2001 年 14 巻 1 号 p. 47-53
This report showed a case of implant treatment with tissue management for a severely atrophic mandible. The patient was a 67-year-old woman,who visited our clinic in December 1995. Her chief complaint was difficulty in masticating due to pain caused by peri-implantitis. She had been treated with an implant procedure in the mandible at another dental clinic in the beginning of 1995, but it had not worked well. When she came to our clinic, her mandibular alveolar bone was severely resorbed, and her lower full bridge, supported by several implants, was movable. Moreover, she had paralysis of her lower lip.
First, all implants were removed, and free gingival grafts were perfomed as tissue management in the mandible. Four month after the tissue management, 3 implants (ITI Bonefit®) were placed in the 3+3 region. Then, an overdenture was fabricated and connected to those implants with a Dolder bar.
Dental Prescale was used to evaluate the function of the implants-supported overdenture. And, periodontal parameters were used to evaluate the implants. As a result, the function has been good, and the implants have been stable for more than 3 years.