This case report describes the rehabilitation of an extremely atrophic posterior mandible using 4-mm ultrashort implants and reports clinical and radiographic outcomes 7 years after loading. The patient refused to undergo any other treatment, from the removable prosthesis to the reconstructive surgery, and asked for a fixed, minimally invasive solution in the shortest possible time. The residual bone height above the alveolar nerve was an average of about 5 mm, so it was decided to treat the patient with four 4-mm ultrashort implants. Within the limitations of this case report, this procedure appears successful at 7 years after loading in this specific case and could reduce invasiveness, rehabilitative times, and costs. However, longer follow-ups on a large number of patients coming from randomized controlled clinical trials are necessary before making more reliable recommendations.
Minimally Invasive Fixed Rehabilitation of an Extremely Atrophic Posterior Mandible Using 4-mm Ultrashort Implants: A Case Report with a 7-Year Follow-up / Pistilli, Roberto; Zucchelli, Giovanni; Barausse, Carlo; Bonifazi, Lorenzo; Karaban, Maryia; Gasparro, Roberta; Felice, Pietro. - In: THE INTERNATIONAL JOURNAL OF PERIODONTICS & RESTORATIVE DENTISTRY. - ISSN 0198-7569. - ELETTRONICO. - 40:6(2020), pp. e235-e240. [10.11607/prd.4957]
Minimally Invasive Fixed Rehabilitation of an Extremely Atrophic Posterior Mandible Using 4-mm Ultrashort Implants: A Case Report with a 7-Year Follow-up
Zucchelli, Giovanni;Barausse, Carlo;Karaban, Maryia;Felice, Pietro
2020
Abstract
This case report describes the rehabilitation of an extremely atrophic posterior mandible using 4-mm ultrashort implants and reports clinical and radiographic outcomes 7 years after loading. The patient refused to undergo any other treatment, from the removable prosthesis to the reconstructive surgery, and asked for a fixed, minimally invasive solution in the shortest possible time. The residual bone height above the alveolar nerve was an average of about 5 mm, so it was decided to treat the patient with four 4-mm ultrashort implants. Within the limitations of this case report, this procedure appears successful at 7 years after loading in this specific case and could reduce invasiveness, rehabilitative times, and costs. However, longer follow-ups on a large number of patients coming from randomized controlled clinical trials are necessary before making more reliable recommendations.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.