Implant-supported overdenture manufactured using CAD/CAM techniques to achieve horizontal path insertion between the primary and secondary structure: A clinical case report
Identifieur interne : 000145 ( Pmc/Curation ); précédent : 000144; suivant : 000146Implant-supported overdenture manufactured using CAD/CAM techniques to achieve horizontal path insertion between the primary and secondary structure: A clinical case report
Auteurs : Rubén Agustín-Panadero [Espagne] ; David Pe Arrocha-Oltra [Espagne] ; Sonia Gomar-Vercher [Espagne] ; Alberto Ferreiroa [Espagne] ; Miguel Pe Arrocha-Diago [Espagne]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2015.
Abstract
This report describes the case of an edentulous patient with an atrophic maxilla and severe class III malocclusion. Prosthetic rehabilitation was performed using CAD/CAM techniques for manufacturing an implant-supported overdenture with horizontal insertion. A vestibulo-lingual insertion overdenture is a precision prosthesis with a fixation system affording a good fit between the primary and secondary structure. Both structures exhibit passive horizontal adjustment. This treatment option requires the same number of implants as implant-supported fixed dentures. The horizontal assembly system prevents the prosthesis from loosening or moving in response to axial and non-axial forces. The technique was used to rehabilitate a patient presenting an atrophic upper maxilla, with the insertion of 8 implants. No complications were reported at follow-up 3, 6 and 12 months after fitting of the prosthesis. This system offers solutions to the clinical and laboratory complications associated with hybrid prostheses, concealing emergence of the chimneys and improving implant-prosthesis hygiene.
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DOI: 10.4047/jap.2015.7.3.264
PubMed: 26140179
PubMed Central: 4486623
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Medicine and Dentistry, Valencia University, Spain.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Department of Stomatology, Faculty of Medicine and Dentistry, Valencia University</wicri:regionArea></affiliation></author><author><name sortKey="Pe Arrocha Oltra, David" sort="Pe Arrocha Oltra, David" uniqKey="Pe Arrocha Oltra D" first="David" last="Pe Arrocha-Oltra">David Pe Arrocha-Oltra</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, Faculty of Medicine and Dentistry, Valencia University, Spain.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Department of Stomatology, Faculty of Medicine and Dentistry, Valencia University</wicri:regionArea></affiliation></author><author><name sortKey="Gomar Vercher, Sonia" sort="Gomar Vercher, Sonia" uniqKey="Gomar Vercher S" first="Sonia" last="Gomar-Vercher">Sonia Gomar-Vercher</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Stomatology, Faculty of Medicine and Dentistry, Valencia University, Spain.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Department of Stomatology, Faculty of Medicine and Dentistry, Valencia University</wicri:regionArea></affiliation></author><author><name sortKey="Ferreiroa, Alberto" sort="Ferreiroa, Alberto" uniqKey="Ferreiroa A" first="Alberto" last="Ferreiroa">Alberto Ferreiroa</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Buccofacial Prostheses, Faculty of Dentistry, Madrid Complutense University, Spain.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Department of Buccofacial Prostheses, Faculty of Dentistry, Madrid Complutense University</wicri:regionArea></affiliation></author><author><name sortKey="Pe Arrocha Diago, Miguel" sort="Pe Arrocha Diago, Miguel" uniqKey="Pe Arrocha Diago M" first="Miguel" last="Pe Arrocha-Diago">Miguel Pe Arrocha-Diago</name><affiliation wicri:level="1"><nlm:aff id="A3">Oral Surgery, Faculty of Medicine and Dentistry, Valencia University, Spain.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Oral Surgery, Faculty of Medicine and Dentistry, Valencia University</wicri:regionArea></affiliation></author></analytic><series><title level="j">The Journal of Advanced Prosthodontics</title><idno type="ISSN">2005-7806</idno><idno type="eISSN">2005-7814</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>This report describes the case of an edentulous patient with an atrophic maxilla and severe class III malocclusion. Prosthetic rehabilitation was performed using CAD/CAM techniques for manufacturing an implant-supported overdenture with horizontal insertion. A vestibulo-lingual insertion overdenture is a precision prosthesis with a fixation system affording a good fit between the primary and secondary structure. Both structures exhibit passive horizontal adjustment. This treatment option requires the same number of implants as implant-supported fixed dentures. The horizontal assembly system prevents the prosthesis from loosening or moving in response to axial and non-axial forces. The technique was used to rehabilitate a patient presenting an atrophic upper maxilla, with the insertion of 8 implants. No complications were reported at follow-up 3, 6 and 12 months after fitting of the prosthesis. This system offers solutions to the clinical and laboratory complications associated with hybrid prostheses, concealing emergence of the chimneys and improving implant-prosthesis hygiene.