The Z-plasty surgery was performed in the region of the labial commissure to increase the mouth opening. In the mandible, two implants were installed in the interforaminal region and an overdenture with bar/clip attachment system was made. The maxilla was atrophic, with the presence of two bone sites in the intermaxillary suture region: the first one anterior to the incisive foramen and the second one in the middle of the hard palate. Two implants were placed without a graft in those sites. The conventional maxillary denture was converted into an overdenture with ball attachments system.

Conclusion

Based on the presented case, with a 2-year follow-up, it can be concluded the validity of the use of the techniques of surgeries to increase the mouth opening, implants in intermaxillary suture and overdentures as rehabilitation therapy for patients with microstomia.

CONFLICT OF INTEREST

The authors declare no conflict of interest.

REFERENCES

1The glossary of prosthodontic terms: ninth edition. J Prosthet Dent. 2017; 117(5S): e1-e105.
PubMed Google Scholar
2Abenavoli FM, Corelli R. Oral commissuroplasty through a “Z” plasty. Eur J Plast Surg. 2004; 27: 44-45.
10.1007/s00238-004-0599-9
Google Scholar
3Prasad R, Bhide SV, Gandhi PV, Divekar NS, Madhav VNV. Prosthodontic management of a patient with limited mouth opening: a practical approach. J Indian Prosthodont Soc. 2008; 298: 83-86.
10.4103/0972-4052.43591
Google Scholar
4Marmary Y, Glaiss R, Pisanty J. Scleroderma: oral manifestations. Oral Surg Oral Med Oral Pathol. 1981; 52(1): 32-37.
10.1016/0030-4220(81)90169-9
CAS PubMed Google Scholar
5Rathi N, Heshmati R, Yilmaz B, Wilson W. A technique for fabricating a hinged mandibular complete dental prosthesis with swing lock for a patient with microstomia. J Prosthet Dent. 2013; 110(6): 540-543.
10.1016/j.prosdent.2013.04.008
PubMed Google Scholar
6Hajimahmoudi M, Mostafavi AS. A simple and effective method for prosthetic rehabilitation in scleroderma patients: a clinical report. Int J Prosthodont. 2014; 27(2): 169-173.
10.11607/ijp.3550
PubMed Web of Science® Google Scholar
7Egan JG, Swindells SA. A novel prosthodontic alternative for patients who are edentulous and have microstomia: a case report. Spec Care Dentist. 2012; 32(4): 160-164.
10.1111/j.1754-4505.2012.00256.x
CAS PubMed Google Scholar
8Thalji G, McGraw K, Cooper LF. Maxillary complete denture outcomes: a systematic review of patient- based outcomes. Int J Oral Maxillofac Implants. 2016; 31: 169-181.
10.11607/jomi.16suppl.g5.1
PubMed Web of Science® Google Scholar
9Klostermyer U, Weiner S, Flinton R. Implant rehabilitation of a denture-wearing patient with microstomia. Quintessence Int. 2011; 42(3): 193-199.
PubMed Web of Science® Google Scholar
10Mordjikian E. Severe microstomia due to burn by caustic soda. Burns. 2002; 28(8): 802-805.
10.1016/S0305-4179(02)00209-7
PubMed Web of Science® Google Scholar
11Koymen R, Gulses A, Karacayli U, Aydintug YS. Treatment of microstomia with commissuroplasties and semidynamic acrylic splints. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 107(4): 503-507.
10.1016/j.tripleo.2008.10.008
PubMed Web of Science® Google Scholar
12Kuoppala R, Näpänkangas R, Raustia A. Outcome of implant-supported overdenture treatment—a survey of 58 patients. Gerodontology. 2012; 29(2): e577-e584.
10.1111/j.1741-2358.2011.00524.x
CAS PubMed Web of Science® Google Scholar
13Poluha RL, Melo Neto CLDM, De BM, Fialho LM, Sábio S. Overdenture in the rehabilitation of toothless patient. Rev Estomatol Herediana. 2016; 26(2): 156-161.
Google Scholar
14Stoker GT, Wismeijer D, van Waas MA. An eight-year follow-up to a randomized clinical trial of aftercare and cost-analysis with three types of mandibular implant-retained overdentures. J Dent Res. 2007; 86(3): 276-280.
