Clinical Report on Restoration of Patient with Immediate Loaded Maxillary Restoration Supported by Zygomatic/Endosseous Implants and Mandibular Prothesis Utilizing Three-implant Solution

Authors

Frank J. Tuminelli DMD, FACP, New York Harbor Healthcare System, Hofstra Northwell School of MedicineFollow
Jay Neugarten DDS, MD, New York Harbor Healthcare System
Elphida G. Ayvazian DMD, New York Harbor Healthcare System

Keywords

zygomatic endosseous implants, maxillary immediate loaded restoration, skeletal implant anchorage, Trefoil

Abstract

This is a Case Report of a 72 y/ old patient that was wearing two removable prostheses, a maxillary complete denture and a mandibular complete denture retained by two implants and locator attachments. The patients’ medical condition is complicated, the patient is blind, has suffered from kidney failure and has a donated kidney. She also suffers from diabetes. The patient’s desires were to convert both prostheses to fixed restorations. The lack of maxillary osseous tissue required the use of skeletal anchorage outside the immediate oral cavity to retain a maxillary prostheses. The current placement of mandibular implants would not allow the use of the a strict stent driven protocol and placement of prefabricated prosthesis (Trefoil, Nobel Biocare) so they were removed to allow for the placement of 3 endosseous implants in a specific orientation. The patients’ medical history also necessitated the doing both procedures simultaneously while under a general anesthetic.

Recommended Citation

Tuminelli, Frank J. DMD, FACP; Neugarten, Jay DDS, MD; and Ayvazian, Elphida G. DMD (2022) "Clinical Report on Restoration of Patient with Immediate Loaded Maxillary Restoration Supported by Zygomatic/Endosseous Implants and Mandibular Prothesis Utilizing Three-implant Solution," The New York State Dental Journal: Vol. 88: No. 4, Article 7.
Available at: https://commons.ada.org/nysdj/vol88/iss4/7