Prótese total e overdenture imediatas: relato de caso com três anos de acompanhamento

Abstract

Introduction: Among the available therapeutic modality to rehabilitate total edentulous patients, the removable complete dentures are the most used. However, patients who still have remaining teeth, suitable for a dental extraction, might be hard to convince they should keep their teeth during the tissue healing process, and then insert the denture. Other problems observed were the lack of retention and stability commonly delivered by mandibular dentures. The use of maxillary complete immediate denture and implant-retained mandibular overdenture may solve these problems. Purpose: this paper aims to introduce a clinical case report developed by an extension project at the Dentistry Department of the Federal University of Minas Gerais, thatcares for patients with severe dental periodontal impairments. Case report:A male, 49-year-old patient, submitted himself to treatment with a major oral health state, suitable for dental extraction of all the remaining teeth. The complete maxillary denture and mandibular overdenture confection was assigned, both immediate. The procedures were performed following the assistance protocol proposed by the Project. Such protocol basically included (1) dental extraction for posterior teeth and proper bone remodeling; (2) Dental impressions; (3) intra-oral record; (4) teeth testing; (5) dental extraction and bone remodeling at anterosuperior region; (6) maxillary dental remodeling; (7) anterior-inferior dental extraction; (8) bone ridge remodeling; (9) implant fixation in interforaminal region; (10) mandibular complete denture capture as an overdenture, immediate charge. After 90 days, all necessary redeployment was done. Results:The patient had a three-year regular follow-up, he had always shown satisfaction with the results. Conclusion:Adopting this protocol was effective to rehabilitate the patient with serious oral impairment