Recurrent mechanical complications in an implant-supported fixed complete denture: a clinical report

  • Maria Paula de Lima Coltro Doctorate Student in Dentistry, Pontifical Catholic University of Rio Grande do Sul
  • Thaisa Barizan Bordin Private Practice
  • Luciano Costa Petri Private Practice
  • Ahmet Ozkomur Associate Professor, Postgraduate Program in Dentistry, Lutheran University of Brazil
  • Rosemary Sadami Arai Shinkai Professor, Postgraduate Program in Dentistry, Pontifical Catholic University of Rio Grande do Sul
Keywords: implant-supported fixed complete dentures, complications, occlusion, design.

Abstract

INTRODUCTION: Several factors can lead to mechanical complications in implant-supported fixed complete dentures (IFCD).
CASE DESCRIPTION: This clinical report presents a clinical case of a maxillary IFCDP with recurrent mechanical complications and a possible causal interaction between patient’s intrinsic characteristics (bruxism and high occlusal force) and technical procedures (framework design, occlusal adjustment, interocclusal splint, and posterior occlusal support).
CONCLUSION: The 3-year follow-up findings highlight the need for a comprehensive and systemic approach to manage a challenging case of an IFCD patient with moderate bruxism and high occlusal force.

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Published
2018-12-30
Section
Case Report