J Adv Prosthodont.  2011 Mar;3(1):47-50. 10.4047/jap.2011.3.1.47.

Immediate loading on mandibular edentulous patient with SFI Bar(R) overdenture

Affiliations
  • 1Department of Prosthodontics, Institute for Clinical Dental Research, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.
  • 2Department of Prosthodontics, Graduate School of Dentistry, Pusan National University, Yangsan, Korea. neoplasia96@hanmail.net

Abstract

Despite the greater retention and low maintenance of bar attachment system, the longer clinical time and increased number of visits were the assignments to overcome in bar attachment system. This case report describes SFI-Bar(R) (Cendres et Metaux, Biel/Bienne, Switzerland) to be solve those problems. A 65-year-old female, who had severely absorbed mandible, hoped to wear a stable mandibular denture without pain. As soon as two implants were placed on mandible, a tube bar was connected to two adaptors connected to each implant. The length of the tube bar was adjusted considering inter implant distance, and reconnected to the adaptors. Finally a female part was seated beneath the denture. This case report showed that a satisfactory clinical result was achieved by delivering bar overdenture immediately after implant placement without laboratory procedure.

Keyword

Immediate Loading; Dental Implant; Overdenture; SFI-bar

MeSH Terms

Aged
Dental Implants
Denture, Overlay
Dentures
Female
Humans
Mandible
Retention (Psychology)
Dental Implants

Figure

  • Fig. 1 Preoperative panoramic radiograph (A) and lateral tomographic view (B).

  • Fig. 2 SFI-bar® adapters (Lot 142333, Cendres et Métaux, Biel/Bienne, Switzerland) were connected to each implant fixture with 35 Ncm of torque.

  • Fig. 3 The end of the gauge was fitted into the implant adapter. Thus, the bar gauge could be fitted into the other implant adapter.

  • Fig. 4 The tube bar with the tube bar gauge were removed from the mouth and separated with Premium Disc (08000100, Cendres et Métaux, Biel/Bienne, Switzerland).

  • Fig. 5 Seated adaptors and adjusted tube bar were reconnected by mechanical interlocking.

  • Fig. 6 The old denture was hollowed out to be placed on mandible without any premature contact.

  • Fig. 7 The asymmetrical female was attached to the denture with self-curing attachment processing material (ERA PickUp, Germany) in the mouth.

  • Fig. 8 After 3 months, periapical standard view was taken. There was not any special findings.


Reference

1. Brånemark PI, Hansson BO, Adell R, Breine U, Lindström J, Hallén O, Ohman A. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977. 16:1–132.
2. Adell R, Lekholm U, Rockler B, Brånemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981. 10:387–416.
3. Albrektsson T, Dahl E, Enbom L, Engevall S, Engquist B, Eriksson AR, Feldmann G, Freiberg N, Glantz PO, Kjellman O, et al. Osseointegrated oral implants. A Swedish multicenter study of 8139 consecutively inserted Nobelpharma implants. J Periodontol. 1988. 59:287–296.
4. Degidi M, Piattelli A, Felice P, Carinci F. Immediate functional loading of edentulous maxilla: a 5-year retrospective study of 388 titanium implants. J Periodontol. 2005. 76:1016–1024.
5. Ibañez JC, Tahhan MJ, Zamar JA, Menendez AB, Juaneda AM, Zamar NJ, Monqaut JL. Immediate occlusal loading of double acid-etched surface titanium implants in 41 consecutive full-arch cases in the mandible and maxilla: 6- to 74-month results. J Periodontol. 2005. 76:1972–1981.
6. Chiapasco M, Gatti C. Implant-retained mandibular overdentures with immediate loading: a 3- to 8-year prospective study on 328 implants. Clin Implant Dent Relat Res. 2003. 5:29–38.
7. Turkyilmaz I, Tözüm TF, Tumer C, Ozbek EN. 2-year clinical report of patients treated with two loading protocols for mandibular overdentures: early versus conventional loading. J Periodontol. 2006. 77:1998–2004.
8. MacEntee MI, Walton JN, Glick N. A clinical trial of patient satisfaction and prosthodontic needs with ball and bar attachments for implant-retained complete overdentures: three-year results. J Prosthet Dent. 2005. 93:28–37.
9. Davis DM, Packer ME. The maintenance requirements of mandibular overdentures stabilized by Astra Tech implants using three different attachment mechanisms-balls, magnets, and bars; 3-year results. Eur J Prosthodont Restor Dent. 2000. 8:131–134.
10. Misch CE, Judy KW. Classification of partially edentulous arches for implant dentistry. Int J Oral Implantol. 1987. 4:7–13.
11. Attard NJ, Zarb GA. Immediate and early implant loading protocols: a literature review of clinical studies. J Prosthet Dent. 2005. 94:242–258.
12. Albrektsson T. Direct bone anchorage of dental implants. J Prosthet Dent. 1983. 50:255–261.
13. Cannizzaro G, Leone M, Esposito M. Immediate functional loading of implants placed with flapless surgery in the edentulous maxilla: 1-year follow-up of a single cohort study. Int J Oral Maxillofac Implants. 2007. 22:87–95.
14. Chiapasco M, Abati S, Romeo E, Vogel G. Implant-retained mandibular overdentures with Brånemark system MKII implants: a prospective comparative study between delayed and immediate loading. Int J Oral Maxillofac Implants. 2001. 16:537–546.
15. Chiapasco M, Gatti C, Rossi E, Haefliger W, Markwalder TH. Implant-retained mandibular overdentures with immediate loading. A retrospective multicenter study on 226 consecutive cases. Clin Oral Implants Res. 1997. 8:48–57.
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