Attachment-Retained Gingival Prosthesis for Implant-Supported Fixed Dental Prosthesis in the Maxilla: A Clinical Report

作者：de Mattias Sartori Ivete Aparecida; Uhlendorf Yuri; Marques Padovan Luiz Eduardo; Ribeiro Junior Paulo Domingos; Moreira Melo Ana Claudia; Tiossi Rodrigo

来源：Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry, 2014, 23(8): 654-658.

DOI：10.1111/jopr.12159

• Implant-supported dental prosthesis
• dental implants
• mouth rehabilitation
• maxillary complete denture
• edentulous mouth

The rehabilitation of edentulous maxillae is a complex procedure due to the involvement of esthetic and functional requirements. A trial maxillary denture can be used to identify the need for adequate upper lip support when replacing removable complete dentures by implant-fixed dental prostheses. This clinical report describes the outcome of the rehabilitation of an edentulous atrophic maxilla with unfavorable maxillomandibular relationship and deficient upper lip support. A trial denture was fabricated and used to diagnose the need for a prosthesis capable of restoring the upper lip support. The reduced upper lip support was also confirmed by a lateral cephalogram. The patient was rehabilitated by an implant-fixed dental prosthesis associated with an attachment-retained gingival prosthesis. The case presented shows that when loss of upper lip support is detected and the patient does not wish to undergo further surgical reconstruction procedure, the retention of a gingival prosthesis using a ball attachment is a satisfactory treatment option.

• 出版日期2014-12