Abstract
4/2016
vol. 69
Implantoprosthetic treatment options for an extremely narrow neutral zone in the anterior mandible*
- Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu Klinika Rehabilitacji Narządu Żucia, Katedra Protetyki Stomatologicznej,
Online publish date: 2016/10/23
Introduction. Prosthetic rehabilitation of the edentulous
mandible with severe atrophy of the prosthetic field
is still a current clinical problem. Obtaining denture
retention through the use of intra-osseous implants is
not always sufficient to achieve therapeutic success.
The main problem in this particular clinical situation
is a very narrow neutral space in the anterior
mandible, which eliminates the use of the implantsupported
overdenture. Aim of study. To present an
alternative method of prosthetic rehabilitation of the
edentulous mandible with an extremely narrow neutral
zone. Clinical case. A 60-year-old patient with an
edentulous mandible was implanted with three Sky
Bredent implants in the anterior mandible (positions
31, 33, 43). Due to insufficient width of the neutral
zone a PFM bridge supported on three implants in
the anterior segment, and a framework denture with
precise elements in the lateral segment were applied.
Results and discussion. The applied method allows
introduction of both fixed and removable dentures in a
narrow neutral zone, while not interfering with speech
articulation and improving the aesthetics of the lower
part of the patient’s face
mandible with severe atrophy of the prosthetic field
is still a current clinical problem. Obtaining denture
retention through the use of intra-osseous implants is
not always sufficient to achieve therapeutic success.
The main problem in this particular clinical situation
is a very narrow neutral space in the anterior
mandible, which eliminates the use of the implantsupported
overdenture. Aim of study. To present an
alternative method of prosthetic rehabilitation of the
edentulous mandible with an extremely narrow neutral
zone. Clinical case. A 60-year-old patient with an
edentulous mandible was implanted with three Sky
Bredent implants in the anterior mandible (positions
31, 33, 43). Due to insufficient width of the neutral
zone a PFM bridge supported on three implants in
the anterior segment, and a framework denture with
precise elements in the lateral segment were applied.
Results and discussion. The applied method allows
introduction of both fixed and removable dentures in a
narrow neutral zone, while not interfering with speech
articulation and improving the aesthetics of the lower
part of the patient’s face
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