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Immediately loaded implants in a patient with involuntary mandibular movements: a clinical report
Justin W Shek1, Octavia Plesh2, Donald A Curtis2
1Health Sciences Assistant Clinical Professor, Preventative and Restorative Sciences, School of Dentistry, University of California, San Francisco, San Francisco, Calif.
Abstract:
Immediately loaded implant prostheses have been used to successfully rehabilitate completely edentulous arches. Risk factors for successful treatment have not included involuntary mandibular movements. The treatment was completed on a patient with a history of neuroleptic medications who had remaining mandibular teeth extracted and then developed involuntary mandibular movements. The patient was dissatisfied with a mandibular removable prosthesis and wanted a fixed prosthesis. The immediate implant loading of a complete arch fixed prosthesis was delivered, and the patient lost 3 of the 6 implants. The patient continued to have problems with her definitive prostheses as the symptoms of her involuntary mandibular movements worsened.
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