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Prosthodontic Management of Unfavourably Positioned Implants
1Department of Prosthodontics, Madha Dental College and Hospital, Chennai, India ; Old No 28, New No 73, Thana Street, Purasawalkam, Chennai, 600007 India.
Journal of Indian Prosthodontic Society
|July 23, 2015
Summary
This case report details the successful prosthetic rehabilitation of a patient with implants placed in unfavorable positions. Despite initial challenges, the implants remained stable after one year, demonstrating effective treatment outcomes.
Area of Science:
- Dental Implantology
- Prosthodontics
Background:
- High success rates in implant therapy (90-95%) depend on factors like case selection and advanced techniques.
- Cost barriers can lead to routine use of older, less precise implant placement methods.
- This case addresses prosthetic rehabilitation following suboptimal implant placement by a general practitioner.
Observation:
- Five implants were placed in the maxilla in prosthetically unfavorable positions and angulations.
- A fixed maxillary prosthesis (FP3 type) was designed using castable abutments and a single bar.
- The prosthesis opposed an existing fixed partial denture in the lower jaw.
Findings:
- The prosthetic rehabilitation was successfully completed.
- One-year follow-up revealed stable implants with healthy peri-implant tissues.
- Minimal probing depths and no radiographic evidence of pathology were observed.
Implications:
- This case highlights the potential for successful prosthetic rehabilitation even with initial implant placement challenges.
- It underscores the importance of careful prosthetic planning and execution in compromised implant scenarios.
- The findings suggest that well-designed prostheses can overcome unfavorable implant positioning, ensuring long-term stability and health.
