Le traitement de l'édentation mandibulaire totale par prothèse implantaire immédiate et permanente : technique de Bränemark-Novum

The purpose of this article, from four patients, is to report the treatment of the edentulous mandible by immediate and definitive implant prothesis. Four patients received 12 Branemark Novum implants and were followed from 7 to 18 months after implant placement. The jaw was prepared to accomodate three special 4.5 mm wide implants. Precise implant positioning was accomplished with special drilling templates. After the mucosa had been sutured back into position, a prefabricated titanium lower bar was connected with titanium screws to the transmucosal implant. Another bar was then attached, and a bite registration was performed. The bridge was attached to the upper bar. The permanent reconstruction was provided to the patient the same day, about 10 h after the beginning. Surgical and prosthetic procedures were performed by the same dental surgeon.