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ePaper created 2017-03-17, 12:34:42 | version 1.38.0
| overview Fig. 11 Fig. 12 Fig. 13 Fig. 14 Fig. 11: OPG 2016. – Fig. 12: Maxillary situation 2016. – Fig. 13: Mandibular situation 2016. – Fig. 14: Frontal view 2016. Case 3 A then 50-year-old female patient had suffered from an edentulous maxilla since she was 46 years old. Handling her total prosthesis in everyday life was difficult for her, especially as it covered her covered, which made singing difficult for her. In addition, she also suffered from an edentulous mandible. Due to a reduced bone volume in the posterior region of the maxilla, a manifest atrophy, the pa- tient chose removable dentures for the maxilla and fixed, implant-based dentures in the posterior re- gion of the mandible. The maxilla was restored in the beginning of 1996, while the mandible was treated in the autumn of the same year. Patient ac- ceptance for the newly integrated prosthesis was high and her compliance has proved to be exem- plary. In the past two decades, she rigorously at- tended each biannual control and dental hygiene date. She still wears the same prostheses, except for two artificial teeth which had to be replaced after a fall (Figs. 15–21). In conclusion, extensive augmentations were avoided and the patient was granted chewing com- fort similar to that of fixed dentures because of a milled bar in the maxilla and implantation in the ex- tended maxillary anterior teeth. Implants were in- serted as the bone volume in the posterior mandible was favourable, making fixed, implant-based den- tures in the posterior region possible. A highly mo- tivated, compliant and very reliable patient was a further beneficial factor for the long-term success of this case of implant treatment. Tragedies Implant restorations can fail. This failure may oc- cur early or later after loading of the implants and Data Case 2 Data Case 3 Maxilla (n = 6): October 1995 Mandible (n = 7): February 1997 Prosthetic restoration: March 1996 (maxilla) and June 1997 (mandible) X-ray controls: postoperatively, 1999, 2001, 2004, 2007, 2012, 2016 Recall: biannually until 2012, no controls in 2003, 2005 and 2008, since 2009 once every year Special characteristics: none Maxilla (n = 4): January 1996 Mandible (n = 5): November 1996 Prosthetic restoration: April 1996 (maxilla) and September 1996 (mandible) X-ray controls: post-operatively, 1998, 2001, 2004, 2007, 2010, 2013, 2016 Recall: biannually Special characteristics: none 08 implants 1 2017