RESUMO
UNLABELLED: The Transmandibular Implant System (TMI) had been developed in order to provide a patient with a severely resorbed mandible with a stable and retensive implant-supported overdenture. Failure of the transmucosal posts may necessitate removal of the transmandibular implant in total and treatment with an implant-supported prosthesis. The purpose of this paper is to describe overcoming failure of a transmandibular implant without removal and synchronous placement of endosseous dental implants in the interforaminal region, providing an implant-retained overdenture to the patient. CLINICAL RELEVANCE: Transmandibular implants are rarely used nowadays and management of a failed transmandibular implant is reported even less often. Where bone height is adequate, dental implants may be placed in the anterior mandible, even when the failed transmandibular implant is not completely removed.
Assuntos
Reabsorção Óssea/reabilitação , Falha de Restauração Dentária , Mandíbula/cirurgia , Implante de Prótese Mandibular/efeitos adversos , Prótese Mandibular/efeitos adversos , Prótese Dentária Fixada por Implante/métodos , Feminino , Humanos , Infecções/etiologia , Pessoa de Meia-Idade , Retratamento/métodosRESUMO
The treatment of children with cleft lip and palate is complex. Advances in primary surgery and the advent of alveolar bone grafting have resulted in the reduction of prosthetic intervention. However, in patients where surgery is contraindicated or has been unsuccessful, an alternative treatment is required. Overdentures are a simple, conservative and reversible non-surgical alternative for children with cleft lip and palate. We present two cases with severe complete bilateral cleft lip and palate that were managed in this way.
