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Full Mouth Rehabilitation by Implant Supported Fixed Prosthesis: A Case Report

Full Mouth Rehabilitation by Implant Supported Fixed Prosthesis: A Case Report Senay Melis Korkmaz , Ceren Küçük , Hasret Demirci, Buket Evren Marmara University Faculty of Dentistry, Department of Prosthodontics, Istanbul, Turkey

Purpose: Full mouth rehabilitation is one of the most sophisticated kinds of dental implant-supported prosthetics. Total rehabilitation requires correct case selection, astute surgical procedure and careful prosthetic planning for a successful outcome.The aim of this case is to demonstrate a modern approach in planning and realisation of full mouth screw retained dental implant prosthetics.

Materials & Method: A 70 years old edentulous male patient was referred to Marmara University Faculty of Dentistry Department of Prosthodontics. The patient showed no systemic pathology and was not a smoker. He was unhappy with function of his prosthesis and did not want a removable prosthesis. After careful evaluation, it was decided to insert six implants(AnyOne, Megagen, South Korea) in the maxillary and six implants in the mandibular arch.The osseointegration period of the patient who underwent implant operations in Marmara University Faculty of Dentistry Department of Surgery was determined as 3 months. After the implant surgery and osseointegration period, impressions were made from multi unit abutment platform with appropriate transfers for open tray with polyvinyl siloxane impression material and sent to the laboratory.The usage of multiunit abutment system allows the clinician an accurate and passive fitting of screw retained full arch construction the final prosthesis. The prosthesis was then screwed and the screws were covered by composite. Results:After 6 months of follow-up, the patient had no concerns about aesthetics, function, or phonation post prosthetic rehabilitation.

Conclusion: Screw retaining prostheses have some advantages against cement retained constructions like an absence of cement in periimplant tissues and a maintenance service possibility (construction monitoring and its unscrewing, professional hygiene procedures, etc.). Intraoperative installation of multiunit abutments allows makes it possible to avoid multiple screwing/unscrewing, preserving the stability of peri implant tissues.

Key Words: Full mouth rehabilitation, implant supported prosthesis, multi unit abutment

Senay melis Korkmaz
Turkish Prosthodontics and Implantology Association Scientific Congress


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