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Immediate functional loading of implant-supported mandibular prostheses with customized UCLA'S attachments with
Daniel Sandoval-Guevara1, Edgar Grajeda-Núñez2,3,4, Mario Alberto Alarcón-Sánchez5
1Department of Implantology and Oral Rehabilitation, Faculty of Dentistry, Autonomous University of Guerrero, Acapulco, Guerrero, Mexico.
SAGE Open Medical Case Reports
|August 19, 2024
Summary
Immediate functional loading of implant-supported dentures in the mandible offers a viable solution for edentulism. This protocol, using fixed prostheses with distal extensions, effectively prevents fractures and ensures long-term implant survival.
Area of Science:
- Oral Rehabilitation and Implantology
- Biomaterials Science
- Prosthodontics
Background:
- Mandibular edentulism presents challenges in chewing capacity and aesthetics.
- Implant-supported complete dentures are a common restorative solution.
- Fracture of prostheses is a concern in full-arch rehabilitation.
Observation:
- A 56-year-old female patient with periodontal issues and chewing difficulties was treated.
- A single surgical procedure included extractions, implant placement, and immediate functional loading.
- Fixed mandibular prostheses featured moldable attachments, distal extensions, and a short occlusal scheme.
Findings:
- The immediate loading protocol with interforaminal implants demonstrated viability for full mandibular rehabilitation.
- Prostheses designed with distal extensions effectively mitigated fracture risks.
- A 100% survival rate for the five mandibular implants was observed at 1 year postoperatively.
Implications:
- This protocol provides a successful treatment option for fully edentulous mandibles.
- Distal extensions in prosthesis design are crucial for durability.
- Immediate functional loading enhances patient function and aesthetics during rehabilitation.
