Prótese fixa implanto-suportada com carga imediata em paciente desdentado total inferior
Implant-retained mandibular fixed prosthesis with immediate loading in completely edentulous jaw
Pavan, S.; Urban, V.M.; Arioli Filho, J.N.; Nogueira, S.S.; Pereira Filho, V.A.
Rev. odontol. UNESP, vol.34, n2, p.95-100, 2005
Resumo
Com estabilização e cargas oclusais apropriadas, implantes mandibulares podem ser submetidos à carga imediata em pacientes desdentados totais, sem prejuízos à osseointegração. No caso clínico estudado, o paciente foi submetido à carga imediata, utilizando-se implantes de estágio cirúrgico único e prótese total fixa. Seis implantes foram instalados na região interforaminal com o auxílio de guia cirúrgico. Posteriormente, foi realizada a moldagem de transferência para a confecção de uma barra metálica, que possibilitou a instalação da prótese total fixa 48 horas após a colocação dos implantes. Essa técnica permitiu a obtenção de satisfação do paciente e sucesso do caso com diminuição do tempo de tratamento em relação à técnica convencional.
Palavras-chave
Implante dentário, paciente desdentado, carga imediata, prótese fixa
Abstract
Mandibular implants can be immediately loaded in totally edentulous patients with no impairment to osseointegration if appropriate occlusal load and stabilization be used. In the present case, the patient was submitted to immediate loading using single-stage implants and fixed prosthodontics. Six implants were placed in the interforaminal region with a surgical guide anatomic for improved implant placement. Following this procedure it was carried out a transfer impression for construction of a metallic bar, which allowed the installation of the screw-retained fixed prosthesis 48 hours after the osseointegrated implant placement. This technique resulted in patient’s satisfaction and success of the case with reduced treatment time when compared to the conventional technique.
Keywords
Dental implant, edentulous jaw, immediate loading, fixed prothesis
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