Full mouth rehabilitation with implant supported fixed prosthesis for a medically compromised patient – A case report

Journal Article

• Volume Number: 57
• Pages: 1495-1506

Publication Abstract

The benefits of full mouth implant reconstruction include increased chewing ability, bone preservation, improved speech and an improved aesthetic for an edentulous patient. Full mouth rehabilitation for a medically compromised patient is complex and often requires a comprehensive multideciplinary approach. a 62 year old male patient with ill-fitting maxillary and mandibular removable partial dentures was presented for dental implant treatment to replace his existin prostheses. A review of his medical history indicated that the patient had been under medication for hypertension for the past fifteen years and diabetes for the past thirty years. The patient had undergone an open heart surgery ten years ago and also unsergone six by-pass surgeries. His current medical condition was stable and it was decided to rehabilitate the patient with implant - supported fixed prostheses. The maxillary fixed prosthesis was fabricated and four of the maxillary implants were used for retention. The mandibular overdenture was retained with five implants. The prostesis was loaded immediately and occlusal splints were provided. Functional occlusion and esthetic apprarence were restored with maxillary and mandibular implant supported procelain-fused -to-metal restorations. Patient was advised quit tobacco and was also referred to a tobacco cessation clinic. The radiographic assessments of the implnts were performed at regular intervals. There was good primary stability for the implants with minimal bone resorption at the end of the five year follow up period. An excellent predictability was observed between the planned proceedures and those obtained post treatment. Complete functional and esthetic rehabilitation of the patient was obtained. No adverse events occured during the treatment phase and the patient was highly satisfied with the final esthetics of the prosthesis. In conclusion the patient's speech, masticatory efficiency and swallowing dramatically improveed after treatment. the presence of chronic diseases required additional care, but with careful treatment planning, desired results can be achieved.