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Case report: the transmandibular implant system.

D Tinsley1, C J Watson, J L Russell

  • 1Division of Restorative Dentistry, Leeds Dental Institute, Clarendon Way, Leeds, LS2 9LU, United Kingdom.

The European Journal of Prosthodontics and Restorative Dentistry
|November 7, 2001
PubMed
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The transmandibular implant system was used for 10 patients with severely resorbed mandibles. While generally successful, complications included implant integration loss and prosthetic fit issues, requiring significant long-term maintenance.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Reconstructive Surgery

Background:

  • Severely resorbed mandibles present significant challenges for dental rehabilitation.
  • Conventional dental implants may not offer sufficient stability in such cases.
  • The transmandibular implant system offers a potential solution for complex mandibular atrophy.

Observation:

  • This case series evaluated the transmandibular implant system in 10 patients with severe mandibular resorption.
  • Implants were placed under general anesthesia following manufacturer guidelines.
  • Patients were followed bi-annually for prosthetic and implant-related complications.

Findings:

  • Three patients experienced complications, including loss of integration of distal posts in two cases.

Related Experiment Videos

  • One transmandibular implant required complete removal due to complications.
  • Distal locking screw loosening occurred in three patients shortly after placement.
  • Seven patients faced challenges with passive fit of the superstructure.
  • A high long-term maintenance commitment was noted for the prosthetic restorations.

    • Implications:

    • The transmandibular implant system can be a viable option for rehabilitating severely resorbed mandibles.
    • Potential complications, such as implant integration failure and prosthetic misfit, must be carefully managed.
    • Long-term maintenance strategies are crucial for the success of transmandibular implant restorations.
    • Further research is warranted to optimize surgical techniques and prosthetic designs for improved outcomes.