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Journal of Case Reports
Prosthodontic Management of Inadequately Planned and Placed Implants
PR Ganesh, G Madhan
From the Department of Prosthodontics, Madha Dental College and Hospital, Chennai, India.
Corresponding Author:
Dr. PR Ganesh
Email: drprg@rediffmail.com
Received: 27 MAY 2013 Accepted: 27-AUG-2013 Published Online: 15-SEP-2013
DOI: http://dx.doi.org/10.17659/01.2013.0075
Abstract
This is the age of immediate implants and immediate loading of implants. For patients requiring extensive rehabilitation, extraction of severely decayed or periodontal week teeth is carried out, implants placed in planned location and the prior fabricated acrylic Fixed Partial Dentures (FPD) cemented to the implants. In the absence of planning, prior fabrication of temporary acrylic FPD and surgical template for implant placement in prior planned location, the patient has to go without teeth for a long time. A six month wait after extraction for implant placement, followed by a four month wait for osseo-intergration and about a month’s time for designing and fabricating prosthesis. Further delays can occur if the implants are later found to be in prosthetically unfavorable positions and angulations. This case report is that of a patient whose demand for a fixed denture could not be met after the implants were found to be inadequate in number and were in unfavourable locations and angulations. Difficult situations like this can be managed by adequate patient counseling and altering the original treatment plan to fabricate a prosthesis that was logical for the current implant configuration.
Keywords : Dental Cementum, Denture, Tooth, Humans.
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