In the world of modern dentistry, restoring a patient’s smile goes beyond aesthetics—it’s about improving their quality of life. This blog explores a remarkable case of full-mouth rehabilitation using an implant-supported hybrid prosthesis, expertly documented in a clinical report Rehabilitating C-h Type Bone in the Posterior Region
with Full Mouth Implant-Supported Hybrid Prosthesis: A
Case Report by Dr. Puja Saha and her team.
The Patient’s Story
The patient, a 69-year-old male, presented with multiple missing teeth in the maxilla and a completely edentulous mandibular arch. Chewing difficulties and a history of type 2 diabetes added complexity to the case. Clinical examination revealed compromised bone structure in the posterior region, classified as C-h type bone according to the Misch and Judy classification.
The Challenge
Addressing extensive intra-arch space and ensuring functional and aesthetic restoration posed a significant challenge. Conventional porcelain-metal restorations were unsuitable due to the increased occlusal load and cantilever requirements. The solution? An implant-supported hybrid prosthesis, a combination of acrylic resin and a metal substructure, designed for durability, functionality, and aesthetics.
The Treatment Plan
The team meticulously planned a full-mouth rehabilitation approach:
- Implant Placement: Five implants were strategically placed in both the maxilla and mandible, considering bone limitations and using a universal surgical guide.
- Hybrid Prosthesis Design: A metal framework with an acrylic resin base was selected to reduce dynamic occlusal loads and enhance lip support.
- Digital Framework Fabrication: Advanced DMLS (Direct Metal Laser Sintering) technology ensured precision in framework design.
The Rehabilitation Process
The rehabilitation journey included:
- Surgical implant placement and sinus lift procedures.
- Precise impressions using open and close tray techniques for accurate prosthesis fabrication.
- Digital designing and intraoral trials of the metal framework.
- Fabrication of the final prosthesis with optimal aesthetics and function.
The Results
The results were transformative. The patient’s masticatory function, phonetics, and smile aesthetics improved significantly. Follow-ups at one week, one month, and six months showed healthy gingival tissues and no complications. The patient reported heightened confidence and satisfaction with their restored smile.
Key Takeaways
This case highlights the versatility of implant-supported hybrid prostheses, especially in challenging anatomical conditions. Benefits include:
- Enhanced load distribution and implant support.
- Improved aesthetics with reduced bulk.
- Optimized patient comfort and hygiene.
Conclusion
This successful rehabilitation case demonstrates the potential of implant-supported hybrid prostheses to restore functionality and aesthetics, even in complex cases. By combining meticulous planning, advanced technology, and patient-centered care, Dr. Puja Saha and her team delivered results that transformed the patient’s life.
For more insights into transformative dental care, stay tuned to my journey and expertise in prosthodontics. If you have any questions or are curious about modern dental solutions, feel free to reach out!