Implant-Supported Hybrid Prosthesis using All on Six Concept for Atrophic Ridges with Severe Gag Reflex: A Case Report

Abstract

Aims: Edentulism is correlated to poor self-esteem and depression in both young and old individuals due to social rejection. For edentulous patients who are not interested in removable prosthesis, implant-supported fixed prosthesis might be an appropriate treatment modality. The aim of this case report is to rehabilitate the completely edentulous patient with severe gag reflex by maxillary implant supported hybrid prosthesis and mandibular conventional complete denture.
 Presentation of case: A 58 years old female patient had reported to the outpatient wing of department of prosthodontics with chief complaint of missing teeth in maxillary and mandibular arches. Patient had a history of severe gagging and discomfort with old denture. The treatment progresses as six implant placed and hybrid prosthesis was fabricated in maxillary arch and conventional complete denture was fabricated in mandibular arch and delivered to the patient.
 Discussion: Implant-supported complete arch rehabilitation can be accomplished with either a fixed or removable prosthesis. For a satisfactory outcome, proper patient selection, accurate surgical procedure, and meticulous prosthetic planning are required. Cement-retained implant restorations are becoming more popular because they are simple, aesthetic, and cost-effective. However, such restorations are hard to retrieve, and any residual cement in the soft tissue around the implant might cause peri-implant illness.
 Conclusion: A screw retained fixed prosthesis was planned for this patient in maxillary arch and conventional complete denture in mandibular arch which gave a successful outcome and avoid gag reflex.

Radiographic and clinical assessments of CAD\CAM titanium and BioHPP framework in maxillary fixed implant-supported prosthesis

“…(25) .Full arch rehabilitation with five to six implants in the maxilla is becoming a common approach .Increase in the anteroposterior spread and number of implants increases the predictability of the success of all 6 implant procedures . (26) According to a systematic review, compared to the All-4 implant concept, the All-6 implant concept has a higher success rate, less plaque accumulation and pocket formation, less crestal bone loss, and increased stability after 12 months of replacement (27) . Implant techniques for these individuals have drawbacks like time-consuming procedures, blood loss, discomfort, and longer healing times.…”