GIUSEPPE BIANCO
Marisa came to our office already wearing prostheses, both for the upper arch and for the lower arch: an upper overdenture on telescopic caps and an incongruous removable prosthesis badly relined below.
After years, Marisa’s prostheses were no longer congruent with her tissues and her maintenance had become rather difficult both in terms of cleaning and retention, having to make up for it daily through adhesive pastes. Nonetheless, the discomfort of the lower right teeth was important, due to a desperate prosthetic-periodontal situation. All this resulted in a strong aesthetic and psychological discomfort.
Fig. 1 The initial situation and the old prostheses, now incongruous.
Fig. 2 A three-dimensional reconstruction in frontal view. The significant atrophy of both the maxillary bone and the mandible is appreciated.
Fig. 3 The three-dimensional reconstruction in sagittal view. The mandible does not have enough bone for implant rehabilitation in the left hemiarch.
Fig. 4 The orthopanoramic performed on the first visit shows the superification of the mandibular nerve.
Fig. 5 3D reconstruction after implant placement.
Fig. 6 The control overview carried out on the day of delivery.
Fig. 7 Five months after surgery, this is what Marisa’s new prostheses looked like.
Marisa’s story shows how even the most difficult cases can be solved in a minimally invasive and fast way, with a certain perspective of duration over time: the case was carried out in 2014 and, to date, in 2020, the patient has no discomfort, not incurring bone loss. As for maintenance, Ms. Marisa only had to replace the Teflon gaskets of the locator attachments twice and she continues to visit my studio to carry out professional hygiene three times a year.
Don’t forget to watch the video of this case, here on my YouTube channel, where you will find many other testimonies.
