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

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Aug;112(2):e4-10. doi: 10.1016/j.tripleo.2011.03.022.

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.

MeSH terms

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

Substances

  • Bone Substitutes
  • Dental Implants