J Korean Acad Prosthodont.  2013 Jul;51(3):214-220. 10.4047/jkap.2013.51.3.214.

Full mouth rehabilitation of mandibular edentulous patient using implant hybrid prosthesis

• Kim SB
• Kim SH
• Park YB
• Moon HS

• KMID: 2000171
• DOI: http://doi.org/10.4047/jkap.2013.51.3.214

Abstract

Implant prosthodontics is beneficial for edentulous patients in enhancing the support, retention, stability, phonation and so on. Various types of prosthesis supported by implant, including implant retained- or supported-overdenture for the removable type and ceramo-metal and fixed prostheses with processed acrylic teeth for the fixed type, are frequently used. Treatment planning for the prosthesis with implant must be made after considering individual characteristics such as form of residual ridge, soft tissue, interocclusal relationship, economic status. Fixed prosthesis with processed acrylic teeth (also known as 'implant hybrid prosthesis' or 'bone anchored bridge') has the advantages of both removable and fixed prosthesis such as proper soft tissue profile, esthetic outcome, increased masticatory efficiency and psychological stability. The 73-years-old female patient came to the department of prosthodontics, Dental hospital of Yonsei University. She was diagnosed with Kennedy class I partial edentulism in the maxilla and complete edentulism in the mandible. This article reports a satisfactory clinical and esthetic outcome of full mouth rehabilitation using removable partial denture in the maxilla and implant hybrid prosthesis in the mandible.

Keyword

Completely edentulous patients; Implant-supported dental prosthesis; Full-mouth rehabilitation; Removable partial denture

MeSH Terms

Chimera
Dental Prosthesis, Implant-Supported
Denture, Partial, Removable
Female
Humans
Mandible
Maxilla
Mouth
Mouth Rehabilitation
Phonation
Porphyrins
Prostheses and Implants
Prosthodontics
Retention (Psychology)
Tooth
Porphyrins

Figure

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  Fig. 1. Intraoral photos at first visit (A) Frontal view, (B) Mandibular occlusal view.

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  Fig. 2. Panoramic radiograph at first visit.

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  Fig. 3. Tooth preparation and bite registration for temporary prosthesis (A) Preparation of maxillary teeth (B) Wax rim for temporary denture, (C) Bite registration for temporary prosthesis with wax rim.

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  Fig. 4. (A) Tooth arrangement for temporary denture (B) Temporary prosthesis.

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  Fig. 5. Conebeam CT taking with CT stent (A) Temporary denture duplication for CT stent, (B) Conebeam CT image.

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  Fig. 6. Panoramic radiograph after implant surgery.

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  Fig. 7. (A) Impression taking for definitive restoration (frontal view) (B) (occlusal view).

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  Fig. 8. Laboratory procedures using resin veneering system. (A) Putty index for veneering teeth alignment duplication (novo.lign) (B) Putty index and metal framework after sandblasting (C) Bonding agent (visio.link) (D) Opaque application (E) Dentine-colored adhesive composite (combo.lign, white arrow) (F) Schematic diagram of visio.lign system.

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  Fig. 9. A-P distance (anterior-posterior distance).

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  Fig. 10. Definitive restoration (A) Maxillary occlusal view (B) Right (C) Frontal view (D) Left (E) Mandibular occlusal view.

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  Fig. 11. (A, C) Initial extraoral photograph (frontal and lateral view) (B, D) Extraoral photograph after placement of prosthesis (frontal and lateral view).

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