DOI:
10.37988/1811-153X_2020_4_67Implant supported rehabilitation on upper jaw with minor amount of fixtures (3 years follow up)
Abstract
Active ousting of conventional prosthesis from total rehabilitation strategy by implant supported prosthetics is related with obvious tendency of decreasing the number of abutments for such suprastructures in the course of high survival rates of these prostheses and implants as well. Materials and methods. Despite of increased clinical and technological complexity of the workflow in comparison with conventional cement retained bridges, screw retention of such long span implant supported prosthesis provides the possibility of regular prothesis removal for professional hygiene and maintenance. The search in Prosthodontcs for options of the quick and regular retrieval of such prostheses is very relevant now, taking into consideration the increasing demand in fixed solutions among elderly and senile population combined with difficulties to ensure high level of unassisted oral hygiene by these group of patients. Results. 3 years follow up results are presented in this article (based on medical records extracts of three patients) of implant supported prosthetics retained by horizontal screws on limited amount of fixtures. 100% survival rate is demonstrated for “BlueSKY fast&fixed” (bredent Medical, Senden, Germany) implant rehabilitation solution with immediate loading, furthermore bridges supported by 4 or 6 implants showed similar results. Conclusion. Fixation option of the prosthesis with horizontal screws opens prospects for performing regular (4—6 times a year) professional maintenance of the implant suprastructures by dental hygienists in order to achieve periimplant tissue health of elderly and senile patients.
Key words:
implant supported prosthetics, geriatric dentistry, mplant supported rehabilitation with minor amount of fixtures, implant dentistry, cementation of dental prosthesis, suprastructure screw retention on implantsFor Citation
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