Bimaxillary simultaneous immediate loading of full-arch restorations: A case series.

J Clin Exp Dent

DDS, MS, PhD. Master of Oral Surgery and Implantology. Professor of Oral Surgery. Director of the Master of Oral Surgery and Implantology degree program, School of Medicine and Health Sciences, University of Barcelona. Researcher at the IDIBELL institute.

Published: September 2017

Aim: To describe a bimaxillary simultaneous immediate loading protocol with full-arch implant-supported fixed prostheses.

Material And Methods: A prospective case series of 8 patients who required full-arch rehabilitation was conducted. The main inclusion criteria were patients with teeth that required extraction. At least 1 molar per arch was temporarily employed to stabilize the surgical template and the provisional prosthesis during intraoral relining.

Results: Two upper implants failed in 1 patient. Structural fracture was registered in 3 patients, around 3 months after loading. All of them had bruxism. Three esthetic complications were registered: midline deviation, canting of the oclusal plane and color mismatch.

Conclusions: Although this protocol achieves optimal results, some mechanical complications were encountered. The fracture of the provisional prosthesis is a relatively common mechanical complication but does not seem to jeopardize the final treatment result. Implant-supported full-arch, provisional prosthesis fracture, bimaxillary simultaneous rehabilitation, conical abutments.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5650219PMC
http://dx.doi.org/10.4317/jced.54172DOI Listing

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