This article reviews the rationale, techniques, and advantages of a guided full-arch immediatefunction implant treatment modality that includes placement of a prefabricated, bar-supported, monolithic polymethyl methacrylate acrylic (PMMA) prosthesis for edentulous and terminal dentition patients. A case presentation depicting the protocol shows it to be an effective and predictable approach to providing fullarch immediate fixed teeth, particularly when compared to conventional denture conversion techniques.
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Med Oral Patol Oral Cir Bucal
January 2025
C/Feixa Llarga s/n L´Hospitalet de Llobregat, 08927 Barcelona, Spain
Background: Although there are many works analyzing the clinical behavior of immediate loading of implants inserted by guided surgery, the literature referring specifically to elderly patients is scarce. The aim of this investigation is to present the clinical outcomes of immediate loading of implants inserted by guided surgery in geriatric patients with edentulous maxilla.
Material And Methods: The clinical data of 20 elderly patients with edentulous jaws are analyzed retrospectively.
Biomedicines
November 2024
Dental Salon, Oral Surgery Academy, ul. E. Horbaczewskiego 53A, 54-130 Wrocław, Poland.
The following case report presents the treatment of a patient with severe maxillary atrophy and failing residual dentition. The patient has been diagnosed with stage IV grade C periodontitis, making this case challenging from the very beginning. The treatment plan was based on collecting and merging digital data: CBCT, a face scan, and an intraoral scan.
View Article and Find Full Text PDFCompend Contin Educ Dent
November 2024
Founder, Hybridge Full Arch Laboratory and Hybridge Implant and Smile Restoration Centers, Rochester, New York.
Implant-supported hybrid prostheses have become popular solutions when treating patients with terminal dentitions or who are completely edentulous. Since the implementation of osseointegrated dental implants to treat edentulism, multiple prosthetic designs and materials have been used for full-arch fixed hybrid prostheses. While these restorations can be highly successful, the most common restorative failures are attributed to lack of prosthetic space or a framework without passive fit, consequently leading to possible chippings, delamination, and/or fractures.
View Article and Find Full Text PDFOral Maxillofac Surg Clin North Am
November 2024
School of Dentistry, Universidade Positivo (UP), Curitiba, Brazil.
Rehabilitating severely atrophic maxillae, particularly when bone loss and sinus pathologies preclude conventional dental implants, is a complex challenge. Techniques such as all-on-four offer solutions for some patients, but severe resorption may necessitate zygomatic implants. Guided surgery, aided by digital tools, improves implant accuracy and reduces complications.
View Article and Find Full Text PDFClin Implant Dent Relat Res
November 2024
Department of Restorative Dentistry and Biomaterials Science, Harvard School of Dental Medicine, Harvard University, Boston, Massachusetts, USA.
Introduction: Using mini implants as transitional implants (TIs) for complete arch implant-supported rehabilitations may overcome limitations associated with mucosa-supported surgical guides and facilitate immediate fixed provisionalization. This study aimed to assess the success of TIs in supporting surgical guides for implant placement and fixed provisional prostheses.
Methods: Patients who received TIs between 2012 and 2023 for a complete arch implant-supported prosthesis were evaluated retrospectively.
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