Pathak Vedant, Sathe Seema, Bhoyar Anjali, Dhamande Mithilesh, Jaiswal Tanvi
Prosthodontics, Crown, Bridge and Implantology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 May 12;16(5):e60167. doi: 10.7759/cureus.60167. eCollection 2024 May.
Long-term implant rehabilitation is still a problem. After about three months of implantation, the patient should go through rehabilitation to allow for osseointegration. However, poor patient cooperation during lengthy treatments or patient neglect, especially during patient-intensive treatments, can lead to a range of issues that require distinct approaches to solve. A fixed prosthetic is currently the most sought-after course of treatment. Implant misplacement can be a concern, especially during the prosthetic stage. Following the appropriate protocols, one of which has been discussed in this report, makes it possible to achieve prosthetic outcomes for a number of difficult cases. In the case described in this report, resin-retained restoration was used as an alternative to an implant-supported prosthesis because of the non-optimal position of the implant at the time of the prosthetic phase, which was due to discontinuation of treatment on the part of the patient. The conservative preparation of abutment teeth and pontic covering the non-optimally placed implant gave the best outcome and satisfaction on the part of the patient.
长期种植体修复仍然是一个问题。植入约三个月后,患者应进行修复以实现骨整合。然而,在漫长的治疗过程中患者配合不佳或患者疏忽,尤其是在患者密集治疗期间,可能会导致一系列问题,需要采用不同的方法来解决。固定修复目前是最受欢迎的治疗方案。种植体位置不当可能是一个问题,尤其是在修复阶段。遵循适当的方案,本报告中已讨论其中之一,使得许多困难病例能够实现修复效果。在本报告所述病例中,由于修复阶段种植体位置不理想(这是由于患者中断治疗所致),采用树脂固位修复作为种植体支持假体的替代方案。对基牙进行保守预备,并对覆盖位置不理想种植体的桥体进行处理,取得了最佳效果,患者也感到满意。