Abstract
Dentoalveolar defects resulting in the loss of alveolar ridge and attached mucosa is generally a challenge for the clinician to restore the defect area. The aim of this clinical report is to describe the prosthetic management of a maxillary alveolar defect. Treatment included 4 implants with a maxillary implant-retained fixed prosthesis. The esthetic and functional requirements of the patient were fulfilled.
Highlights
Dentoalveolar defects caused by maxillofacial trauma, car accidents, gunshot injuries, removal of tumors, periodontal diseases and/or traumatic tooth extractions often results in the extensive loss of alveolar bone, tooth and gingival tissues, causing esthetic and functional difficulties [1,2]
The removable prosthesis may not be accepted by patients because of the esthetic impairments and discomfort related to their base extension [6]
Dental implants are a compatible, successful and predictable treatment modality, offering enhanced esthetics and biomechanical advantages. The increase in their clinical applications has determined a considerable reduction in the use of removable prosthesis, complicated surgical procedures may be needed especially in large defect areas, such as augmentation, distraction or sinus lift for implant placement [1,9]
Summary
Dentoalveolar defects caused by maxillofacial trauma, car accidents, gunshot injuries, removal of tumors, periodontal diseases and/or traumatic tooth extractions often results in the extensive loss of alveolar bone, tooth and gingival tissues, causing esthetic and functional difficulties [1,2]. These cases have always been the most challenging situations in restorative procedures, because the dentoalveolar defects are likely to reduce the retention and stability of prosthesis [3,4]. Conventional tooth supported fixed partial dentures have long been regarded as the standard of care in replacement of single and multiple missing teeth [7,8] This may be an ideal treatment option where implants are contraindicated or patients refuse the implant therapy. After the medical and dental history taking, an initial periodontal treatment was performed before any surgical and restorative procedures
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