Dynamic UCLA for aesthetic rehabilitation on implant in a patient with special needs: A 4-year follow-up case report

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.7715

Keywords:

Dental Implants; Dental Prosthesis Implant-Supported; Intellectual Disability; Follow-up studies.

Abstract

This study aims to present the dynamic UCLA as a prosthetic option to restore a tilted implant, replacing a missing maxillary left lateral incisor with a functional and aesthetic screw-retained crown. Dental implants show high success rates; however, complications related to three-dimensional positioning of the implant are common. The correction of the implant position usually requires machined angled abutments or complex surgical procedures, which results in long and difficult treatment, and increases the treatment final cost. A 45-years-old male patient sought for specialized dental care to restore the front missing tooth esthetic area. The patient has limited mouth opening, mental and physical disabilities, so the construction of a metal-ceramic prosthesis with the aid of dynamic UCLA was proposed as a straightforward and low-cost procedure under the sign of free and informed consent. The prosthetic treatment provided aesthetic results and patient satisfaction without complications after a four-year follow-up.

References

Bordin, D., Cury, A. A. D. B., & Faot, F. (2019). Influence of Abutment Collar Height and Implant Length on Stress Distribution in Single Crowns. Braz Dent J, 30(3), 238-243.

Buser, D., Martin, W., & Belser, U. C. (2004). Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations. Int J Oral Maxillofac Implants, 19suppl, 43-61.

Camargos, G. V., Prado, C. J., Neves, F. D., & Sartori, I. A. (2012). Clinical outcomes of Single Dental Implants with external connections: results after 2 to 13 years. Int J Oral Maxillofac Implants, 27(4), 935-944.

Cavallaro, J., & Greenstein, G. (2011). Angled implant abutments: a practical application of available knowledge. J Am Dent Assoc, 2, 150-158.

Chatterjee, A., Ragher, M., Patil, S., Chatterjee, D., Dandekeri, S., & Prabhu, V. (2015). Prosthetic management of malpositioned implant using custom cast abutment. J Pharm Bioallied Sci, 7(Suppl 2), S740–S745.

Chee, W., & Jivraj, S. (2006). Impression techniques for implant dentistry. Br Dent J, 201(7),429-432.

Dubois, G., Daas, M., Bonnet, A. S., & Lipinski, P. (2007). Biomechanical study of a prosthetic solution based on an angled abutment: case of upper lateral incisor. Med Eng Phys, 29(9),989-998.

Giannakopoulos, N. N., Ariaans, K., Eberhard, L., Klotz, A. L., Oh, K., & Kappel, S. (2017). Immediate and delayed loading of two-piece reduced-diameter implants with locator-analog attachments in edentulous mandibles: One-year results from a randomized clinical trial examining clinical outcome and patient expectation. Clin Implant Dent Relat Res, 19(4),643-653.

Goiato, M. C., Sônego, M. V., da Silva, E. V., Dekon, S. F. C., Medeiros, R. A., Carvalho, K. H. T., & Santos, D. M. (2015). Dynamic UCLA for single tilted implant in an aesthetic region. Int J Surg Case Rep, 7C,149‐153.

Millen, C., Brägger, U., & Wittneben, J. G. (2015). Influence of prosthesis type and retention mechanism on complications with fixed implant-supported prostheses: a systematic review applying multivariate analyses. Int J Oral Maxillofac Implants, 30(1),110-124.

Nascimento, C., Barbosa, R. E., Issa, J. P., Watanabe, E., Ito, I. Y., & Albuquerque, R. F. Jr. (2008). Bacterial leakage along the implant-abutment interface of premachined or cast components. Int J Oral Maxillofac Surg, 37(2),177-180.

Pessoa, R. S., Sousa, R. M., Pereira, L. M., Neves, F. D., Bezerra, F. J., Jaecques S. V. N., Sloten, J. S., Quirynen, M., Teughels, W., & Spin-Neto, R. (2017). Bone Remodeling Around Implants with External Hexagon and Morse-Taper Connections: A Randomized, Controlled, Split-Mouth, Clinical Trial. Clin Implant Dent Relat Res, 19(1),97-110.

Razak, P. A., Aravind, P., Purushotham, P., Ravi, R., Kunnaiah, R., & Parambath, S. R. (2019). Management of a malposed dental implant in the esthetic zone. J Indian Soc Periodontol, 24(1),83–86.

Shadid, R., & Sadaqa, N. (2012). A comparison between screw-and cement-retained implant prostheses. A literature reviews. J Oral Implantol, 38(3),298-307.

Silva, L. C. F., Vasconcelos, B. C. E., Vasconcellos, R. J. H., & Anjos, E. D. (2005). Reposição cirúrgico-ortopédica de implante mal posicionado: relato de caso. R Dental Press Ortodon Ortop Facial, 10(3),118-124.

Sripathi, Rao B. H., & Bhat, S. V. (2015). Dental implants: a boon to dentistry. Arch Med Health Sci, 3(1),131-137.

Vigolo, P., Mutinelli, S., Givani, A., & Stellini, E. (2012). Cemented versus screw-retained implant-supported single-tooth crowns: a 10-year randomised controlled trial. Eur J Oral Implantol, 5(4),355-364.

Weber, H. P., Kim, D. M., Ng, M. W., Hwang, J. W., & Fiorellini, J. P. (2006). Peri-implant soft-tissue health surrounding cement- and screw-retained implant restorations: a multi-center, 3-year prospective study. Clin Oral Implants Res,17(4),375-379.

Wittneben, J. G., Buser, D., Salvi, G. E., Bürgin, W., Hicklin, S., & Brägger, U. (2014). Complication and failure rates with implant-supported fixed dental prostheses and single crowns: a 10-year retrospective study. Clin Implant Dent Relat Res,16(3),356-364.

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Published

30/08/2020

How to Cite

Volp Junior, L. C., Scandinari, I. R. ., Borges Junior, H. F., Lima, F. F., & Sábio, S. (2020). Dynamic UCLA for aesthetic rehabilitation on implant in a patient with special needs: A 4-year follow-up case report. Research, Society and Development, 9(9), e557997715. https://doi.org/10.33448/rsd-v9i9.7715

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Section

Health Sciences