Full Mouth Rehabilitation with Maxillary Tooth Supported and Mandibular Tooth and Implant Supported Combination Prostheses: A 4-Year Case Report

Abstract

The primary objectives of successful prosthetic rehabilitation are to provide function, esthetics and comfort to the patient. Combination prosthesis is one which is supported by both natural teeth and implant. The periodontal ligament and osseointegrated interface distribute force differently to the supporting bone. Therefore problems can develop when tooth and implants are combined in the same prosthesis. However, clinicians can apply biomechanical principles, to negate the deleterious leverages exerted by the fixed prosthesis by using non rigid components and to equalize the stress applied by the prosthesis on implant and teeth. A case of partially edentulous situation was rehabilitated successfully with a combination of prostheses. Maxillary arch was restored to function with crowns, fixed dental prosthesis and with an extra coronal castable attachment prosthesis and the mandibular arch with a combination of tooth and implant supported attachment prosthesis. The clinical and laboratory steps for the fabrication of these prostheses are explained in this report.

Implant supported prosthesis on edentulous mandible with multiple impacted teeth - a case report with 5 year follow up

“…Literature indeed reports on restorations that have been done on syndromic patients, wherein some of the remaining natural teeth were used for the fabrication of tooth-supported prosthesis, and the rest was replaced by implant-supported prosthesis. [ 18 19 20 21 22 23 ] The case reported here is very peculiar from those that have been reported earlier in the sense that all the mandibular teeth were impacted. As quoted earlier, this could be due to a total lack of eruptive force.…”

Telescopic Overdenture and Implant Supported Fixed Partial Denture: A Pragmatic Treatment Approach

“…The telescopic retainers decrease the proportion of most traumatic lateral forces and transmit the occlusal forces in the direction of the long axis of the abutment teeth [ 9 ]. Furthermore, due to the well stress distribution and continued proprioceptive sensation, telescopic overdenture also prevents residual alveolar bone resorption [ 16 ]. It is also more aesthetic and hygienic then conventional removable partial dentures.…”

Full mouth rehabilitation with retrievable metal–ceramic implant‐supported fixed prostheses for a young patient with atrophic jaws: a clinical report

“…Dental implants have become important in rehabilitation of partially or completely edentulous patients . Although fixed implant‐supported prostheses have achieved predictable high cumulative survival rates .…”

“…Throughout the years, clinicians and laboratory technicians overcame this limitation through different strategies . One is fabrication of metal‐resin restoration .…”