hrvatski

Rehabilitacija pacijenata s izrazitom atrofijom bezubog alveolarnog grebena pokrovnom protezom retiniranom na kratkim, a uskim implantatima

Aim: In patients with extreme residual ridge atrophy (hight<10 mm, buccolingual diameter < 4 mm), standard size implants can’t be inserted. ITI consenzus for slim ridges advises insertion of 4 mini dental implants (MDI), at least 10 mm long, intraforaminally. We rehabilitated patients with less than 10 mm of bone hight by insertion of implants being slim and short. Materials and methods: Ten patients with extreme mandibular ridge atrophy (D or E classification, Leckholm and Zarb, 1985.) recieved 4 MDIs (2, 0 -2, 5 mm wide and 6 - 8 mm long) by a flapless techique. Mandibular new overdentures were reinforced by a metal framework. Patients completed the OHIP-EDENT questionnaire, as well as the chewing function questionnaire (CFQ) at the baseline and one month after wearing new dentures. Patients also assessed pain and swelling after implant insertion, and provided data about analgetics intake. Results: Patients were successfully provided with MDIs being short and slim. They did not perceive a high level of pain and reported no swelling, and took only 1 to 2 analgetics after surgical procedure. Implants were firm, without any clinical signs of periimplantitis 2-3 month later, when overdentures were delivered. One month after all denture adjustments, the OHIP EDENT scores CFQ scores significantly decreased (p<0.05). Patients have been wearing respective dentures successfully from 3 - 13 months. No MDI was lost. Conclusion: A success of treatment by MDIs being slim and short has not been clinicallyinvestigated yet. Our preliminary clinical results show 100% success rate, as well as high increase of patients’ chewing function and quality of life throughout 3- 13 months of observation. However, more controled clinical cases throughout a longer period are necessary to confirm such treatment as clinically successful. Acknowlegment: Croatian Science Foundation for funding project: 1218, Acronim: Mini dental implants

oral rehabilitation ; alveolar ridge atrophy ; mini dental implants ; patient satisfaction

nije evidentirano

engleski

Rehabilitation of patients with extreme mandibular alveolar ridge atrophy by means of slim and short mini dental implants and mandibular overdenture

Aim: In patients with extreme residual ridge atrophy (hight<10 mm, buccolingual diameter < 4 mm), standard size implants can’t be inserted. ITI consenzus for slim ridges advises insertion of 4 mini dental implants (MDI), at least 10 mm long, intraforaminally. We rehabilitated patients with less than 10 mm of bone hight by insertion of implants being slim and short. Materials and methods: Ten patients with extreme mandibular ridge atrophy (D or E classification, Leckholm and Zarb, 1985.) recieved 4 MDIs (2, 0 -2, 5 mm wide and 6 - 8 mm long) by a flapless techique. Mandibular new overdentures were reinforced by a metal framework. Patients completed the OHIP-EDENT questionnaire, as well as the chewing function questionnaire (CFQ) at the baseline and one month after wearing new dentures. Patients also assessed pain and swelling after implant insertion, and provided data about analgetics intake. Results: Patients were successfully provided with MDIs being short and slim. They did not perceive a high level of pain and reported no swelling, and took only 1 to 2 analgetics after surgical procedure. Implants were firm, without any clinical signs of periimplantitis 2-3 month later, when overdentures were delivered. One month after all denture adjustments, the OHIP EDENT scores CFQ scores significantly decreased (p<0.05). Patients have been wearing respective dentures successfully from 3 - 13 months. No MDI was lost. Conclusion: A success of treatment by MDIs being slim and short has not been clinicallyinvestigated yet. Our preliminary clinical results show 100% success rate, as well as high increase of patients’ chewing function and quality of life throughout 3- 13 months of observation. However, more controled clinical cases throughout a longer period are necessary to confirm such treatment as clinically successful. Acknowlegment: Croatian Science Foundation for funding project: 1218, Acronim: Mini dental implants

oral rehabilitation ; alveolar ridge atrophy ; mini dental implants ; patient satisfaction

nije evidentirano