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Treatment of Edentulous Patient with 4 implant supported prosthesis: A Case Report

Purpose: Despite the fact that a variety of treatment options exist for partially edentulous patients, the emergence of implant-supported restorations has revolutionized the restoration of fully edentulous jaws. In edentulous jaws, the optimal number of four implants has previously been documented in the literature, with satisfactory 5- to 10-year results. Full mouth rehabilitation over the 4 implant treatment approach has been shown to be a reliable treatment option for full-arch rehabilitation, with positive short-, medium-, and long-term effects. The rehabilitation of an edentulous patient with the all-on-four approach is presented in this case report.

Materials & Method: 56 years old edentulous female patient was reffered to Marmara University Faculty of Dentistry Department of Prosthodontics. After clinical and radiological examinations, all on four procedure was planned for the patient who lost her teeth due to periodontal disease. After gum recovery, 2 tilted and 2 straight (Straumann AG, Basel, Switzerland) implants were applied to the upper jaw and same procedure applied for lower jaw. During osseointegration period of 3 months complete denture was delirived by the patient. Following the osseointegration period, impressions were made with multiunits using open tray technique. Provisional wax ups were evaluated for aesthetic factors such as proper lip support, midline, smile line, axes of teeth, and vertical dimension. The final prosthesis were delivered after the framework and porcelain trial.

Result: Neither the implants nor the prosthetic restorations had any complications after a one-year follow-up period. Esthetic and functional demands were addressked.

Conclusion: For edentulous patients, full mouth rehabilitation over the 4 implant an aesthetically and functionally effective treatment option.

Mehmet Anıl Tütüncüler


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