IADR Abstract Archives

Functional and Esthetic Rehabilitation of a Patient. a Case Report.

Objectives: The aim of this case report is to present a functional and esthetic rehabilitation in 59-year old female patient combining an implant supported prosthesis in combination with full ceramic crowns and veneers on the anterior teeth.
Methods: The patient was referred to the Department of Restorative Dentistry. Her main complaint was shortcoming in esthetics and function in the upper jaw. She has been partially edentulous for about 20 years. The Kennedy class II was restored with a removable cobalt-chrome alloy frame prosthesis. The upper anterior teeth showed discolored, unacceptable composite veneers. Some of these teeth were quite heavily filled. Due to fracture of an abutment tooth of the frame prosthesis the retention of the prosthesis decreased seriously.
The treatment started with exploring the upper anterior teeth (13-24) and home bleaching of the teeth in the lower jaw. Two abutment teeth (23 and 24) of the existing frame needed to be extracted because of absence of ferrule. Two implants were placed (location 16 and 24) in order to transform the Kennedy class II into a Kennedy class III. A rigid anchorage would seriously increase the retention of the new frame. After osseointegration of the implants, two ball abutments were mounted. The remaining upper anterior teeth were restored with a combination of monolithic zirconium crowns (12, 13, 22) and bonded lithium disilicate veneers (11 and 21). Finally, a new partial prosthesis with cobalt-chrome alloy framework replaced the missing teeth. Because of the high smile line, the dental technician provided a tooth colored resin clasp on the frame.
Results: The patient was very pleased with the esthetic and functional result of combining fixed and removable prosthesis.
Conclusions: Use of implants to support a partial prothesis improves its retention and decreases the movement during function which increases the patient’s comfort seriously.

2021 Continental European and Scandinavian Divisions Meeting (Brussels, Belgium, Hybrid)
Brussels, Belgium, Hybrid
2021
0176
Clinical Case Reports
  • Van De Maele, Ellen  ( UZ Leuven , Leuven , Belgium )
  • Peumans, Marleen  ( UZ Leuven , Leuven , Belgium )
  • NONE
    Poster Session ALL VIRTUAL
    Clinical Case Reports (all scientific fields)