After surgical treatment for oral cancer, patients often are affected by disfigurements, thwarted function, and psychological and social problems. Prosthodontic rehabilitation has the aim of restoring function and esthetics. Implant-supported prosthodontic rehabilitation is useful for patients with compromised residual ridge anatomy, such as patients with oral cancer following treatment. This clinical report describes the rehabilitation of a patient after mandibular resection with a milled bar-supported implant overdenture. Overdenture achieves best hygienic maintenance, easy soft tissue follow-up, and low realization cost. This rehabilitation increased prosthesis retention and stability and improved oral conditions and the patient's quality of life.
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The use of dental implants, cast bars and sleeve overdentures in oral cancer patients.
Br Dent J
April 2018
Consultant in Restorative Dentistry, Central Manchester University Teaching Hospitals NHS Foundation Trust, Manchester, M15 6FH.
Surgical resection of an oral tumour (and the associated free flap reconstruction) can significantly alter the oral anatomy. The lack of sulcus depth, alveolar ridge, presence of a mobile flap and limited tongue movement can make it impossible for patients to control a removable prosthesis. To help this cohort of patients, dental implants can be invaluable.
View Article and Find Full Text PDFStatement Of Problem: In clinical situations where implant placement in the maxilla is prohibited due to the lack of available bone, more invasive techniques such as autogenous bone grafting and sinus augmentation are often off-putting to patients due to the added expense, risk and morbidity. Purpose of treatment: The intention of this treatment was to dentally restore a patient with a severely resorbed edentulous maxilla, without the use of any grafting techniques.
Methods: Under local anaesthetic, five implants were placed in the patient's maxilla using the combined techniques of alveolar ridge-splitting and a Summer's lift.
Rehabilitation of malpositioned implants with a CAD/CAM milled implant overdenture: a clinical report.
J Prosthet Dent
March 2011
Division of Prosthodontics, University of Michigan, School of Dentistry, 1011 North University, Room K1030, Ann Arbor, MI 48109-1078, USA.
Dentists may be faced with the challenge of restoring unfavorably placed implants. In some instances, previously integrated implants may be from different manufacturers. This clinical report describes the rehabilitation of a patient with a maxillary CAD/CAM implant bar-supported overdenture that presented with malpositioned implants, from different manufacturers, including one from a discontinued implant system.
View Article and Find Full Text PDFRemovable implant-prosthodontic rehabilitation of the edentulous mandible: five-year results of different prosthetic anchorage concepts.
Int J Oral Maxillofac Implants
August 2010
Department of Prosthdontics, University of Vienna, Austria.
Purpose: The present study evaluated implant and peri-implant outcomes as well as prosthodontic maintenance efforts for implant/bar-supported mandibular prostheses with different prosthesis anchorage systems.
Materials And Methods: Seventy-six patients who received two or four interforaminal implants were assigned to one of three different bar designs and subsequently to different prosthesis supporting systems. Forty-nine patients received implants and a mucosa-supported implant-retained overdenture (OD) with an ovoid bar (two implants; design 1) or multiple ovoid bars (four implants; design 2).
Milled bar-supported implant overdenture after mandibular resection: a case report.
J Oral Implantol
January 2010
Dental Clinic, University of Ferrara, Ferrara, Italy.
After surgical treatment for oral cancer, patients often are affected by disfigurements, thwarted function, and psychological and social problems. Prosthodontic rehabilitation has the aim of restoring function and esthetics. Implant-supported prosthodontic rehabilitation is useful for patients with compromised residual ridge anatomy, such as patients with oral cancer following treatment.
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