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Modification of All-on-Four Treatment Concept for Severely Atrophic Mandible with CAD/CAM Customized Abutment and Prostheses: A Case Report

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주제분류치의학

초록

This article describes the treatment provided to a patient exhibiting severely atrophic mandibular posterior region complaining of the paresthesia of both alveolar ridges near the mental foramen. Severe atrophy of the alveolar ridge disabled any removable denture treatment to have sufficient retention and stability without irritating mental foramen area. Implant-supported fixed prosthesis was planned utilizing All-on-Four treatment concept. CAD/CAM abutment was customized for distally tilted implants and implant-supported fixed prosthesis was successfully fabricated.

Abstract

This article describes the treatment provided to a patient exhibiting severely atrophic mandibular posterior region complaining of the paresthesia of both alveolar ridges near the mental foramen. Severe atrophy of the alveolar ridge disabled any removable denture treatment to have sufficient retention and stability without irritating mental foramen area. Implant-supported fixed prosthesis was planned utilizing All-on-Four treatment concept. CAD/CAM abutment was customized for distally tilted implants and implant-supported fixed prosthesis was successfully fabricated.

참고문헌 (6)

  1. Chrcanovic BR, "Tilted versus axially placed dental implants : a meta-analysis", J Dent, 43, pp.149~170 (2015)
  2. Del Fabbro M, "The fate of marginal bone around axial vs. tilted implants: a systematic review", Eur J Oral Implantol., 7(Suppl 2), pp.S171~S189 (2014)
  3. Monje A, "Marginal bone loss around tilted implants in comparison to straight implants : a meta-analysis", Int J Oral Maxillofac Implants, 27, pp.1576~1583 (2012)
  4. Malo P, "“All-on-4” immediate-function concept for completely edentulous maxillae: a clinical report on the medium (3 years)and long-term (5 years) outcomes", Clin Implant Dent Relat Res, 14(Suppl 1), pp.e139~e150 (2012)
  5. Bevilacqua M, "The influence of cantilever length and implant inclination on stress distribution in maxillary implant-supported fixed dentures", J Prosthet Dent, 105, pp.5~13 (2011)
  6. Krekmanov L, "Tilting of posterior mandibular and maxillary implants for improved prosthesis support", Int J Oral Maxillofac Implants, 15, pp.405~414 (2000)

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