Alternative fixation system for implant-retained overdenture: case report

Abstract

The aim of this case report was to describe a prosthetic rehabilitation associated with an alternative model of polymer capsule for fixation system of implant-retained overdentures. Patient sought treatment at the clinic of School of Dentistry of Ribeirão Preto, due to lack of retention of their conventional total superior prostheses and inferior overdenture. The initial complaint was clinicallyconfirmed by altered intermaxillary relationships and severe reabsorption of the maxillary crest. In order to restore the function and improve its quality of life, it was proposed a prosthetic solution including implant fixed prosthesis to maxilla and a mandibular overdenture, with ball-type attachments associated with an alternative model of polymer capsule. This treatment was proposed inorder to reestablish the intermaxillary relationships and adequate occlusion, maintain retention and stability of the prosthesis. At the end of treatment and during a one-year follow-up of the case, the patient reported satisfaction and significant improvement in quality of life.

Fatores que influenciam na satisfação do usuário de prótese total

“…Sabe-se que o processo de confecção de uma prótese dentária almeja restabelecer mais que funções bucaispois aspectos fisiológicos não são as únicas variáveis do processo. A elevada idade de alguns pacientes, junto a falta de dentição, intensifica a percepção social de que o indivíduo acumula mais dependência com o passar do tempo, fazendo com que os desdentados sejam visto com muito menos capazes, não pela falta de funções bucais, mas sim por um desequilíbrio na saúde quando visualizada de maneira abrangente 11 .…”

“…Foi observado que pacientes que foram reabilitados com próteses totais superiores obtiveram um grau de satisfação maior, decorrente à estabilidade e retenção do que pacientes de próteses totais inferiores, os que relataram incômodo no aspecto de retenção e conforto comparada a prótese superior.Entretanto os usuários de prótese total, no geral, tem um grau elevado de satisfação comparado ao seu antigo estado (desdentado), sendo assim podendo ter uma melhor qualidade de vida. A satisfação após a instalação da prótese total tem uma importância significativa no grau de saúde oral do paciente 3,[11][12] .…”

Comparison of the perception of orthodontists and general clinicians on the use of digital dental models in the city of Aracaju/Sergipe

“…In orthodontics, they are a valuable method for diagnosis and planning, allowing the three-dimensional occlusion detection to assess the degree and severity of dental malocclusions [2]. In oral rehabilitation, the plaster models are used for more challenging aesthetic and functional clinical cases with laminated facets [3] and implant-retained overdentures [4,5]. Besides that, plaster casts are also used in other Dentistry fields, such as the Sports Dentistry, making mouthguards for sports practice, which is an ally to prevent injuries on the orofacial region [6].…”