Full Mouth Rehabilitation of a Patient having Limited Interarch Space with Mandibular Implant Retained Fixed Adoro Fused to Metal Fp-1 Prosthesis and Maxillary Acrylic Removable Conventional Complete Denture

Abstract

Background: According to previous studies, persons wearing implant-retained prostheses may create bite forces comparable to those possessing natural dentition and it has been suggested that the risk for combination syndrome increases in persons wearing mandibular implant-retained prostheses opposed to maxillary complete dentures. Aim: This article presents the fabrication of a maxillary conventional complete denture opposing a mandibular implant retained fixed prosthesis and evaluates the changes in the edentulous maxilla and prostheses over a period of 2 years. Case description: A comprehensive treatment included a conventional removable complete denture for the upper arch and a six implant supported fixed prosthesis for the lower arch. Conclusion: This article reports on the fabrication of a maxillary conventional complete denture opposing a mandibular implantretained full fixed prosthesis. Occlusion and articulation were found to be good over a period of 2 years. Retention and stability were found to be good uptill the 18 months review and moderate at the 24 months review. Clinical significance: To preserve anterior maxillary bone, a balanced occlusal concept has been recommended for implantretained mandibular prostheses opposing a tissue supported conventional maxillary complete denture. In this case, the patient was rehabilitated with a balanced occlusion without anterior tooth contact in maximal intercuspation.