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Current Trends In Medical And Clinical Case Reports

Unilateral Additive Manufactured Subperiosteal Jaw Implant for Complex Oral Rehabilitation: Case Report

Dr. Joel Joshi Otero, MD, PhD., Dr. Manuel Fernandez Dominguez, MD. PhD.

*Corresponding Author: Dr. Joel Joshi Otero, Oral and Maxillofacial Surgeon EACMFS Facial Aesthetic Surgery Fellow, Email: [email protected] 

Citation: Dr. Joel Joshi Otero (2020) Unilateral Additive Manufactured Subperiosteal Jaw Implant for Complex Oral Rehabilitation: Case Report. Current Trends Med Clin Case Rep, 2(2); 1-4

Copyright: © 2020, Joel JO., Dominguez MF., This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

ABSTRACT

This article shows a case report of a unilateral additive manufactured subperiosteal jaw implant. Advanced stages of bone loss due to trauma or age can lead to severe bone atrophies (Cawood and Howell class V–VI bone atrophy scale) and present a challenge for patients not only for daily activities such as eating and talking with proper phonetics but also from an aesthetic point of view. We present a detailed case of a young male patient with a history of facial trauma resulting in severe bone atrophy of the third quadrant with a previous failed iliac crest bone graft and multiple comorbidities. Additive manufactured subperiosteal implants made of titanium may provide a fast and reliable solution for complex cases of oral restorations that generally would have to go through multiples stages of surgery with sometimes unpredictable results. The implant is custom made through computer-aided design with finite element analysis, sandblasted on the bone surface, and acid-etched on the vestibular side, taking into account precise parameters like the number, size, direction, and position of the vertical posts along with the final hybrid bridge. The patient can come out of surgery with a temporary prosthesis in one procedure.

KEYWORDS: Oral Rehabilitation, Jaw Implant, Dental restoration

BIBLIOGRAPHY

1. JI. Cawood, RA. Howell. A Classification of the Edentulous Jaws’, International Journal of Oral and Maxillofacial Surgery. 1988;17(4):232-36. https://doi.org/10.1016/s0901-5027(88)80047-x.
2. Marco Esposito, Hassan Maghaireh, Maria Gabriella Grusovin, Ioannis Ziounas, Helen V Worthington. Interventions for Replacing Missing Teeth: Management of Soft Tissues for Dental Implants’, ed. Cochrane Oral Health Group. Cochrane Database Syst Rev. 2012;15;2012(2):CD006697. https://doi.org/10.1002/14651858.CD006697.pub2.
3. Romeo Minou Luo, David Chvartszaid, Sang Woo Kim, Jason Eli Portnof. Soft-Tissue Grafting Solutions. Dent Clin North Am . 2020;64(2):435-451. https://doi.org/10.1016/j.cden.2019.12.008.
4. D. Silvestri, AE. Carlotti. Subperiosteal Implant: Serving the Dental Profession for over 50 Years. R I Dent J . Spring. 1995;28(1):11-3, 23.
5. LI Linkow, JR Wagner, M Chanavaz. Tripodal Mandibular Subperiosteal Implant: Basic Sciences, Operational Procedures, and Clinical Data. J Oral Implantol . 1998;24(1):16-36. https://doi.org/10.1563/1548-1336(1998)024<0016:TMSIBS>2.3.CO;2.
6. Michael R Markiewicz, Kazuhide Nishiyama, Kaori Yago, Meiko Okada, Soichiro Asanami, Masao Yoshinari, Muneki Hirayama, Joseph E Margarone 3rd, Sung-Kiang Chuang. Draining Orocutaneous Fistula Associated with a Failing Subperiosteal Implant: Report of a Case. J Oral Implantol . 2007;33(6):347-52. https://doi.org/10.1563/1548-1336(2007)33[347:DOFAWA]2.0.CO;2.
7. D van Steenberghe, P I Brånemark, M Quirynen, G De Mars, I Naert. The Rehabilitation of Oral Defects by Osseointegrated Implants. J Clin Periodontol . 1991 Jul;18(6):488-93. https://doi.org/10.1111/j.1600-051x.1991.tb02321.x.
8. Carlo Mangano, Andrea Bianchi, Francesco Guido Mangano, Jessica Dana, Marco Colombo, Ivan Solop, Oleg Admakin. Custom-Made 3D Printed Subperiosteal Titanium Implants for the Prosthetic Restoration of the Atrophic Posterior Mandible of Elderly Patients: A Case Series. 3D Print Med . 2020 Jan 8;6(1):1. https://doi.org/10.1186/s41205-019-0055-x.
9. MY. Mommaerts. Evolutionary Steps in the Design and Biofunctionalization of the Additively Manufactured Sub-Periosteal Jaw Implant “AMSJI” for the Maxilla. Int J Oral Maxillofac Surg . 2019 Jan;48(1):108-114. https://doi.org/10.1016/j.ijom.2018.08.001. 
10. TaeHyun Kwon, Paul A Bain, Liran Levin. Systematic Review of Short- (5–10 Years) and Long-Term (10 Years or More) Survival and Success of Full-Arch Fixed Dental Hybrid Prostheses and Supporting Implants. J Dent. 2014 Oct;42(10):1228-41. https://doi.org/10.1016/j.jdent.2014.05.016.
11. Bruno Ramos Chrcanovic, Tomas Albrektsson, Ann Wennerberg. Survival and Complications of Zygomatic Implants: An Updated Systematic Review. J Oral Maxillofac Surg . 2016 Oct;74(10):1949-64. https://doi.org/10.1016/j.joms.2016.06.166.
12. Gellrich, Nils-Claudius, Björn Rahlf, RüdigerZimmerer, Philipp-Cornelius Pott, and Majeed Rana. A New Concept for Implant-Borne Dental Rehabilitation; How to Overcome the Biological Weak-Spot of Conventional Dental Implants?. Head & Face Medicine. 2017;13(1):17. https://doi.org/10.1186/s13005-017-0151-3.
13. Mauro Cerea and Giorgio Andrea Dolcini. Custom-Made Direct Metal Laser Sintering Titanium Subperiosteal Implants: A Retrospective Clinical Study on 70 Patients. BioMed Research International. 2018 (28 May 2018), https://doi.org/10.1155/2018/5420391.

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