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Prosthodontic Management of a Combination Transosteal/ Endosteal Implant Reconstruction: A Clinical Report
Author(s) -
Wolfinger Glenn J.,
Rogoff Gary S.,
Harrison Jeffery A.,
Callum Julie Oliverio
Publication year - 1996
Publication title -
journal of prosthodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.902
H-Index - 60
eISSN - 1532-849X
pISSN - 1059-941X
DOI - 10.1111/j.1532-849x.1996.tb00278.x
Subject(s) - dentistry , implant , medicine , endosseous implants , dentures , orthodontics , prosthodontics , mandibular molar , osseointegration , molar , surgery
This is a clinical report of a patient who was not referred for prosthodontic evaluation and treatment until after undergoing Bränemark endosseous implant placement to supplement the previously existing mandibular staple bone plate implant. This supplemental treatment was the surgeon's attempt to resolve the patient's complaint of loose dentures. Creativity with implant biomechanics and prosthodontic design were necessary to restore the patient, in a predictable manner, to normal function. A fixed, detachable cast overdenture bar rigidly connected to all the implants was constructed utilizing resilient attachments to retain the tissue‐supported mandibular overdenture. A presurgical prosthodontic evaluation could have averted many of the problems encountered with treatment. More effective conventional prosthodontic treatment may have resolved the patient's complaints and eliminated the need for additional implant placement.