KMID : 1023820150070030264
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The Journal of Advanced Prosthodontics 2015 Volume.7 No. 3 p.264 ~ p.270
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Implant-supported overdenture manufactured using CAD/CAM techniques to achieve horizontal path insertion between the primary and secondary structure: A clinical case report
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Ruben Agustin-Panadero
David Penarrocha-Oltra Sonia Gomar-Vercher Alberto Ferreiroa Miguel Penarrocha-Diago
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Abstract
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This report describes the case of an edentulous patient with an atrophic maxilla and severe class III malocclusion. Prosthetic rehabilitation was performed using CAD/CAM techniques for manufacturing an implant-supported overdenture with horizontal insertion. A vestibulo-lingual insertion overdenture is a precision prosthesis with a fixation system affording a good fit between the primary and secondary structure. Both structures exhibit passive horizontal adjustment. This treatment option requires the same number of implants as implant-supported fixed dentures. The horizontal assembly system prevents the prosthesis from loosening or moving in response to axial and non-axial forces. The technique was used to rehabilitate a patient presenting an atrophic upper maxilla, with the insertion of 8 implants. No complications were reported at follow-up 3, 6 and 12 months after fitting of the prosthesis. This system offers solutions to the clinical and laboratory complications associated with hybrid prostheses, concealing emergence of the chimneys and improving implant-prosthesis hygiene.
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KEYWORD
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Horizontal insertion prosthesis, Horizontal Denture¢ç, Alveolar bone atrophy, Dental prosthesis design, Dental implants, Edentulous jaw
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