ABSTRACT
The placement of implants in a tilted position may provide a viable treatment modality, especially for patients with atrophic maxillae. The treatment steps and procedures for a maxillary implant-supported removable dental prosthesis, as well as a mandibular telescopic crown-retained removable dental prosthesis, are described. The concept of tilted implants via 3D planning and flapless surgery is presented. The final outcome facilitated improvement in the patient's satisfaction and comfort, as well as long-term stability of the implants and prosthesis. In addition, there was a reduction in cost by avoiding augmentation procedures.
Subject(s)
Dental Implantation, Endosseous/methods , Dental Implants , Dental Prosthesis, Implant-Supported , Denture, Overlay , Maxilla/surgery , Adult , Cone-Beam Computed Tomography/methods , Cost Savings , Dental Implantation, Endosseous/economics , Dental Prosthesis, Implant-Supported/economics , Denture Design , Denture Retention/instrumentation , Denture, Overlay/economics , Female , Follow-Up Studies , Humans , Imaging, Three-Dimensional/methods , Mandible/surgery , Patient Care Planning , Patient Satisfaction , Treatment Outcome , User-Computer InterfaceABSTRACT
This report describes the prosthodontic rehabilitation of a partially edentulous patient by means of a maxillary implant-supported removable dental prosthesis and mandibular telescopic crown prosthesis. Due to the patient's contributory medical history for epilepsy and deep vein thrombosis, clinical management considerations are outlined along with an evidence-based, medically oriented treatment sequence concerning the surgical and prosthodontic stages of the case.