Single-visit chairside adjustment of a metal-acrylic resin implant-supported fixed complete dental prosthesis on an unloaded implant using a novel fixed attachment system: a case report

Journal of Medical Case Reports

Tateyuki Iizuka¹  Samir Abou-Ayash²  Nadin Al-Haj Husain²  Pedro Molinero-Mourelle²  Burak Yilmaz³  Martin Schimmel⁴ 

[1] Department of Cranio-Maxillofacial Surgery, Bern University Hospital, Inselspital, Bern, Switzerland;Department of Reconstructive Dentistry and Gerodontology. School of Dental Medicine, University of Bern, Bern, Switzerland;Department of Reconstructive Dentistry and Gerodontology. School of Dental Medicine, University of Bern, Bern, Switzerland;Department of Restorative, Preventive and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland;Division of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, OH, USA;Department of Reconstructive Dentistry and Gerodontology. School of Dental Medicine, University of Bern, Freiburgstrasse 7, 3010, Bern, Switzerland;Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland;

关键词: Fixed implant-supported prosthesis;    Attachment;    Biological complication;    Technical complication;    Case report;   

DOI  :  10.1186/s13256-021-02854-x

来源: Springer

【 摘 要 】

BackgroundImplant-supported prosthetic treatment options are reliable for elderly edentulous patients with systemic health problems. These patients often need cost- and time-efficient solutions to avoid complications. However, it is a challenge for clinicians to treat these patients without surgical interventions, placement of additional implants, or the need to renew existing prostheses.Case presentationA 75-year-old medically compromised caucasian male patient using multiple medications was referred for prosthetic rehabilitation of his edentulous maxilla after several implant failures. Because the patient’s health was compromised, further surgical interventions were ruled out and the treatment was centered on the use of the remaining implants by placing a fixed attachment system and altering the existing prosthesis. The stepwise management of the patient’s situation through the use of a new attachment system and adjustment of existing prosthesis is described in the present case report.ConclusionsAlthough implant therapy is not always contraindicated for medically compromised patients, it is preferable not to perform extensive surgeries to avoid complications. This clinical report describes an alternative, safe option based on a novel fixed attachment system to salvage an existing maxillary implant-supported fixed complete dental prosthesis of a patient with systemic health problems.

【 授权许可】

CC BY