Background/Aim: Implant treatment expands extensively the possibilities of prosthetic treatment, which provide benefits, bigger comfort as well as general improvement of the patient’s life quality. In cases with no possibility of implantation, it is possible to improve conditions by using modern methods for bone tissue repair. One of factors important for the long-term success is proper oral hygiene, as well as raising awareness of its importance to patients. The aim of the paper is to present a patient rehabilitated with multiple implants and followed-up for a five-year period, and to point out the importance of raising patient’s awareness and motivation in order to preserve the results of the treatment.
Case Report: A 31-year-old patient was admitted to the oral surgery clinic for rehabilitation of a poor oral health status. After taking history, clinical examination and additional analysis, the following treatment plan was suggested: to remove impacted upper canines and to put an implant supported by fixed prosthesis in the upper jaw, to make two implants supported by bridges laterally and one dental supported by bridge in the inter-canine sector in the lower jaw. The treatment was carried out in several stages that involved extraction of residual roots and impacted teeth, augmentation of bone defects with bone substitutes and bio-absorbable membranes, placing implant, and prosthetic rehabilitation. By verbal communication with the patient, we pointed out the importance of proper oral hygiene and regular check-ups. The five year follow-up showed the absence of factors that could adversely affect the success of the treatment, and the patient was still highly motivated to maintain proper oral hygiene.
Conclusions: It is possible to achieve predictable results in complex cases by using a multiphase prosthetic treatment supported by implants. Concerning a long-term success, motivation, proper information and patient’s willingness to cooperate play an important role.
1. Blomberg S, Lindquist LW. Psychological reactions to edentulousness and treatment with jawbone-anchored bridges. Acta Psychiatr Scand, 1983;68:251-262.
2. SimensenAN, Bøe OE. Patient Knowledge and Expectations Prior to Receiving Implant-Supported Restorations. Int J Oral Maxillofac Implants, 2015;30:41-47.
3. Buch RS, Weibrich G, Wegener J, Wagner W. Patient satisfaction with dental implants. Mund Kiefer Gesichtschir, 2002;6:433-436.
4. Benic GI, Hammerle CH. Horizontal bone augmentation by means of guided bone regeneration. Periodontol, 2000 2014;66:13-40.
5. Zitzmann NU, Scharer P, Marinello CP. Long-term results of implants treated with guided bone regeneration: A 5-year prospective study. Int J Oral Maxillofac Implants, 2001;16:355-366.
6. Jung RE, Fenner N, Hammerle CH, Zitzmann NU. Long term outcome of implants placed with guided bone regeneration (GBR) using resorbable and non-resorbable membranes after12-14years. Clin Oral Implants Res, 2013;24:1065-1073.
7. Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP. A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res, 2008;19:119-130.
8. Chee W, Felton DA, Johnson PF, Sullivan DY. Cemented versus screw-retained implant prostheses: which is better? Int J Oral Maxillofac Implants, 1999;14:137-141.
9. Augthun M, Tinschert J, Huber A. In vitro studies on the effect of cleaning methods on different implant surfaces. J Periodontol, 1998;69:857-864.
10. Lekholm U, Zarb GA. Patient selection and preparation. In: Brånemark P-I, Zarb GA, Albrektsson T (editors). Tissue integrated prostheses: osseointegration in clinical dentistry. Chicago: Quintessence, 1985.
11. Humphris GM, Dyer TA, Robinson PG. The modified dental anxiety scale: UK general public population norms in 2008 with further psychometrics and effects of age. BMC Oral Health, 2009;9:20.
12. Djordjevic F, Stanisic J, Djordjevic A, Vlahovic Z. Pain and justification pain from dental intervention. Praxis Medica, 2015;44:27-30.
13. Bylund CL, Peterson EB, Cameron KA. A practitioner’s guide to interpersonal communication theory: an overview and exploration of selected theories Patient Educ Couns, 2012;87:261-267.
14. Ramírez-Carrasco, Butrón-Téllez Girón. Effectiveness of Hypnosis in Combination with Conventional Techniques of Behavior Management in Anxiety/Pain Reduction during Dental Anesthetic Infiltration. Hindawi Pain Res Manage, 2017;Article ID 1434015, 5 pages.
15. Tolstunov L. Vertical Alveolar Ridge Augmentation in Implant Dentistry: A surgical Manual. Wiley Blackwel, 2016.
16. Bazrafshan N, Darby I. Retrospective success and survival rates of dental implants placed with simultaneous bone augmentation in partially edentulous patients. Clin Oral Impl Res, 2014;25:768-773.
17. Becktor JP, Isaksson S, Sennerby L. Survival analysis of endosseous implants in grafted and nongrafted edentulous maxillae. Int J Oral Maxillofac Implants, 2004;19:107-115.
18. Berglundh T, Lindhe J, Ericsson I, Marinello CP, Liljenberg B, Thomsen P. The soft tissue barrier at implants and teeth. Clin Oral Implants Res, 1991;2:81-90.
19. Narayan TV, Narayan S. Longitudinal Evaluation of Implants Placed into Bone Regenerated by the Guided Bone Regeneration (GBR) Technique: A Series of 7 Patients with 13 Implants of at Least Months Follow-up Postloading. IJOICR, 2010;1:89-95.
20. Esposito M, Grusovin MG, Coulthard P, Worthington HV. The efficacy of various bone augmentation procedures for dental implants: a Cochrane systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants, 2006;21:696-710.
21. Retzepi M, Donos N. Guided Bone Regeneration: biological principle and therapeutic applications. Clin Oral Impl Res, 2010;21:567-576.
22. Taylor TD, Agar JR. Twenty years of progress in implant prosthodontics. J Prosthet Dent, 2002;88:89-98.
23. Zellin G, Gritli-Linde A, Linde A. Healing of mandibular defects with different biodegradable and non-biodegradable membranes: an experimental study in rats. Biomater, 1995;16:601-609.
24. Misch CE. Influence of biomechanics on implant complications. Acad Dental Mater Proc, 2000;14:49-62.