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Treatment of Edentulous Patient with 4 Implant Supported Rehabilitation : Case Report

Fuldan Baysal* , Ceren Küçük* , Anıl Tütüncüler*, Coşkun yıldız** *Marmara University, Faculty of Dentistry, Department of Prosthodontics Başıbüyük 9/3, Maltepe, İstanbul ** İstanbul Sağlık ve Teknoloji University, Faculty of Dentistry, Department of Prosthodontics Zeytinburnu, İstanbul Aim: Even though various treatment approaches are available for the restoration of partially edentulous patients, the restoration of fully edentulous jaws has been revolutionized, thanks to the introduction of implant-supported restorations. The number of four implants in edentulous jaws was previously reported in the literature with favorable 5 to 10 years results. The use of tilted implants together with the number of four implants to rehabilitate the completely edentulous mandible with a full-arch fixed prosthesis was recommended. In this case report, the rehabilitation of the edentulous patient with fixed prosthesis supported by four implants was presented.

Materials & Method: A 67 years old edentulous male patient was referred to Marmara University Faculty of Dentistry Department of Prosthodontics. As a result of radiological and clinical examinations fixed prosthesis supported by four implants was planned for the patient .The patient's implant (Frontier ®, Ilerimplant, Lleida-GMI, Spain) operations were performed at Marmara University Faculty of Dentistry, Department of Surgery. The osseointegration period was determined as 3 months. After the osseointegration period, impressions were made with multiunits using open tray technique. Before the final prosthesis, provisional wax up was evaluated for aesthetic parameters such as adequate lip support, midline, smile line, axes of teeth, and vertical dimension control. After the framework and porcelain trial, the final prosthesis were delivered to patient.

Result: After 6-months follow-up period, there was no complication neither on the implants nor on the prosthetic restorations. Regarding the expectations of the patient and the limitations of this case, esthetic and functional demands were met.

Conclusion: Full mouth rehabilitation over the 4 implant are an aesthetically and functionally treatment option for edentulous patients.

fuldan baysal


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