Patient-Specific Titanium Implant Solution for Total Atrophic Upper Jaw: Case Report

Activity: Talk or presentation types › Oral presentation

Description

INTRODUCTION: Conventional implant procedures are often not possible in cases of significant atrophy, leaving patients with few treatment options. In this case report, we present a treatment method using a patient-specific titanium implant (by KLS Martin Group) to address total atrophic upper jaw in a single operation. Every phase from first visit till 6 months postoperative was documented. METHODS: A 48 year-old male presented to a prosthodontist with a failing total metal-plastic bridge. After dental revision, most of the maxillary teeth were extracted (excluding D13, D23) and removable partial denture was fabricated. As the patient was insisting on fixed prosthesis and due to extensive maxillary atrophy, simple implant based restoration was not possible. Primary D13, D23 extractions as well as soft tissue augmentation in the posterior region with Epiflex (decellularized human skin tissue) was carried out. Dual scan protocol was used together with an intraoral scanner using teeth in wax dentures with radio-opaque composite landmarks. Proper occlusion was achieved and using the dental arch as a reference implant pillar position was planned. Titanium implant design was produced through IPS Gate interaction software. Surgery was done under general anaesthesia (nasotracheal intubation). Implant was fixed with 29 bicortical screws. Surgery was 4 hours long. Immediate total prosthesis (composite with glass reinforcement) was fixed on the implant with ~15Ncm. Follow-up included the following sequence (1 day, 1 week, 2 weeks, 1 month, 3 months and 6 months after surgery) and except unrelated viral infection it was uneventful. RESULTS: The patient-specific titanium implant was successfully placed and integrated into the atrophic jaw. DISCUSSION & CONCLUSIONS: This case report demonstrates the potential of patient-specific titanium implants as a treatment option for patients with significant alveolar bone atrophy. Further research is needed to fully understand the effectiveness and long-term outcomes of this procedure.. .. .. .
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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