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Abstratct
Osseointegrated implants have been increasingly referred to in cases of edentulism, and are often the treatment of choice.
Introduction
Total or partial edentulous patients may have a reduced ridge due to alveolar resorption, resulting in conventional prostheses with little retention and comfort, compromising satisfaction and masticatory function (Marchini et al, 2007).
In the case of mandibular rehabilitation, the classic model is defined by Branemark, for the installation of 4 to 6 implants in the anterior region of the mandible, between mental foramen, and distal cantilever on both sides to replace the posterior teeth.
The present clinical case aims to replace a partial removable lower prosthesis with a fixed prosthesis of the protocol type and to make a total upper prosthesis.
Planning
Male patient, leukoderm, 57 years old and wearing an upper and lower removable partial denture.
Intrabucal conditions
Reduced laminar edges with the presence of dental remnants in unfavorable conditions for preservation.
Implant dimensions
3.8mm X 11mm.
Type of bone found:
Type II.
Initial torque:
45N.
Bibliographic references
- Adell R, Lekhom U, Rockler B, Branemark P-I. A 15-year study of osseointegrated implants in the treatment of edentulous jaw. Int J Oral Surg. 1981; 10 (6): 387-416.
- Marchini L, Leal LF, Cunha VPP. Overdenture sobre implantes in: Cunha VPP, Marchini L. Prótese total Contemporânea na reabilitação bucal, São Paulo: Santos, 2007: 197-202.