Falisi G, Bernardi S, Rastelli C, Pietropaoli D, DE Angelis F, Frascaria M, DI Paolo C
Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, Rome, Italy.
Oral Implantol (Rome). 2017 Jan 21;10(4):477-487. doi: 10.11138/orl/2017.10.4.477. eCollection 2017 Oct-Dec.
Short implants are increasing their popularity among clinicians who want to fulfill the constant demanding of fixed prosthetic solutions in edentulous jaws. The aim of this report was to propose a new possibility to project and realize an occlusal guided implant cross-arch prosthesis supported by ultra-short implants, describing it presented an edentulous mandible case report.
A 61-year-old, Caucasian, female patient who attended the dental clinic of the University of L'Aquila presented with edentulous posterior inferior jaw and periodontitis and periimplantitis processes in the anterior mandible. The remaining tooth and the affected implant were removed. Six 4-mm-long implants were placed to support a cross-arch metal-resin prosthesis.
At 1-year follow-up clinical and radiological assessment showed a good osseointegration of the fixtures and the patient was satisfied with the prosthesis solution.
The method, even if it requires further validation, seems to be a valid aid in solving lower edentulous clinical cases, and appears less complex and with more indications of other proposals presented in the current clinical literature. Our case report differs from the current technique All-on-Four, which uses four implants in the mandible to support over-denture prosthesis, assuring a very promising clinical result.
短种植体在临床医生中越来越受欢迎，这些医生希望满足无牙颌患者对固定修复解决方案不断增长的需求。本报告的目的是提出一种新的可能性，即设计并实现一种由超短种植体支持的咬合引导种植体跨牙弓修复体，并通过一个无牙下颌病例报告进行描述。
一名61岁的白种女性患者前往拉奎拉大学牙科诊所就诊，其下颌后牙区无牙，下颌前部存在牙周炎和种植体周围炎。拔除了剩余牙齿和受影响的种植体。植入6枚4毫米长的种植体以支持一个跨牙弓金属树脂修复体。
在1年的随访中，临床和影像学评估显示种植体骨结合良好，患者对修复体解决方案满意。
该方法尽管需要进一步验证，但似乎是解决下颌无牙临床病例的有效辅助手段，且与当前临床文献中提出的其他方案相比，显得不那么复杂，适应证更多。我们的病例报告与目前的“All-on-Four”技术不同，后者在下颌使用4枚种植体来支持覆盖义齿修复体，并保证了非常有前景的临床效果。
