Full-arch fixed prosthesis supported by four implants in patients with recessive dystrophic epidermolysis bullosa.

Abstract

OBJECTIVE:

The aim of this study was to describe the rehabilitation of patients diagnosed with recessive dystrophic epidermolysis bullosa (RDEB), with edentulous maxillas and/or mandibles, by using fixed full-arch short-expand prostheses supported by 4 anterior implants.

STUDY DESIGN:

A retrospective study was carried out to study edentulous patients with RDEB rehabilitated with fixed full-arch prostheses supported by 4 anterior implants.

RESULTS:

In total, 32 anterior implants were placed and used to support 8 full-arch fixed prostheses; 20 implants were placed in the maxilla by using osteotomes and 12 in the mandible by using conventional drilling. Implant success rate was 100% after an average follow-up of 22.9 (range 12-48) months after prosthetic loading. Patient satisfaction with the implant therapy was very high (mean 9.0) for all the factors assessed.

CONCLUSIONS:

Fixed full-arch short-expand prostheses supported by 4 anterior implants can be successfully used to rehabilitate patients with recessive dystrophic epidermolysis bullosa, considerably improving these patients' quality of life.

• Authors: David Peñarrocha-Oltra, María Peñarrocha-Diago, Jose Balaguer-Martínez, Javier Ata-Ali, Miguel Peñarrocha-Diago
• Journal: Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics (Oral Surg Oral Med Oral Pathol Oral Radiol Endod) Vol. 112 Issue 2 Pg. e4-10 (Aug 2011) ISSN: 1528-395X [Electronic] United States
• PMID: 21684776 (Publication Type: Journal Article)
• Copyright: Copyright © 2011 Mosby, Inc. All rights reserved.

Chemical References

• Bone Substitutes
• Dental Implants

Topics

• Adult
• Alveolar Ridge Augmentation (methods)
• Bone Substitutes (therapeutic use)
• Bone Transplantation (methods)
• Dental Abutments
• Dental Implantation, Endosseous (instrumentation, methods)
• Dental Implants
• Dental Prosthesis, Implant-Supported
• Denture Retention
• Denture, Complete
• Epidermolysis Bullosa Dystrophica (complications)
• Female
• Follow-Up Studies
• Humans
• Jaw, Edentulous (rehabilitation, surgery)
• Male
• Mandible (surgery)
• Maxilla (surgery)
• Middle Aged
• Osteotomy (instrumentation)
• Patient Satisfaction
• Quality of Life
• Radiography, Panoramic
• Retrospective Studies
• Treatment Outcome
• Young Adult