Aiuto Riccardo, Barbieri Christian, Garcovich Daniele, Dioguardi Mario, Redaelli Mattia, De Micheli Luca
Department of Biomedical, Surgical, and Dental Science, University of Milan, Italy.
Universidad Europea de Valencia, Spain.
Case Rep Dent. 2020 Jul 23;2020:8890833. doi: 10.1155/2020/8890833. eCollection 2020.
. Short implants represent a valid alternative to bone regeneration techniques. In addition, metal-free prosthetic materials have several advantages for predictable rehabilitation. This case report is aimed at illustrating the advantages of fixed implant-prosthetic rehabilitation on short and ultrashort implants and metal-free prosthetic materials. . A 66-year-old male patient with bone atrophy was treated with temporary denture placement performed based on a rapid protocol. Once the tissues after extractions matured and aesthetic/function was studied, short implants were prosthetically placed, and a fiber-reinforced composite (FRC) bar was digitally designed for a double full-arch fixed rehabilitation. The 2-year follow-up showed the absence of peri-implantitis signs and a stable occlusal relationship of prostheses. . The FRC material has excellent aesthetic properties and is low cost with a simplified and fast workflow owing to digital dentistry methods. Further studies are still needed to confirm the effectiveness of long-term therapy; however, the combination of new minimally invasive surgery and prosthetic advances seems to be very promising.
短种植体是骨再生技术的一种有效替代方案。此外，无金属修复材料在可预测的修复方面具有诸多优势。本病例报告旨在阐述短种植体和超短种植体以及无金属修复材料在固定种植体修复方面的优势。一名66岁患有骨萎缩的男性患者接受了基于快速方案的临时义齿修复。拔牙后组织成熟且对美观/功能进行研究后，进行了短种植体的修复，并通过数字化设计了纤维增强复合材料（FRC）杆用于双侧全牙弓固定修复。2年的随访显示无种植体周围炎迹象且修复体咬合关系稳定。FRC材料具有出色的美学性能，成本低，且由于采用数字化牙科方法，工作流程简化且快速。仍需进一步研究以证实长期治疗的有效性；然而，新的微创手术与修复技术的结合似乎前景十分广阔。
