Minimally invasive rehabilitation with total removable implants supported prosthesis with conometric connection

Abstract

Since its inception, modern dentistry has been a discipline in continuous evolution. Thanks to this progress, the prosthetic rehabilitation of the edentulous patient can now be effectively addressed by multiple therapeutic approaches rooted in the decision-making marriage between patient and clinician in both partial and total edentulous patients. From a historical perspective, the aesthetic-functional restoration of the completely edentulous maxillary arch has been subverted in the possibilities of intervention by the introduction of implantology, which has made it possible to overcome the otherwise mandatory use of removable devices with complete mucous support (1). The current study is intended to be an example of this evolution by describing one out of five clinical cases performed. Furthermore, it is intended to demonstrate how the newly proposed implant-prosthetic techniques, where a fixed implant rehabilitation is not possible due to age constraints, lack of bone support or unfavourable mechanical-aesthetics parameters, allow the rehabilitation of the upper total edentulous jaw with a removable device without a solidarizing intermediate bar to rely upon for the implants. The implants and the whole rehabilitation are, however, consolidated thanks to the stability provided by the presence of a telescopic connection, combining viable long-term survival (2) with optimal results for the patient in terms of cost (3), comfort, chewing capability (4), aesthetics and home hygiene.