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Objective: to present the radiographic clinical follow-up of the prosthetic rehabilitation of a patient with an atrophic mandible, with the installation of short implants associated with an implant of regular length. Method: case report of a completely edentulous patient with an atrophic mandible and a 6-year radiographic clinical follow-up conducted at the dental clinic of the Federal University of Piauí, Teresina, from February 2011 to January 2020. After collecting sociodemographic data, health records, clinical radiographic examinations, and prosthetic surgical planning, four dental implants were installed between the mental foramina. After three months, mini-conical abutments and a fixed prosthesis screwed onto the implants were installed and monitored every six months for a period of six years. Results: the clinical evaluation revealed tissue stability without significant peri-implant changes after the follow-up period. Radiographically, bone resorption was not observed around the implant. Stability of the prosthesis and absence of prosthetic complications were observed during the follow-up period. Conclusion: short implants associated with regular-length implants can be placed in the anterior region of an atrophic mandible for rehabilitation with fixed complete dentures. [ABSTRACT FROM AUTHOR]

Copyright of Revista Guillermo de Ockham is the property of Revista Cientifica Guillermo de Ockham, Universidad de San Buenaventura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Mandibular atrophy is a universal disease characterized by extensive bone resorption due to edentulism and bone remodeling caused by it. Data released by Pesquisa Nacional de Saúde (PNS -- IBGE), in 2015, reveal that 16 million Brazilians are total edentulous, representing 11% of the population. Patient, female, 78 years old,, leucoderma, total edentulous, using lower overdenture on three anterior implants, was admitted to the Service, referring pain in the left side of the mandible. At the physical examination, no crepitation or displacement was observed. When analyzing a panoramic radiography, a fracture was noted in the left side of mandibular body, due to mandibular atrophy. The conduct applied to resolution of the case was printing of a mandibular prototype for pre-modeling a reconstructive 2.4mm locking plate, across the mandibular body and ramus. The surgery was performed at the hospital, through transcervical access. After exposure of the mandible, the pre-folded reconstruction plate was fixed. A mixture of iliac crest particulate graft, with particulate lyophilized bone graft was used in areas of larger mandibular resorption (bilateral mandibular body), enveloped by a collagenous membrane. Mandibular reconstruction, therefore, allowed the occlusal stability, preventing the risk of new spontaneous fractures, reestablishing function, aesthetics, and quality of life. [ABSTRACT FROM AUTHOR]

Copyright of RGO: Revista Gaúcha de Odontologia is the property of RGO: Revista Gaucha de Odontologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)