A conversion to implant overdenture in failed fixed implant prosthesis of edentulous maxilla: A case report

Joon-Soo Kim; Young-Chan Jeon; Chang-Mo Jeong; Mi-Jung Yun; Jung-Bo Huh

doi:10.4047/jkap.2016.54.4.393

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Kim, Jeon, Jeong, Yun, and Huh: A conversion to implant overdenture in failed fixed implant prosthesis of edentulous maxilla: A case report

Case Report

J Korean Acad Prosthodont 2016;54(4):393-400.

Published online: NaN October 2016

DOI: https://doi.org/10.4047/jkap.2016.54.4.393

A conversion to implant overdenture in failed fixed implant prosthesis of edentulous maxilla: A case report

Joon-Soo Kim, Young-Chan Jeon, Chang-Mo Jeong, Mi-Jung Yun, Jung-Bo Huh^∗

Department of Prosthodontics, School of Dentistry, Pusan National University, Yangsan, Republic of Korea

∗Corresponding Author: Jung-Bo Huh Department of Prosthodontics, School of Dentistry, Pusan National University, Beomeo-ri, Mulgeum-eup, Yangsan 50612, Republic of Korea +82 (0)55 360 5146: e-mail, neoplasia96@hanmail.net

Received 25 January 20163 March 2016 Accepted 3 15 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Fixed implant prosthesis and removable implant overdenture are the main treatment options for treating edentulous maxilla with implants. If clinicians select one of the treatment options without accurate diagnosis and evaluation, this may lead to unfavorable treatment result and one would not be able to guarantee successful long term prognosis. In this case, 69 year-old female presented with failed fixed implant prosthesis that was treated in private dental clinic. Since the patient did not want additional insertion of implants and considering factors such as oral hygiene maintenance, splinting effect, and esthetics, the patient was treated with removable implant bar type overdenture using pre-existing implants. The clinical results were satisfactory in the aspect of esthetics and masticatory function, oral hygiene maintenance. (J Korean Acad Prosthodont 2016;54:393-400)

Keywords: Edentulous maxilla, Implant failure, Implant overdenture

REFERENCES

1.Byun JS., Cho LR., Kim DG., Huh YH., Park CJ. Various factors influencing on the satisfaction of complete denture wearers. J Dent Rehab Appl Sci. 2014. 30:53–63.

2.DeBoer J. Edentulous implants: overdenture versus fixed. J Prosthet Dent. 1993. 69:386–90.

3.Cabello G., Gonza′lez DG., Fa′brega J. The edentulous maxillary arch: A novel approach to prosthetic rRehabilitation with dental implants, based upon the combination of optimum mechanical resources. Dent. 2014. 4:217–21.

4.Sadowsky SJ. Treatment considerations for maxillary implant overdentures: a systematic review. J Prosthet Dent. 2007. 97:340–8.

5.Zitzmann NU., Marinello CP. Treatment plan for restoring the edentulous maxilla with implant-supported restorations: removable overdenture versus fixed partial denture design. J Prosthet Dent. 1999. 82:188–96.

6.Goodacre CJ., Bernal G., Rungcharassaeng K., Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent. 2003. 90:121–32.

7.Cavallaro JS Jr., Tarnow DP. Unsplinted implants retaining maxillary overdentures with partial palatal coverage: report of 5 consecutive cases. Int J Oral Maxillofac Implants. 2007. 22:808–14.

8.Schneider AL. Use of guide planes and implant supported bar overdentures: a case report. Implant Dent. 1998. 7:45–9.

9.Kang JK., Nam GH. Case report: Application of implant supported removable partial denture due to multiple dental implant loss of the fixed implant supported prosthesis. J Korean Acad Esthet Dent. 2014. 23:34–40.

10.Pasciuta M., Grossmann Y., Finger IM. A prosthetic solution to restoring the edentulous mandible with limited interarch space using an implant-tissue-supported overdenture: a clinical report. J Prosthet Dent. 2005. 93:116–20.

11.Murphy T. Compensatory mechanisms in facial height adjustment to functional tooth attrition. Aust Dent J. 1959. 4:312–23.

12.Dawson PE. Functional occlusion: from TMJ to smile design. St. Louis: Mosby;2007. p. 430–52.

13.Pleasure MA. Correct vertical dimension and freeway space. J Am Dent Assoc. 1951. 43:160–3.

14.Turner KA., Missirlian DM. Restoration of the extremely worn dentition. J Prosthet Dent. 1984. 52:467–74.

Fig. 1.

Intraoral view at first visit. (A) Frontal view, (B, C) Occlusal view of maxilla and mandible.

Fig. 2.

Panoramic view at first visit.

Fig. 3.

(A) Removal of pre-existing fixed implant prosthesis, (B) Occlusal view of maxilla after prior fixed implant prosthesis removal, placement of healing abutment on maxillary first and second molar implantation site and residual abutment preparation.