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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http://dx.doi.org/10.4317/jced.54172 | DOI Listing |
BMC Oral Health
October 2024
State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration & National Clinical Research Center for Oral Diseases & Shaanxi Clinical Research Center for Oral Diseases, Department of Orthodontics, School of Stomatology, Air Force Medical University, Xi' an, 710032, China.
Maxillofac Plast Reconstr Surg
July 2024
Eastman Dental Institute - University College of London, London, UK.
Background: Orthodontic and surgical technical advances in recent years have resulted in treatment opportunities for a whole range of craniofacial skeletal disorders either in the adolescent or adult patient. In the growing child, these can include myofunctional orthodontic appliance therapy or distraction osteogenesis procedures, while in the adult, the mainstay approach revolves around orthognathic surgery. The literature agrees that for a change in craniofacial morphology to remain stable, the muscles acting upon the facial skeleton must be capable of adaptation in their structure and, therefore, their function.
View Article and Find Full Text PDFJ Craniofac Surg
February 2024
Department of Oral and Maxillofacial Surgery, University at Buffalo, Buffalo, NY.
Subperiosteal implants (SPIs) using rigid fixation have recently emerged as an acceptable alternative to conventional endosteal implants when there is limited or absent alveolar bone. Modern advances in digital technology and manufacturing have improved the usability and stability of this latest generation of SPIs. Herein, we present the first reported case of a modern patient-specific SPI placed in the United States and, to the authors' knowledge, the first reported case performed in conjunction with a simultaneous free flap reconstruction of the opposing arch, and immediate dental rehabilitation of both arches in the world.
View Article and Find Full Text PDFInnov Surg Sci
September 2023
Morriston Hospital, Swansea Bay University Health Board, Maxillofacial and Cleft Units, Swansea, UK.
Objectives: This article describes the many anomalies within and outside the head and neck of hemifacial microsomia (HFM).
Methods: The OMENS+ classification system is described with particular reference to the mandibular features classified by Pruzansky and modified by Kaban. The application of virtual surgical planning (VSP) to HFM, largely in children, is described and taken through to aspects indicated in maturity.
Shanghai Kou Qiang Yi Xue
August 2023
Shanxi Medical University, School and Hospital of Stomatology. Taiyuan 030001, Shanxi Province, China.
Purpose: To establish a three-dimensional method to evaluate whether there is a difference in stability between bimaxillary simultaneous genioplasty and simple genioplasty.
Methods: This study was a retrospective study. Sixty patients who underwent genioplasty were selected.
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