KMID : 0362420230610040284
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Journal of Korean Academy of Prosthodontics 2023 Volume.61 No. 4 p.284 ~ p.292
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Treatment with upper complete denture and lower implant-fixed restorations on an elderly patient presenting fully edentulous maxilla and bilateral posterior edentulous mandible: a case report
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Songlin Yu
Richard Leesungbok Fang Zhao Phyo Ei Ei Htay Park Jeong-Yun Chon Jin-Young
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Abstract
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Stable posterior occlusal support is crucial for adequate masticatory function and facial aesthetics. In elderly patients over the age of 65, masticatory ability has a significant impact on nutritional intake and overall health. This case report presents a prosthetic treatment of an elderly patient with edentulous maxilla and bilateral posterior edentulous mandible. The upper jaw was restored with a complete denture to establish an ideal occlusal plane, and the three-dimensional positions of the mandibular implants were determined accordingly. The implants were placed through computer-guided implant surgery and were immediately loaded with fixed provisional restorations. The implant-fixed zirconia final restorations were inserted in the lower posterior region, and the occlusal surface of posterior artificial teeth in the upper denture was substituted with cobalt-chrome alloy to resist occlusal wear. The patient¡¯s posterior occlusal support and masticatory function were promptly restored through this treatment process, and long-term stability against wear was also obtained.
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KEYWORD
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Complete denture, Dental care for elderly patient, Immediate loading, Implant-fixed restoration, Occlusal wear
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