J Dent Rehabil Appl Sci.  2024 Aug;40(3):189-200. 10.14368/jdras.2024.40.3.189.

Ten-year follow-up of full mouth rehabilitation with fixed prostheses using implants and natural tooth

• Park SY
• Ahn SG
• Lee JJ
• Park YH
• Kim KA
• Seo JM

• KMID: 2562763
• DOI: http://doi.org/10.14368/jdras.2024.40.3.189

Abstract

In patients with newly established ideal occlusion through full-mouth rehabilitation using fixed prostheses, complications and occlusal changes over time can arise because of various factors. This case report describes a 10-year follow-up of a patient with masticatory dysfunction and aesthetic problems who underwent full-mouth rehabilitation with an increased vertical dimension. During the follow-up, complications such as tooth fracture, occlusal changes, infraocclusion of few implant-supported prostheses, and loss of interproximal contacts were observed. Detecting these issues early through periodic follow-up is important. This case report aims to review the causes of complications after full-mouth rehabilitation using fixed prostheses and the strategies for their management.

Keyword

full-mouth rehabilitation; dental occlusion; tooth fracture

Figure

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  Fig. 1 Pre-treatment panoramic radiograph of the patient.

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  Fig. 2 Intra-oral status in the initial examination. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view at maximum inter-cuspal position, (D) Left lateral view, (E) Mandibular occlusal view.

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  Fig. 3 1st provisional restoration. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

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  Fig. 4 Implant 1st surgery and GBR on #12, 13. (A) Creation of multiple perforations in the cortical bone of the recipient site with a round bur, (B) Bone graft with autogenous bone and xenogeneic bone (Geistlich Bio-Oss®), (C) Application of a resorbable collagen membrane (Geistlich Bio-Gide®), (D) Suture with 4-0 ethilon silk.

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  Fig. 5 Panoramic radiograph at implant placement.

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  Fig. 6 6 months later CBCT radiograph after implantation and GBR. (A) #12i, (B) #13i.

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  Fig. 7 2nd surgery on #12i, 13i. (A) Right lateral view, (B) Occlusal view.

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  Fig. 8 2nd provisional restoration. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

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  Fig. 9 Customized abutment for implant. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view, (D) Left lateral view, (E) Mandibular occlusal view.

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  Fig. 10 Definitive prosthesis was delivered. Esthetics and functions were restored with the zirconia prosthesis. (A) Maxillary occlusal view, (B) Right lateral view, (C) Frontal view at maximum inter-cuspal position, (D) Left lateral view, (E) Mandibular occlusal view.

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  Fig. 11 Panoramic radiograph when the definitive prosthesis delivered.

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  Fig. 12 Eccentric occlusion with definitive prosthesis. (A) Anterior movement: group function (guided by #11, 21), (B) Lateral movement - right side: group function (guided by #13i, 14), (C) Lateral movement - left side: canine guidance.

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  Fig. 13 Connective tissue graft on #12i, 13i. (A) Gingival recession defects on #12i, 13i, (B) Connective tissue graft for the treatment of the recession defects on #12i, 13i.

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  Fig. 14 Follow-up check on #12i, 13i connective tissue graft op site. (A) 1 week later check, (B) 4 weeks later check.

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  Fig. 15 Follow-up check after 6 years. (A) Occlusal view when the definitive prosthesis delivered, (B) Occlusal view after 6 years with #25i, 26i infraocclusion.

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  Fig. 16 Follow-up check after 6 years. (A) #31 mesial deep pocket depth, GP cone tracing on #41 labial fistula, (B) #31, 41 apicoectomy, (C) 1 month follow-up check after apicoectomy.

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  Fig. 17 Follow-up check after 7 years. #25i, 36i mesial interproximal contact loss.

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  Fig. 18 Follow-up check after 7 years. (A) #23 gingival swelling, (B) #11, 23 immediate implant placement.

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  Fig. 19 Follow-up check after 8 years. (A) Poor prognosis of #31, 41, (B) Extraction of #31, 41.

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  Fig. 20 Follow-up check after 8 years. #11i-23i 4 unit bridge, #32-42 4 unit bridge were delivered.

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  Fig. 21 Follow-up check after 9 years. #11i-12i interproximal contact loss. (A) Frontal view, (B) Right lateral view.

Reference

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