Management of implant failures is difficult, especially implant fixture fracture where it is complicated and requires multispecialty care. The aim of this report is to describe the challenges of treatment planning and management of implant fixture fracture with tooth wear on patient with financial constraints. A 67-year-old retired male patient came to the dental clinic with a complaint of a mobile implant-supported fixed prosthesis, fractured implant fixture and attrited lower dentition. Treatment plan was planned around low cost with the biggest benefit of the patient. Multispecialty care is involved such as root canal treatment, implant removal, restoration of remaining dentition and replacement of missing teeth with removable prosthesis. The patient was reviewed after a month of completing full treatment resulted in a good treatment outcome. Lack of maintenance regimen leads to failure and mobility of the implant prosthesis. Proper maintenance protocol, post-insertion instructions, and good patient compliance are the key factors in determining longevity of the restoration.

Pindborg tumour or calcifying epithelial odontogenic tumour (CEOT) is a rare, slow-growing benign tumour occurring most frequently in the posterior part of the mandibular arch. Management ranges from simple enucleation to a segmental resection of the mandible. The latter compromises the jaw foundation for any future prosthetic rehabilitation and warrants jaw reconstruction procedures to improve the retention and stability of the prosthesis. Using mini-implants in such compromised situations is a minimally invasive and cost-effective aid compared to conventional implants. The present case report documents the prosthetic rehabilitation of a patient who underwent mandibular resection for a Pindborg tumour using mini-implants.
Calcifying Epithelial Odontogenic Tumor

Introduction: Flexible denture is an alternative treatment modality for removable partial denture (RPD) that aid the retention by ensuring seal around the entire border of the denture. It is also referred as hypoallergenic denture especially for those who are allergic towards conventional acrylic denture which is the poly-methylmethacrylate monomer (PMMA) and metal (cobalt chromium). The flexible material exhibits lower flexural modulus than conventional type of baseplate material denture that makes it nearly unbreakable. Nowadays, there are a handful of different flexible materials in the dental market for the general dental practitioners to choose but somehow the studies on the properties of these different types of flexible materials are sparse. Objectives: The present study is to study the development of the flexible materials, the different type of flexible materials and their physical properties. Methods: From the limited article journals available, the authors have summarized the history, development and constituents of different type of flexible materials used in fabricating denture. Besides that, the authors also discussed about the indications, contraindications, advantages and disadvantages of the materials in denture constructions based on all the published researches available on this topic using published materials available in the dental library, University of Malaya and the databases (Science Direct, PubMed). Conclusion Each flexible material has its pros and cons. Therefore, careful selection of material and understanding of the flexible dentures’ indications and contraindications are utmost importance to make sure the best treatment outcome. Hence, patients’ best interest and quality of life can be upheld.
Contraindications