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The “Toronto prosthesis”, an appealing method for restoring patients candidates for hybrid overdentures: A case report

Identifieur interne : 004D84 ( Ncbi/Merge ); précédent : 004D83; suivant : 004D85

The “Toronto prosthesis”, an appealing method for restoring patients candidates for hybrid overdentures: A case report

Auteurs : Javier Montero ; Carla Macedo De Paula ; Alberto Albaladejo

Source :

RBID : PMC:3892208

Abstract

The implant is a therapeutic resource in constant evolution, and the different types of implants and techniques have been increasingly used in cases of both fully or partially edentulous patients. In some cases they provide more conservative treatment, and in others better stability, retention, and function. To achieve a satisfactory result, there are several factors that should be taken into account: the type and quality of the bone, bone density, the placement location of implants, retrievability of restorations, the patient’s motivation, and economic issues. Trainees should be aware of the limitations of the techniques that can be used for successful prosthetic rehabilitation. This work describes the prosthetic rehabilitation of a fully edentulous mandible treated with dental implants using the ‘Toronto Bridge” technique for restoring both function and aesthetics. This type of prosthesis is a screwed-in mesostructure with milled abutments for the cementation of single or multiple suprastructures. This device could also be named “abutment-hybrid overdenture” The main advantages and disadvantages of this protocol are discussed.

Key words:Implant-supported restorations, dental implants.


Url:
DOI: 10.4317/jced.50877
PubMed: 24455041
PubMed Central: 3892208

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PMC:3892208

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<nlm:aff id="A1">DDS. Graduate in Odontology. PhD in Dentistry Tenured Lecturer of Prosthodontics. Faculty of Medicine. University of Salamanca. Campus Miguel de Unamuno. Salamanca</nlm:aff>
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<p>The implant is a therapeutic resource in constant evolution, and the different types of implants and techniques have been increasingly used in cases of both fully or partially edentulous patients. In some cases they provide more conservative treatment, and in others better stability, retention, and function. To achieve a satisfactory result, there are several factors that should be taken into account: the type and quality of the bone, bone density, the placement location of implants, retrievability of restorations, the patient’s motivation, and economic issues. Trainees should be aware of the limitations of the techniques that can be used for successful prosthetic rehabilitation. This work describes the prosthetic rehabilitation of a fully edentulous mandible treated with dental implants using the ‘Toronto Bridge” technique for restoring both function and aesthetics. This type of prosthesis is a screwed-in mesostructure with milled abutments for the cementation of single or multiple suprastructures. This device could also be named “abutment-hybrid overdenture” The main advantages and disadvantages of this protocol are discussed. </p>
<p>
<bold> Key words:</bold>
Implant-supported restorations, dental implants.</p>
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<name>
<surname>Montero</surname>
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<surname>Macedo de Paula</surname>
<given-names>Carla</given-names>
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DDS. Graduate in Odontology. PhD in Dentistry Tenured Lecturer of Prosthodontics. Faculty of Medicine. University of Salamanca. Campus Miguel de Unamuno. Salamanca</aff>
<aff id="A2">
<label>2</label>
DDS. Graduate in Odontology. Postgraduate Dental Student. Faculty of Medicine. University of Salamanca. Campus Miguel de Unamuno. Salamanca</aff>
<aff id="A3">
<label>3</label>
DDS. Graduate in Odontology. PhD in Dentistry Tenured Lecturer of Orthodontics. Faculty of Medicine. University of Salamanca. Campus Miguel de Unamuno. Salamanca</aff>
<author-notes>
<corresp> Clínica Odontológica de la Facultad de Medicina de la Universidad de Salamanca C/ Alfonso X, el sabio S/N; Campus de Unamuno 37007. Salamanca, Spain , E-mail:
<email> javimont@usal.es</email>
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<month>12</month>
<year>2012</year>
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<month>12</month>
<year>2012</year>
</pub-date>
<volume>4</volume>
<issue>5</issue>
<fpage>e309</fpage>
<lpage>e312</lpage>
<history>
<date date-type="accepted">
<day>22</day>
<month>9</month>
<year>2012</year>
</date>
<date date-type="received">
<day>11</day>
<month>5</month>
<year>2012</year>
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<copyright-statement>Copyright: © 2012 Medicina Oral S.L.</copyright-statement>
<copyright-year>2012</copyright-year>
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<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>The implant is a therapeutic resource in constant evolution, and the different types of implants and techniques have been increasingly used in cases of both fully or partially edentulous patients. In some cases they provide more conservative treatment, and in others better stability, retention, and function. To achieve a satisfactory result, there are several factors that should be taken into account: the type and quality of the bone, bone density, the placement location of implants, retrievability of restorations, the patient’s motivation, and economic issues. Trainees should be aware of the limitations of the techniques that can be used for successful prosthetic rehabilitation. This work describes the prosthetic rehabilitation of a fully edentulous mandible treated with dental implants using the ‘Toronto Bridge” technique for restoring both function and aesthetics. This type of prosthesis is a screwed-in mesostructure with milled abutments for the cementation of single or multiple suprastructures. This device could also be named “abutment-hybrid overdenture” The main advantages and disadvantages of this protocol are discussed. </p>
<p>
<bold> Key words:</bold>
Implant-supported restorations, dental implants.</p>
</abstract>
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<name sortKey="Montero, Javier" sort="Montero, Javier" uniqKey="Montero J" first="Javier" last="Montero">Javier Montero</name>
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