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Full Mouth Rehabilitation of Patients With Four Implant Supported Fixed Prostheses Produced by Different Materials: Two Case Reports

Full Mouth Rehabilitation of Patients With Four Implant Supported Fixed Prostheses Produced by Different Materials: 2 Case Reports

Aslı Başak Satık1, Yılmaz Umut Aslan1, Yasemin Özkan1, Yaşar Özkan2, Gökhan Göçmen2 1Marmara Üniversitesi Diş Hekimliği Fakültesi, Protetik Diş Tedavisi Anabilim Dalı, İstanbul 2Marmara Üniversitesi Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi Anabilim Dalı, İstanbul

Aim: One of the many treatment options that can be preferred in cases of total edentulism is four-implant supported fixed restorations which are successful treatment alternatives when the amount of residual bone does not allow implant placement in the optimum number and position. Various materials can be used in the production of four implant-supported fixed prostheses. The aim of this study is to give information about the rehabilitation of two edentulous patients with optimum interocclusal space with four implant supported fixed prostheses produced using different materials.

Materials and Method: A 56 year old male patient was referred to Marmara University Faculty of Dentistry Department of Prosthodontics. In the light of clinical and radiological examinations, extracting the teeth with periodontal bone loss and caries which were supporting patient’s existhing prostheses and rehabilitation with four implant-supported metal-ceramic fixed prostheses was planned. Implant surgery performed at Marmara University Faculty of Dentistry, Department of Surgery. After the implant (Anyridge®, MegaGen, Gyeongbuk, Güney Kore) surgery, temporary prostheses produced by PMMA were fixed in the mouth. After 3-month osseointegration period, conventional impressions were taken with the open tray impression technique. Produced infratructures were evaluated and then the final restorations were fabricated, evaluated and fixed to the implants. A 62 year old female patient with total edentulism referred to Marmara University Faculty of Dentistry Department of Prosthodontics. As a result of clinical and radiological examinations, it was decided to rehabilitate with four implant-supported fixed prostheses. However, it was determined that the patient was allergic to some metals and it was decided to use zirconia as the infrastructure material. Osseointegration period determined as 3 months and implants (AnyOne®, MegaGen, Gyeongbuk, Güney Kore) were placed at Marmara University Faculty of Dentistry, Department of Surgery. Temporary prosthesis could not be used because the patient was also allergic to PMMA. After osseointegration period, conventional impressions were taken with the open tray impression technique. Produced zirconia infrastructures were evaluated and then the final restorations were fabricated, evaluated and fixed to the implants.

Result: After six months of follow up, any clinical or radiological complications were not found at implants and prosthetic restorations . Lost function and aesthetics due to total edentulism were successfully restored in both patients.

Conclusion: 4 implant-supported fixed prostheses can be produced with different materials considering the needs and limitations of the patients and are succesfull treatment options for total edentulous patients.

Aslı Başak Satık
TPID kongre
Turkey

 


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