Full Arch Mandibular Rehabilitation with Trefoil Surgery Technic

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Posted on By José Ferreira In Full Arch & Dentures

Case Report :
A 50-year-old female patient with complaints of lower dental mobility, lack of esthetics and difficulties in chewing. After a careful intra-oral evaluation, diagnostic radiographic examinations (Orthopantomography and CBCT) , Trefoil surgery was performed with the placement of three implants between mental foramen with surgical guides followed by immediate loading with a prefabricated titanium bar incorporated within a definitive prosthesis at the very same day .
Discussion :
The total and immediate rehabilitation of the mandible with 3 implants using a pre-fabricated titanium adaptive bar is a technique with about 16 years of existence based on numerous articles and studies that prove its high success rate and the success of its bio mechanics . The key factor is the existence of a prefabricated titanium bar that allows an immediate and totally passive rehabilitation that conveys to the treatment a great predictability . Other important factors are the reduction of chair time to the patient / medical binomial and the lower number of implants used in relation to conventional techniques, which leads to a substantial decrease in final price and makes fixed implantology even more comprehensive.
Conclusion:
The use of only 3 implants and prefabricated bar for total mandibular rehabilitation is a technique already supported by numerous studies and articles since 2002. This surgical technique is effective
and relatively easy to execute successfully The degree of patient acceptance is very high because the technique allows the surgery and the definitive prosthesis at the same time as the surgery.




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