Single Implant-Retained Mandibular Overdenture: A Case Report

Abstract

Edentulism is a public health problem, impacting the quality of life of many people worldwide. Factors related to the mandibular ridge minimal support may hinder the common use of complete dentures. The use of overdentures supported by a minimum of one implant can be considered as reliable approach in this situation. Aim: To present a case report of a single implant-supported overdenture in the mandibular symphysis fot public health policies. Case report: A 65-year-old edentulous patient complaining of discomfort in a mandibular denture was referred to the Universidade Federal Fluminense. On clinical examination, residual mandibular ridge resorption and soft tissue trauma were observed, which was in line with the reported discomfort. A mandibular overdenture retained by a single implant in the symphysis region was planned. A hex-type 4.0 mm in diameter and 11.0 mm in length implant was placed and a new set of complete dentures were made till the date of complete osseointegration. After four months, a second surgery exposed the implant platform to fit a ball attachment with a 32 N.cm torque. The denture was relieved on its tissue surface for the placement of a metal attachment matrix with a rubber O-ring inside, using a fast-curing resin, and the patient was locked into maximum intercuspidation during the acrylic polymerization process. Excessive resin was removed and the region was polished for daily use after the process. The patient reported an improvement in chewing condition and restorative esthetics. Conclusions: A minimum requirements protocol has achieved relevant results and may be feasible in public health policies. Maintenance visits are recommended to maintain retention quality and to decrease the risk of failures.