture is cantilevered. This case report presents the fabrication of a maxillary implant retained hybrid prosthesis. Four implants were placed in the maxillary arch. Framework was waxed, castable abutments were used, after-casting denture teeth were waxed to the hybrid framework, and a final try-in was done to verify and correct maxillomandibular relations before processing. The prosthesis was inserted after verifying fit of the framework.


2021 ◽  
Vol 7 (2) ◽  
pp. 220-224
Author(s):  
Dr. Rajat Nahar ◽  
Dr. Jyoti Tembhurne ◽  
Dr. Arti Parag Gangurde ◽  
Dr. Manish R Chauhan ◽  
Dr. Nikhil Kule ◽  
...  

2019 ◽  
Vol 92 ◽  
pp. S85-S90
Author(s):  
Szidónia Renáta Akácsos ◽  
Melinda Kis ◽  
Melinda Székely ◽  
Sorin Popșor ◽  
Kinga Dörner

Objective. For obtaining the perfect balance of a removable complete denture, we have a few clinical procedures to complete, but only the analysis of the occlusal load distribution at various vertical dimensions of occlusion can give us the precise data. Method. The patient selected for this case report was a 35 years old edentulous female who requested prosthetic treatment with complete removable dentures. We followed the usual clinical steps of obtaining an acrylic denture, as well as the T-Scan III analysis during the jaw registration, in different conditions: with the occlusal wax rims, and with the trial denture in the next step, registering three different occlusal vertical dimension – understated, overstated and ideal height. Using these dimensions, we realized four mock-ups, two at the proper vertical dimensions, with various types of tooth color and shape. We analyzed the mock-ups using the T-scan III system. After the dental prosthesis was manufactured, we made another measurement with the T-scan III system. Results. After analyzing all the data from the T-scan III system, we distinguished that the most suitable solution for the patient was the proper dimension mock-up with D2 shade. Conclusions. Although the registered situations were satisfactory, the aesthetic issues are essential, and the functional aspects are fundamental, the most suitable solution in this case, was the mock-up with proper dimensions.


Author(s):  
Amit Krishnarao Jagtap ◽  
Pradeep Dinkar Chaudhari ◽  
Jitendra Anil Bhandari

ABSTRACT Restoring the edentulous patient with an esthetic and functional restoration may present numerous challenges to the clinician. The patient's occlusal vertical dimension, centric relation, esthetics and phonetics need to be determined and maintained throughout the restorative process. This clinical report describes the fabrication of implant supported fixed prosthesis in the mandibular posterior region, a tooth supported fixed prosthesis in the mandibular anterior region and a tooth supported maxillary overdenture with a low profile attachment. A step by step approach to provide an esthetic result is described. How to cite this article Jagtap AK, Chaudhari PD, Bhandari JA. A Pragmatic Approach to Full Mouth Rehabilitation. Int J Prosthodont Restor Dent 2014;4(1):14-19.


2018 ◽  
Vol 56 (4) ◽  
pp. 338
Author(s):  
Byung-Suk Jung ◽  
Young-Chan Jeon ◽  
Chang-Mo Jeong ◽  
Mi-Jung Yun ◽  
So-Hyoun Lee ◽  
...  

Author(s):  
Tiago Rebelo Costa ◽  
Cláudio Akira Yamaguchi ◽  
Alessandra Pucci Mantelli Galhardo ◽  
Roberto Chaib Stegun ◽  
Bruno Costa ◽  
...  

Oral rehabilitation with free-end removable partial denture (RPD) is one of the major challenges in prosthodontic dentistry. The absence of a distal abutment produces undesirable RPD movement during masticatory function due to the high resilience of the residual ridge, which limits the denture efficiency and may damage the abutment teeth and bone over time. The advent of dental implants made possible to substitute the missing teeth with fixed implant-supported dentures as the first choice treatment to overcome such inconveniences. However, this indication may not be suitable for all patients due to financial, anatomical or systemic health conditions. Nevertheless it is possible to improve free extension RPD by using implants in the posterior edentulous ridge to achieve biological, biomechanical, physiological and social benefits. This article aims to present a case report on oral rehabilitation in which a RPD was made combined with an implant for posterior support in a sizeable edentulous ridge. The patient appreciated the retention improvement and the aesthetic result. The combination of a RPD with a posterior implant is an alternative treatment for cases in which implant-supported fixed prosthesis is not indicated, reducing the displacement and minimizing the limitations of the free-end devices.


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