10.1177/154405910708600315
CAS PubMed Web of Science® Google Scholar
15Mumcu E, Bilhan H, Geckili O. The effect of attachment type and implant number on satisfaction and quality of life of mandibular implant-retained overdenture wearers. Gerodontology. 2012; 29(2): e618-e623.
10.1111/j.1741-2358.2011.00531.x
CAS PubMed Web of Science® Google Scholar
16Januzzi EF, Gonçalves ML, Primo BT, Grossmann E. Use of osseointegrated implants in the intermaxillary suture: a new possibility for the prosthetic rehabilitation of atrophic maxillae. Int J Oral Maxillofac Surg. 2013; 42(7): 904-906.
10.1016/j.ijom.2013.02.016
CAS PubMed Web of Science® Google Scholar
17Sumer AP, Caliskan A, Uzun C, Karoz TB, Sumer M, Cankaya S. The evaluation of palatal bone thickness for implant insertion with cone beam computed tomography. Int J Oral Maxillofac Surg. 2016; 45(2): 216-220.
10.1016/j.ijom.2015.09.012
CAS PubMed Web of Science® Google Scholar
18Roccuzzo M, Bonino F, Gaudioso L, Zwahlen M, Meijer HJ. What is the optimal number of implants for removable reconstructions? A systematic review on implant-supported overdentures. Clin Oral Implants Res. 2012; 23(6): 229-237.
10.1111/j.1600-0501.2012.02544.x
PubMed Web of Science® Google Scholar
19Dudley J. The 2-implant maxillary overdenture: a clinical report. J Prosthet Dent. 2014; 112(2): 104-107.
10.1016/j.prosdent.2013.06.025
PubMed Web of Science® Google Scholar
20Krebs M, Schmenger K, Neumann K, Weigl P, Moser W, Nentwig GH. Long-term evaluation of ANKYLOS® dental implants, part I: 20-year life table analysis of a longitudinal study of more than 12,500 implants. Clin Implant Dent Relat Res. 2015; 17(suppl 1): e275-e286.
10.1111/cid.12154
PubMed Web of Science® Google Scholar
21Wehrbein H, Merz BR, Diedrich P. Palatal bone support for orthodontic implant anchorage—a clinical and radiological study. Eur J Orthod. 1999; 21(1): 65-70.
10.1093/ejo/21.1.65
CAS PubMed Web of Science® Google Scholar
22Meredith N, Alleyne D, Cawley P. Quantitative determination of the stability of the implant-tissue interface using resonance frequency analysis. Clin Oral Implants Res. 1996; 7(3): 261-267.
10.1034/j.1600-0501.1996.070308.x
CAS PubMed Web of Science® Google Scholar
23Misch CE, Perel ML, Wang HL, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent. 2008; 17(1): 5-15.
10.1097/ID.0b013e3181676059
PubMed Web of Science® Google Scholar
24Leite ARP, Marin DOM, Giro G, Pero AC, Pinelli LAP, Reis JMDSN. Custom cast ball attachments used on outdated implants to restore a maxillary implant-supported overdenture. J Oral Implantol. 2017; 43(4): 297-301.
10.1563/aaid-joi-D-16-00156
PubMed Web of Science® Google Scholar
25Takahashi T, Gonda T, Tomita A, Mizuno Y, Maeda Y. Influence of palatal coverage and implant distribution on denture strain in maxillary implant overdentures. Int J Oral Maxillofac Implants. 2016; 31(3): e43–e48.
10.11607/jomi.4243
PubMed Web of Science® Google Scholar

Citing Literature

Volume39, Issue5

September/October 2019

Pages 533-537

Use of osseointegrated implants in the intermaxillary suture in a patient with microstomia: Case report with a 2-year follow-up

Abstract

Aim

Case Report

Conclusion

CONFLICT OF INTEREST

REFERENCES

Citing Literature

References

Information

About Wiley Online Library

Help & Support

Opportunities

Connect with Wiley

Use of osseointegrated implants in the intermaxillary suture in a patient with microstomia: Case report with a 2-year follow-up

Abstract

Aim

Case Report

Conclusion

CONFLICT OF INTEREST

REFERENCES

Citing Literature

References

Related

Information