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Somatoprosthetic Rehabilitation of Digitus Minimus Using Mini-Dental Implant

A Report of Negative Outcome

Aggarwal, Himanshi, MDS; Anwar, Mohd, MDS; Singh, Saumyendra Vikram, MDS; Mishra, Brijesh, MS

JPO: Journal of Prosthetics and Orthotics: March 12, 2019 - Volume Online First - Issue - p
doi: 10.1097/JPO.0000000000000261
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Introduction Although digitus minimus may possess the least range of motion in all fingers, its amputation due to any reason leads to severe emotional trauma along with compromise in aesthetics and function. Inadequate retention associated with conventional vacuum-retained finger prosthesis is one of the major areas of concern.

Case Report A 23-year-old male patient reported with amputated little finger of left hand. Examination revealed minimal residual digit. A mini-dental implant with O-ring type of attachment was used to retain the customized silicone digit after early loading protocol. Excellent immediate results in terms of aesthetics, retention, and psychological satisfaction to the patient were obtained. However, implant failed at 3-months follow-up.

Conclusions The use of mini-dental implants to retain finger prostheses in patients with short residual digits seems to be a viable clinical concept; however, this technique should be used cautiously.

HIMANSHI AGGARWAL, MDS, is affiliated with the Department of Prosthodontics, Saraswati Dental College and Hospital, Lucknow, India.

MOHD ANWAR, MDS, and SAUMYENDRA VIKRAM SINGH, MDS, are affiliated with the Department of Prosthodontics, Crown & Bridges, King George's Medical University, Lucknow, India.

BRIJESH MISHRA, MS, is affiliated with the Department of Plastic Surgery, King George's Medical University, Lucknow, India.

Disclosure: The authors declare no conflict of interest.

Correspondence to: Saumyendra Vikram Singh, MDS, 2/273, Viram Khand, Gomtinagar, Lucknow, Uttar Pradesh, 226010, India; email: saumyendravsingh@rediffmail.com

© 2019 by the American Academy of Orthotists and Prosthetists.