IMPROVING PATIENT SATISFACTION, MASTICATION AND SPEECH WITH MINI IMPLANT RETAINED MANDIBULAR DENTURE.

sahar elkholy, Eugene LaBarre

Abstract


For edentulous patients, complete dentures are very beneficial but a variety of prosthetic challenges can reduce function and satisfaction.Mini implants have been used in a variety of applications, including orthodontic anchorage, single and multiple tooth fixed replacement, bridge repair, and removable prosthesis retention.Benefits of mini implants are the ability to place them in horizontally narrow sites (4-5 mm of bone required), reduced surgical and prosthetic armamentarium, and the ability to load the implants immediately.Materials and MethodsNew dentures were constructed for the patient by conventional means followed by placement of 4 mini implants in the anterior mandible with immediate retrofitting of the mandibular denture, to improve retention and stability of the denture. Follow up: One week later the patient returned to the clinic for follow-up. The implants were immobile and comfortable.

The patient was recalled at 6-month intervals for examination and cleaning of the dentures and implants.

One year later, all four implants are immobile and the peri implant soft tissue was free from any signs of inflammation (redness and bleeding in probing) and no apparent bone loss on radiograph .The patient remains highly satisfied with his denture service and function.

DiscussionWhile little documentation exists regarding the appropriateness or utility spectrum for mini implants when compared with conventional diameter implants, this case report illustrates that they can perform predictably in situations where surgical and prosthetic control are optimal, and patient and local bone factors are favorable Conclusion Edentulous patients who have significant loss of function and confidence with conventional mandibular dentures may be candidates for placement of four mini implants in the anterior mandible, to improve denture retention and stability. In appropriately selected cases, this approach can be very satisfactory for patients, with minimal surgical experience and reduced expense when compared with conventional implant treatment.

Keywords


dental mini implant

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