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Problems associated with the atrophic mandible

P Worthington1, J E Rubenstein

  • 1Department of Oral and Maxillofacial Surgery, University of Washington, Seattle, USA.

Dental Clinics of North America
|January 9, 1998
PubMed
Summary
This summary is machine-generated.

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Dental implants offer solutions for patients with severely atrophic mandibles, presenting challenges for conventional prostheses. While various implant-supported prostheses (ISP) exist, the ISP is the current benchmark for comparison.

Area of Science:

  • Dental Implantology
  • Oral and Maxillofacial Surgery
  • Prosthodontics

Background:

  • Conventional prostheses pose challenges for patients with compromised function.
  • Severely atrophic mandibles present significant difficulties for dental rehabilitation.

Purpose of the Study:

  • To review current treatment options for severely atrophic mandibles using dental implants.
  • To compare various implant-supported prostheses (ISP) against established standards.

Main Methods:

  • Review of literature on implant-supported and implant-retained prostheses.
  • Discussion of treatment options including endosteal, transosteal, subperiosteal, and ramus frame implants.
  • Consideration of bone grafting for augmentation procedures.

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Main Results:

  • Multiple implant-retained and implant-supported designs are available for atrophic mandibles.
  • Bone grafting is an option when significant bone augmentation is needed.
  • The implant-supported prosthesis (ISP) is considered the gold standard.

Conclusions:

  • The state-of-the-art in implant treatment provides diverse options for the atrophic mandible.
  • It is premature to recommend a single best treatment option for all patients.
  • The ISP serves as the benchmark for evaluating alternative treatments.