Journal of Oral Implantology August 2013 - (Page 487)

CASE REPORT An Early Loaded Implant-Supported Mandibular Complete Arch Fixed Prosthesis in a Young Completely Edentulous Patient: A Case Report Miriam Mathew, MDS1,2* Bobby John, MDS3 Arun George, MDS4 The restoration of the mandibular arch up to the first molars with 5 one-piece implants presents a viable and cost-effective treatment plan in patients with adequate bone volume and favorable ridge relationships. The early loading of the implants with a provisional restoration reduces the period of edentulousness and restores the patient’s ability to eat, talk, and smile effectively. Implants in younger patients prevent resorption of the residual alveolar ridge. This article presents a case report of the restoration of an edentulous mandibular arch with an early loaded implant-supported fixed restoration in a young patient. Key Words: early loading, fixed, mandibular, implant, prosthesis INTRODUCTION C ompletely edentulous patients with adequate bone height and width can be successfully restored with fixed implant-supported prostheses as opposed to implant-supported overdentures. Younger patients benefit tremendously in the long term as the implants preserve bone,1 enhance esthetics2 and phonetics,2 and restore the patients’ masticatory efficiency3 and self-esteem.4–6 Finances, ridge anatomy, jaw relationships, prosthesis design, and patient factors permitting, the edentulous mandible can be restored successfully with an early loaded implant-supported fixed prosthesis. A case report describing the restoration of an edentulous mandibular arch using 5 one-piece 1 Private practice, International Dental Centre-Kochi, Kerala, India. 2 Department of Prosthodontics, Mar Baselious Dental College, Kerala, India. 3 Department of Oral and Maxillofacial Surgery, Government Dental College, Kerala, India. 4 Department of Oral and Maxillofacial Surgery, Mar Baselious Dental College, Kerala, India. * Corresponding author, e-mail: geoliz@gmail.com DOI: 10.1563/AAID-JOI-D-10-00182 implants with the early loading approach is presented in this article. The advantages of implant-supported fixed restorative therapy and the various implant-supported fixed restorative modalities in practice to restore completely edentulous mandibular arches are also discussed. Advantages of implant-supported fixed complete arch prostheses over implant-supported and retained removable overdentures7 1. The labial flange along with the maxillary anterior teeth of a maxillary denture help in restoring upper-lip fullness and support, whereas the profile of the lower face is reestablished to a large extent by the mandibular anterior teeth and to a lesser extent by the mandibular labial flange. 2. Chair time, laboratory fees, and component cost for a fixed implant-supported restoration work out to be almost the same as fully implantsupported overdenture (removable prosthesis type 4, RP-4).8–15 3. A fixed restoration has the advantage of being similar to natural teeth by virtue of its being a fixed prosthesis, whereas an implant-supported Journal of Oral Implantology 487

Table of Contents for the Digital Edition of Journal of Oral Implantology August 2013

Literary Responsibility—Everyone Has a Role to Play
Rehabilitation of Surgically Relocated Integrated Dental Implants With and Without Bone Morphogenesis Protein-2
Erratum
Marginal Fit of Implant-Supported All-Ceramic Zirconia Frameworks
Influence of the Implant Diameter With Different Sizes of Hexagon: Analysis by 3-Dimensional Finite Element Method
Autologous Dental Pulp Stem Cells in Regeneration of Defect Created in Canine Periodontal Tissue
Histologic and Biomechanical Evaluation of 2 Resorbable-Blasting Media Implant Surfaces at Early Implantation Times
Efficacy of Guided Bone Regeneration Using Composite Bone Graft and Resorbable Collagen Membrane in Seibert’s Class I Ridge Defects: Radiological Evaluation
Minimal Iliac Bone Harvesting in Sinus Lift Surgery
Functional Load in Oblique Bicortical Implants: Parasinusal Implants and Palatine Implants
Ultrasonic Oscillations for Conservative Retrieval of a Rare Fracture of Implant Healing Abutment
Craniofacial Implant-Retained Auricular Prosthesis: A Case Report
Gingival Conditioning in an Implant-Supported Prosthesis: A Clinical Report
An Early Loaded Implant-Supported Mandibular Complete Arch Fixed Prosthesis in a Young Completely Edentulous Patient: A Case Report
Computer Guided Surgery for Implant Placement and Dental Rehabilitation in a Patient Undergoing Sub-Total Mandibulectomy and Microvascular Free Flap Reconstruction
Guided Bone Regeneration for Socket Preservation in Molar Extraction Sites: Histomorphometric and 3D Computerized Tomography Analysis
Osseointegration of Dental Implants and Osteonecrosis of the Jaw in Patients Treated With Bisphosphonate Therapy: A Systematic Review
Review of Current Literature

Journal of Oral Implantology August 2013