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ePaper created 2017-05-12, 09:42:21 | version 1.38.0
case report | Fig. 34 Fig. 32 Fig. 33 Fig. 35 Fig. 36 The simple replacement of the missing teeth with a full denture may be an appropriate solution in the maxilla for many patients. But a full denture in the lower arch is absolutely incongruous because it does not allow a sufficient chewing efficiency and, because of instability due to a poor tissue support and tongue and cheek movement, often creates soreness and discomfort in social life. Therefore, it is necessary to inform people facing mandibular edentulism that they can regain comfort and masticatory function with the insertion of two implants to stabilise the prosthesis. Definitely a big step forward in the resolution of edentulism was done with the "All-on-4" systematic, which is surgically minimally invasive, fast and eco- nomically acceptable. This solution is however not ap- plicable in all cases, since it is necessary to have good manual skills for a correct maintenance and a proper oral hygiene; it is not always adequate from a func- tional and aesthetic point of view. Therefore, the solu- tion of edentulism with an overdenture stabilised by four systems can be, especially in the maxilla, the most appropriate therapy without having to perform a surgically invasive operation and regenerative therapy, which both are often not well accepted by patients._ Literature contact Prof. Massimo Pasi Studio Medico Dentistico Via Francesco D'Ovidio, 1 20131 Milan, Italy Tel.: +39 2 70633631 mpasi@massimopasi.it Author details Fig. 32: Profile of the patient before treatment: note the lack of visibility of the lip vermilion. Fig. 33: Different lip support at the end of the treatment. Fig. 34: Angular cheilitis at the beginning of the treatment. Fig. 35: Healing at the end of the treatment and disappearance of most of the skin wrinkles. Fig. 36: Orthopantomography control six months after rehabilitation. implants 2 2017 19