Implant-Supported Fixed Complete Denture Case Report

AUTHORS: CAPOBIANCO, T.T.R.; REICHENBACH, D.B.; KLPPEL, L.E.; LOPES JUNIOR, W.; SOUZA NETO, J.
The denture implant is an alternative for edentulous ridge with bone that does not provide retention and stability to a conventional full denture. A cemented prosthesis implant retrieves and provides an improvement in chewing, swallowing, phonetics and therefore the life quality of patients. The conventional treatment of a protocol is performed in two surgical stages, followed by a prosthetic one. This article describes a technique of the rehabilitation of a patient using implants in a single surgical step with a total fixed dentogingival prosthese in the upper maxilla.

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CASE REPORT
Patient MDN, female, 51 years old, has none of all elements since 13 (thirteen) years of age, using conventional dentures and partial removable
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bottom. In surgical planning a prosthetic implant placement was indicated to the upper maxilla and lower jaw in oral rehabilitation using fixed dentogingival prosthese. In a completely edentulous atrophic maxilla, were installed 08 (eight) Ankylos Frialit Dentsply implants associated with freeze-dried bone graft and biological barrier (non- resorbable gore-tex membrane) in a single step surgical procedure. Billateral sinus lift and concomitant implant installation was also performed. Distribution of the implants was made in accordance with reverse planning and after a 6 month period, healing abutments were

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installed to allow rehabilitation. The prostetic rehabilitation started transfering the position of implants to help the choice of abutments on the fixed dentogingival prosthese and temporary one. With abutments prepared (Fig. I) a transfer molding with addition silicone was performed to make the fixed dentogingival prosthese structure, at this time the new temporary denture was installed (Fig. II) .

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An occlusion mark was taken for analisys on dental cast in the articulator. During the clinical exam a facial analisys evaluated the soft-tissue profile in upper and lower lips in relation to Steiner's S line. These structure evaluations were made to replace the orolabial facial muscle, providing the patient an adequate functional occlusion, normal overjet and overbite, and a pleasant facial esthetics. In search of clinical success, it is essential that the planning guarantee the needing of each patient. Fixed prostheses restores the sense of confidence and produces great satisfaction to its users, but within their applications - especially in edentulous jaw implants cases - it has been related difficulties in restoring the lip support and reported phonetics interferences. To recover these structures of facial and lips support it is necessary to use materials with high quality such as porcelain, capable of providing a good esthetic interface with the gingival tissues and a harmonious relation to the adjacent teeth and antagonists.
I- Installed abutments; II- Provisional Prosthesis; III- Total fixed dentogingival prosthesis; IV- Made Porcelain, translucency scan; V- Protrusive; VI- Front view; VII- Vestibular projection incisors; VIII- Esthetic, side view. VIII

Keywords: Dental implantation. Dental prosthesis. Complete denture.