Treatment with upper complete denture and lower implant-fixed restorations on an elderly patient presenting fully edentulous maxilla and bilateral posterior edentulous mandible: a case report
10.4047/jkap.2023.61.4.284
- Author:
Joseph Junesirk CHOI
1
;
Richard LEESUNGBOK
;
Suk-Won LEE
;
Phyo Ei Ei HTAY
;
Jeong-yun PARK
;
Jin-Young CHON
Author Information
1. Department of Biomaterials & Prosthodontics, Kyung Hee University Dental School Hospital at Gangdong, Seoul, Republic of Korea
- Publication Type:CASE REPORTS
- From:The Journal of Korean Academy of Prosthodontics
2023;61(4):284-292
- CountryRepublic of Korea
- Language:English
-
Abstract:
Stable posterior occlusal support is crucial for adequate masticatory function and facial aesthetics. In elderly patients over the age of 65, masticatory ability has a significant impact on nutritional intake and overall health. This case report presents a prosthetic treatment of an elderly patient with edentulous maxilla and bilateral posterior edentulous mandible. The upper jaw was restored with a complete denture to establish an ideal occlusal plane, and the three-dimensional positions of the mandibular implants were determined accordingly. The implants were placed through computer-guided implant surgery and were immediately loaded with fixed provisional restorations. The implant-fixed zirconia final restorations were inserted in the lower posterior region, and the occlusal surface of posterior artificial teeth in the upper denture was substituted with cobalt-chrome alloy to resist occlusal wear. The patient’s posterior occlusal support and masticatory function were promptly restored through this treatment process, and long-term stability against wear was also obtained.