Recurrent mechanical complications in an implant-supported fixed complete denture: a clinical report
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.
Pjetursson BE, Thoma D, Jung R, Zwahlen M, Zembic A. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res 2012;23:22-38.
Jemt T, Johansson J. Implant treatment in the edentulous maxilla: a 15-year follow-up study on 76 consecutive patients provided with fixed prostheses. Clin Implant Dent Relat Res 2006;8:61-9.
Duncan JP, Nazarova E, Vogiatzi T, Taylor TD. Prosthodontic complications in a prospective clinical trial of single-stage implants at 36 months. Int J Oral Maxillofac Implants 2003;18:561-5.
De Boever AL, Keersmaekers K, Vanmaele G, Kerschbaum T, Theuniers G, De Boever JA. Prosthetic complications in fixed endosseous implantborne reconstructions after an observations period of at least 40 months. J Oral Rehabil 2006;33:833-9.
Wahlstrom M, Sagulin GB, Jansson LE. Clinical follow-up of unilateral fixed dental prosthesis on maxillary implants. Clin Oral Implants Res 2010; 21:1294-300.
Jemt T, Johansson J. Implant treatment in the edentulous maxilla: a 15-year follow-up study on 76 consecutive patients provided with fixed prostheses. Clin Implant Dent Relat Res 2006;8:61-69.
Bozini T, Petridis H, Garefis K, Garefis P. A meta-analysis of prosthodontic complication rates of implant-supported fixed dental prostheses in edentulous patients after an observation period of at least 5 years. Int J Oral Maxillofac Implants 2011;26:304-318.
Papaspyridakos P, Chen CJ, Chuang SK, Weber HP, Gallucci GO. A systematic review of biologic and technical complications with fixed implant rehabilitations for edentulous patient. Int J Oral Maxillofac Implants 2012;27:102-10.
Sheridan RA, Decker AM, Plonka AB, Wang HL. The role of occlusion in implant therapy: a comprehensive updated review. Implant Dent 2016;25:829-38.
Sadowsky SJ, Fitzpatrick B, Curtis DA. Evidence-based criteria for differential treatment planning of implant restorations for the maxillary edentulous patient. J Prosthodont 2015;24:433-46.
Winocur E, Uziel N, Lisha T, Goldsmith C, Eli I. Self-reported bruxism - associations with perceived stress, motivation for control, dental anxiety and gagging. J Oral Rehabil 2010;38:3-11.
Shochat T, Gavish A, Arons E, Hadas N, Molotsky A, Lavie P, Oksenberg A. Validation of the BiteStrip screener for sleep bruxism. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104(3):e32-9.
Hatch JP, Shinkai RS, Sakai S, Rugh JD, Paunovich ED. Determinants of masticatory performance in dentate adults. Arch Oral Biol 2001;46:641-8.
Kinsel RP, Lin D. Retrospective analysis of porcelain failures of metal ceramic crowns and fixed partial dentures supported by 729 implants in 152 patients: patient-specific and implant-specific predictors of ceramic failure. J Prosthet Dent 2009;101:388–94.
Maló P, Nobre Md, Lopes A. The rehabilitation of completely edentulous maxillae with different degrees of resorption with four or more immediately loaded implants: a 5-year retrospective study and a new classification. Eur J Oral Implantol 2011;4:227-43.
Johansson A, Omar R, Carlsson GE. Bruxism and prosthetic treatment: a critical review. J Prosthodont Res 2011;55:127-36.
Lin WS, Ercoli C, Lowenguth R, Yerke LM, Morton D. Oral rehabilitation of a patient with bruxism and cluster implant failures in the edentulous maxilla: a clinical report. J Prosthet Dent 2012;108:1-8.
Winocur E, Uziel N, Lisha T, Goldsmith C, Eli I. Self-reported bruxism-
associations with perceived stress, motivation for control, dental anxiety and gagging. J Oral Rehabil 2010;38:3-11.
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