Split-Framework in Mandibular Implant-Supported Prosthesis

During oral rehabilitation of an edentulous patient with an implant-supported prosthesis, mandibular flexure must be considered an important biomechanical factor when planning the metal framework design, especially if implants are installed posterior to the interforaminal region. When an edentulous...

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Main Authors: Danny Omar Mendoza Marin, Kássia de Carvalho Dias, André Gustavo Paleari, Ana Carolina Pero, João Neudenir Arioli Filho, Marco Antonio Compagnoni
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2015/502394
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author Danny Omar Mendoza Marin
Kássia de Carvalho Dias
André Gustavo Paleari
Ana Carolina Pero
João Neudenir Arioli Filho
Marco Antonio Compagnoni
author_facet Danny Omar Mendoza Marin
Kássia de Carvalho Dias
André Gustavo Paleari
Ana Carolina Pero
João Neudenir Arioli Filho
Marco Antonio Compagnoni
author_sort Danny Omar Mendoza Marin
collection DOAJ
description During oral rehabilitation of an edentulous patient with an implant-supported prosthesis, mandibular flexure must be considered an important biomechanical factor when planning the metal framework design, especially if implants are installed posterior to the interforaminal region. When an edentulous mandible is restored with a fixed implant-supported prosthesis connected by a fixed full-arch framework, mandibular flexure may cause needless stress in the overall restorative system and lead to screw loosening, poor fit of prosthesis, loss of the posterior implant, and patient’s discomfort due to deformation properties of the mandible during functional movements. The use of a split-framework could decrease the stress with a precise and passive fit on the implants and restore a more natural functional condition of the mandible, helping in the longevity of the prosthesis. Therefore, the present clinical report describes the oral rehabilitation of an edentulous patient by a mandibular fixed implant-supported prosthesis with a split-framework to compensate for mandibular flexure. Clinical Significance. The present clinical report shows that the use of a split-framework reduced the risk of loss of the posterior implants or screws loosening with acceptable patient comfort over the period of a year. The split-framework might have compensated for the mandibular flexure during functional activities.
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spelling doaj-art-1f2561394ad6480dba0ffa02a5778a452025-02-03T01:28:53ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/502394502394Split-Framework in Mandibular Implant-Supported ProsthesisDanny Omar Mendoza Marin0Kássia de Carvalho Dias1André Gustavo Paleari2Ana Carolina Pero3João Neudenir Arioli Filho4Marco Antonio Compagnoni5Department of Dental Materials and Prosthodontics, Araraquara Dental School, Universidade Estadual Paulista (UNESP), Humaitá Street 1680, 14801-903 Araraquara, SP, BrazilDepartment of Dental Materials and Prosthodontics, Araraquara Dental School, Universidade Estadual Paulista (UNESP), Humaitá Street 1680, 14801-903 Araraquara, SP, BrazilDepartment of Restorative Dentistry, Alfenas Dental School, Federal University of Alfenas, Alfenas, MG, BrazilDepartment of Dental Materials and Prosthodontics, Araraquara Dental School, Universidade Estadual Paulista (UNESP), Humaitá Street 1680, 14801-903 Araraquara, SP, BrazilDepartment of Dental Materials and Prosthodontics, Araraquara Dental School, Universidade Estadual Paulista (UNESP), Humaitá Street 1680, 14801-903 Araraquara, SP, BrazilDepartment of Dental Materials and Prosthodontics, Araraquara Dental School, Universidade Estadual Paulista (UNESP), Humaitá Street 1680, 14801-903 Araraquara, SP, BrazilDuring oral rehabilitation of an edentulous patient with an implant-supported prosthesis, mandibular flexure must be considered an important biomechanical factor when planning the metal framework design, especially if implants are installed posterior to the interforaminal region. When an edentulous mandible is restored with a fixed implant-supported prosthesis connected by a fixed full-arch framework, mandibular flexure may cause needless stress in the overall restorative system and lead to screw loosening, poor fit of prosthesis, loss of the posterior implant, and patient’s discomfort due to deformation properties of the mandible during functional movements. The use of a split-framework could decrease the stress with a precise and passive fit on the implants and restore a more natural functional condition of the mandible, helping in the longevity of the prosthesis. Therefore, the present clinical report describes the oral rehabilitation of an edentulous patient by a mandibular fixed implant-supported prosthesis with a split-framework to compensate for mandibular flexure. Clinical Significance. The present clinical report shows that the use of a split-framework reduced the risk of loss of the posterior implants or screws loosening with acceptable patient comfort over the period of a year. The split-framework might have compensated for the mandibular flexure during functional activities.http://dx.doi.org/10.1155/2015/502394
spellingShingle Danny Omar Mendoza Marin
Kássia de Carvalho Dias
André Gustavo Paleari
Ana Carolina Pero
João Neudenir Arioli Filho
Marco Antonio Compagnoni
Split-Framework in Mandibular Implant-Supported Prosthesis
Case Reports in Dentistry
title Split-Framework in Mandibular Implant-Supported Prosthesis
title_full Split-Framework in Mandibular Implant-Supported Prosthesis
title_fullStr Split-Framework in Mandibular Implant-Supported Prosthesis
title_full_unstemmed Split-Framework in Mandibular Implant-Supported Prosthesis
title_short Split-Framework in Mandibular Implant-Supported Prosthesis
title_sort split framework in mandibular implant supported prosthesis
url http://dx.doi.org/10.1155/2015/502394
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