RESUMEN
This article presents the case report of the bilateral 3-dimensional reconstruction of a posterior mandible in a 48-year-old woman. Titanium meshes and Regenaform demineralized freeze-dried bone allograft were used for bone regeneration. After 5 months the titanium mesh was removed, and after another 4 months, 4 Straumann sandblasted, large-grit, acid-etched implants were placed, 2 on each side of the mandible. During implantation a bone specimen was collected and sent for histologic examination. The definitive fixed prosthesis was fabricated after an additional 4 months. The clinical and histologic results are shown. The implants were followed for 18 months after implant loading; no signs of bone loss or infection were observed.
Asunto(s)
Aumento de la Cresta Alveolar/métodos , Regeneración Ósea , Trasplante Óseo/métodos , Implantación Dental Endoósea/métodos , Mandíbula/patología , Atrofia , Femenino , Humanos , Arcada Edéntula/cirugía , Persona de Mediana EdadRESUMEN
Many studies have shown success with immediate loading of dental implants. The purpose of this paper is to report on a procedure that places implants with a sand-blasted and acid-etched surface and loads them with a fixed, provisional, immediately loaded mandibular complete denture, all in a single day. The various surgical, prosthetic, and laboratory phases are explained, with particular attention paid to a luting technique that is able to reduce prosthetic misfit. A series of 14 patients was treated with this protocol and followed for a mean of 28.2 months. A 100% implant survival rate was achieved, and all prostheses were in place and functioning at the most recent follow-up.
Asunto(s)
Implantación Dental Endoósea/métodos , Dentadura Completa Inmediata , Pilares Dentales , Restauración Dental Provisional , Dentadura Completa Inferior , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
In some periodontal cases, biomechanical, esthetic, medical, or economic concerns make it difficult for clinicians to employ either traditional therapy or restoration with an implant-supported prosthesis. To avoid any compromise and ensure a good result in such cases, we chose a removable telescopic prosthesis on natural teeth. In this paper we present a new clinical and technical method for the telescopic prosthesis, and we show that this is a predictable, reliable solution that is easy to realize, inexpensive, and comfortable for patients.