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Slot, W" uniqKey="Slot W">W Slot</name></author><author><name sortKey="Raghoebar, Gm" uniqKey="Raghoebar G">GM Raghoebar</name></author><author><name sortKey="Vissink, A" uniqKey="Vissink A">A Vissink</name></author><author><name sortKey="Huddleston Slater, Jj" uniqKey="Huddleston Slater J">JJ Huddleston Slater</name></author><author><name sortKey="Meijer, Hj" uniqKey="Meijer H">HJ Meijer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sadowsky, Sj" uniqKey="Sadowsky S">SJ Sadowsky</name></author><author><name sortKey="Caputo, Aa" uniqKey="Caputo A">AA Caputo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Almasri, R" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id><journal-id journal-id-type="iso-abbrev">J Adv Prosthodont</journal-id><journal-id journal-id-type="publisher-id">JAP</journal-id><journal-title-group><journal-title>The Journal of Advanced Prosthodontics</journal-title></journal-title-group><issn pub-type="ppub">2005-7806</issn><issn pub-type="epub">2005-7814</issn><publisher><publisher-name>The Korean Academy of Prosthodontics</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26140179</article-id><article-id pub-id-type="pmc">4486623</article-id><article-id pub-id-type="doi">10.4047/jap.2015.7.3.264</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Implant-supported overdenture manufactured using CAD/CAM techniques to achieve horizontal path insertion between the primary and secondary structure: A clinical case report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Agustín-Panadero</surname><given-names>Rubén</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Peñarrocha-Oltra</surname><given-names>David</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Gomar-Vercher</surname><given-names>Sonia</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Ferreiroa</surname><given-names>Alberto</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Peñarrocha-Diago</surname><given-names>Miguel</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Stomatology, Faculty of Medicine and Dentistry, Valencia University, Spain.</aff><aff id="A2"><label>2</label>Department of Buccofacial Prostheses, Faculty of Dentistry, Madrid Complutense University, Spain.</aff><aff id="A3"><label>3</label>Oral Surgery, Faculty of Medicine and Dentistry, Valencia University, Spain.</aff><author-notes><corresp>Corresponding author: Miguel Peñarrocha-Diago. Clínicas Odontológicas, Gascó Oliag 1, 46021 - Valencia, Spain. Tel. 34 96 3864139: <email>Miguel.penarrocha@uv.es</email></corresp></author-notes><pub-date pub-type="ppub"><month>6</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>23</day><month>6</month><year>2015</year></pub-date><volume>7</volume><issue>3</issue><fpage>264</fpage><lpage>270</lpage><history><date date-type="received"><day>18</day><month>11</month><year>2014</year></date><date date-type="rev-recd"><day>06</day><month>2</month><year>2015</year></date><date date-type="accepted"><day>09</day><month>2</month><year>2015</year></date></history><permissions><copyright-statement>© 2015 The Korean Academy of Prosthodontics</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>This report describes the case of an edentulous patient with an atrophic maxilla and severe class III malocclusion. Prosthetic rehabilitation was performed using CAD/CAM techniques for manufacturing an implant-supported overdenture with horizontal insertion. A vestibulo-lingual insertion overdenture is a precision prosthesis with a fixation system affording a good fit between the primary and secondary structure. Both structures exhibit passive horizontal adjustment. This treatment option requires the same number of implants as implant-supported fixed dentures. The horizontal assembly system prevents the prosthesis from loosening or moving in response to axial and non-axial forces. The technique was used to rehabilitate a patient presenting an atrophic upper maxilla, with the insertion of 8 implants. No complications were reported at follow-up 3, 6 and 12 months after fitting of the prosthesis. This system offers solutions to the clinical and laboratory complications associated with hybrid prostheses, concealing emergence of the chimneys and improving implant-prosthesis hygiene.</p></abstract><kwd-group><kwd>Horizontal insertion prosthesis</kwd><kwd>Horizontal Denture®</kwd><kwd>Alveolar bone atrophy</kwd><kwd>Dental prosthesis design</kwd><kwd>Dental implants</kwd><kwd>Edentulous jaw</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label><caption><title>Classification of the Horizontal Denture® designs, (A) Platform design (class I and II), (B) Claw design (class III).</title></caption><graphic xlink:href="jap-7-264-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label><caption><title>(A) Extraoral view of the loss of lip support of the patient without the prosthesis, (B) Intraoral view of the upper maxilla before treatment. (C) Intraoral view of the location of the 8 TSA® implants with Avantblast surface (Phibo Dental Solutions, Senmenat, Barcelona, Spain) in the maxilla.</title></caption><graphic xlink:href="jap-7-264-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label><caption><title>(A) CAD/CAM design of the primary structure with the planes of insertion, slots and insertion groves, (B) Best fit between the primary structure with tooth testing for designing the secondary structure, (C) STL file of the design of the secondary structure, with the different grooves, slots and planes for correct coupling to the primary structure.</title></caption><graphic xlink:href="jap-7-264-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label><caption><title>(A) View of the Horizontal Denture® primary structure screwed directly onto the implant prosthetic platform, (B) Panoramic X-ray view showing the fit of the upper Horizontal Denture® structure, (C) Periapical X-rays showing passive fit of the primary structure.</title></caption><graphic xlink:href="jap-7-264-g004"></graphic></fig><fig id="F5" orientation="portrait" position="float"><label>Fig. 5</label><caption><title>(A) Extraoral view of the Horizontal Denture® secondary structure, (B) Intraoral view of the Horizontal Denture® secondary structure fitted to the primary structure.</title></caption><graphic xlink:href="jap-7-264-g005"></graphic></fig><fig id="F6" orientation="portrait" position="float"><label>Fig. 6</label><caption><title>(A) Patient smile after rehabilitation, (B) Extraoral view of the recovered lip support with the prosthesis in place.</title></caption><graphic xlink:href="jap-7-264-g006"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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