Implant-Supported CAD/CAM Full-Arch Zirconia Bridges for Maxillary Edentulous Patients: A Case Series at Six Years of Function

2020 ◽  
Vol 6 (1) ◽  
pp. 39-42
Author(s):  
Dilek Pinar Senyilmaz ◽  
Prosthesis ◽  
2020 ◽  
Vol 2 (2) ◽  
pp. 53-64 ◽  
Author(s):  
Marco Tallarico ◽  
Gabriele Cervino ◽  
Roberto Scrascia ◽  
Umberto Uccioli ◽  
Aurea Lumbau ◽  
...  

Rehabilitation of atrophic maxilla still remains a challenge. Fixed implant-supported restorations have become more predictable in the last years; nevertheless, technical and biological complications still occur. Removable overdenture fully supported by a CAD/CAM titanium bar seems to be a viable treatment option for the rehabilitation of completely edentulous patients with a high degree of bone resorption. In these clinical cases, the soft tissues of the lower third of the face need to be respected, and a fixed-removable solution is the only option to have good hygiene control. Nevertheless, there is no consensus about the optimal number and position of the implants. A total of six adult patients were recruited and treated with an overdenture fully supported by a CAD/CAM titanium bar and low-profile attachment, screwed on four or six implants. A detailed step-by-step description of the procedures was presented. Overall, all the patients were successful treated with no relevant complications. With the limitations of this case series, maxillary implant overdenture fully supported by four or six implants seems to be a safer treatment option for the minimally invasive rehabilitation of atrophic maxillae, regardless of the number of implants.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1371-1377
Author(s):  
Farhat Yaasmeen Sadique Basha ◽  
Venkatesh Kommi ◽  
Raj S S

There has been an increase in the incidence of complete edentulism among the elder patients. Complete dentures are the most common and preferred treatment of choice. Complete dentures help in masticatory function and restore the facial shape of the edentulous patients. Fabrication of the complete dentures is, therefore, a very important task for the clinician to ensure patient satisfaction. Errors may occur during the denture fabrication and these are called processing errors. It is a multifactorial process. The aim of the survey is to study the errors that occur during processing of a complete denture. It is a questionnaire based study conducted with a batch of 100 dental students. The questionnaire consisted of 16 questions focused on different fabrication techniques, timing, materials used, etc. by various students. The data collected was represented statistically and discussed. Dough technique was the most preferred method adopted by 39% of the students. Shorter curing cycles produced less defects, but majority of the students used longer cycles (41%). Most of them reported fractures (16%) and microporosities (11%) as defects. We can conclude that there are a few areas of error during the processing of dentures by the dental students. The incidence of these errors, however appears to be low. There is a scope for CAD/CAM complete dentures in the future to eliminate the possibilities of errors.


Author(s):  
Marko Milosavljevic ◽  
Milica Jovanovic ◽  
Dejan Zdravković ◽  
Jelena Todic ◽  
Jelena Eric

Abstract Prosthetic rehabilitation of edentulous patients and patients with one or two own teeth can be established by different treatment modalities. The most commonly used in the treatment of these patients is conventional complete denture or removable partial denture. However, due to increasing problems with this type of therapy, such as insufficient retention, stability, comfort and pain during mastication, it is suggested an overdenture supported by two natural teeth or implants. We will present series of clinical reports. In two clinical cases patients came to the dental office because of the impossibility of wearing lower partial denture, and in one case patient had problems with the upper partial denture. After clinical examination and radigraphic analysis, in all patients, dental implants were implanted. In first case there were implanted two dental implants in the region 41 and 43, in second case it was region 33, and in third case implanatiton is performed in the region of 14, 11, 21. Prosthetic rehabilitation was done after 3-months bone oseointegration period. The treatment consisted in the production of double crowns and overdentures that are retained with locator attachment. This design of the denture significantly improves the quality of patient’s life (the dentures are stable, chewing is improved, the feeling of thermal sensations of food and drink is present, the feeling of taste is complete, and the psychological patient becomes safer).


2021 ◽  
Vol 38 (SI-2) ◽  
pp. 92-97
Author(s):  
Emir YÜZBAŞIOĞLU ◽  
Yeşim ÖLÇER US ◽  
Gökhan ÖZDEMİR ◽  
Berkman ALBAYRAK

For decades, conventional complete dentures (CD) have been a promising treatment for edentulous patients. The introduction of digital technology in CD fabrication streamlines and simplifies the treatment process and offers new and specific applications for the completely edentulous patients. Computer-aided design/computer-assisted manufactured (CAD/CAM) CD protocols can improve efficiency and offer specific applications in specific situations to improve patient care, satisfaction, and convenience. The aim of this review is to assess and evaluate the clinical outcomes and complication of CAD/CAM fabricated CD systems and to provide information about currently available systems for dental practitioners.


2014 ◽  
Vol 7 (1) ◽  
pp. 35-41 ◽  
Author(s):  
Edgardo Franciosi ◽  
Eduardo Mazzaro ◽  
Juan Larranaga ◽  
Alfredo Rios ◽  
Pedro Picco ◽  
...  

The aim of the study is to analyze the effectiveness of rigid internal fixation (RIF) for treating edentulous mandibular fractures. Because of the low incidence of fractures in edentulous mandible, there is no consensus of the optimal treatment for it. This study included all edentulous patients with mandibular fracture diagnosis, who were treated with internal fixation at the Hospital Italiano de Buenos Aires from November 1991 to July 2011. Data such as age, gender, etiology and location of fracture, surgical approach, type of osteosynthesis used, and postoperative complications were analyzed. A total of 18 patients, 76.2 years mean age, 12 females (66.6%), presented a total of 35 mandibular fractures. The mandibular body was the most common localization of the fractures. Twenty-five fractures received surgical treatment with RIF, mainly approached extraorally. Reconstruction plates were the most common type of fixation used. Fracture reduction was considered satisfactory in 96.5%, with 22.2% of complications and 11.1% of reoperations needed. Open reduction and RIF demonstrated to be a reliable method for treating edentulous mandibular fractures. Nevertheless, there is lack of high-level recommendation publication to support this.


2020 ◽  
Vol 46 (4) ◽  
pp. 407-413 ◽  
Author(s):  
Leon Pariente ◽  
Karim Dada ◽  
Marwan Daas ◽  
Susy Linder ◽  
Michel Dard

The aim of this case series was to assess, over a period of 24 months, the clinical and radiographic outcomes in partially edentulous patients receiving bone-level tapered implants. In total, 33 partially edentulous patients and 50 implants were evaluated. Patients received single or multiple implants in the posterior maxilla. Clinical and radiographic measurements of vertical bone levels were assessed at surgery, at loading, and 6, 12, and 24 months after surgery. The success and survival rates of the implants were also evaluated. Within the 24-month follow-up, only 1 implant failed (2.0%). Other biological or technical complications were not observed. The mean insertion torque was 34 ± 5.3 Ncm. Bone-level changes of 0.35 ± 0.23 mm were found between surgery and 12 months after surgery, and changes of 0.03 ± 0.05 mm were found between 12 months and 24 months after surgery. The overall change from surgery to 24 months after implant placement was 0.38 ± 0.24 mm. Most of the bone loss occurred between surgery and 3 months (0.28 ± 0.19 mm; P < .001); thereafter, the loss was minimal and statistically nonsignificant. Bone-level tapered implants yielded a high survival and success rate with minimal bone-level changes. Tapered implants could be considered as a predictable treatment option for partially edentulous patients with different types of bone qualities and loading protocols.


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