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Prosthetic Rehabilitation of Edentulous Patients With Implants Based on Facial Profile Assessment

A Case Report

Lepidi, Luca, DDS, MDSc*; Suriano, Carmela, DDS; Saleh, Muhammad H. A., DBS; Ravidà, Andrea, DDS, MS; Mastrangelo, Filiberto, MD, DDS, PhD§; Wang, Hom-Lay, DDS, MS, PhD

doi: 10.1097/ID.0000000000000856
Clinical Science and Techniques
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SDC

Purpose: To introduce a user-friendly protocol for implant-retained prosthetic rehabilitation of fully edentulous patients based on facial profile and the cephalometric intermaxillary relationship.

Materials and Methods: The prosthetic rehabilitation of edentulous patients with implants based on facial profile assessment protocol commences with a clinical and cephalometric analysis, followed by a preliminary projection to obtain a harmonious interarch relationship, eventually stabilized by the preplanned prosthesis. The protocol is divided into the following 5 phases: esthetic evaluation; cephalometric-occlusal assessment; surgery; provisionalization; and definitive prosthesis. Evaluation of patient's satisfaction from the treatment provided was performed through a preoperative and postoperative visual analogue scale scores.

Results: The patient was granted immediate function and superior esthetics at day 1 of the treatment. These results were re-evaluated on an interval of 18 months and continued to be stable. The overall treatment time was significantly reduced.

Conclusion: Our recommended protocol gives the clinician a chance to grasp results beyond the offered by traditional protocols by using a wider perspective of rehabilitation, involving the patient's facial profile, thus fulfilling the integration of both occlusal and cephalometric parameters in a unified surgical-prosthetic approach.

*Oral Surgery Specialist, Private Practice Foggia and Andria, Italy.

Orthognatodontics Certificate, Private Practice, Foggia and Andria, Italy.

Graduate Student, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI.

§Oral Surgery Specialist, Research TDB, Aggregate Professor, Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.

Professor and Director of Graduate Periodontics, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI.

Reprint requests and correspondence to: Hom-Lay Wang, DDS, MS, PhD, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, 1011 North University Avenue, Ann Arbor, Michigan 48109-1078, Phone: (734) 763-3325, Fax: (734) 936-0374, E-mail: homlay@umich.edu

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