Implant-supported fixed dental prostheses in an edentulous patient with dystrophic epidermolysis bullosa.

摘要: Purpose: This clinical report describes the use of implant-supported fixed dental prostheses (ISFDPs) in a severe case dystrophic epidermolysis bullosa. Materials and Methods: The patient's appearance was characterized by reduced corporal growth mutilation hands feet. He first examined at age 20. severely decayed residual dentition had already been extracted time examination. Conventional dentures were not possible due to microstomia fragility denture-bearing tissues. Even modest manual touch very painful detached epithelium oral mucosa. treatment only under general anesthesia. To allow some prospect for rehabilitation, four implants inserted maxilla three mandible. Several years steroid weakened bony structures. Therefore, diameter last drill used prepare bone implant insertion smaller than improve primary stability. Complete FDPs with shortened arch design served as superstructures. fractures screw-designed titanium abutments mandible necessitated additional an ISFDP two occlusal units, which screwed horizontally milled bar mesostructure. Results: Despite multiple acrylic resin veneers caused bruxism small surface, this rehabilitation proved successful until patient died 25, consequence his hereditary disease. Conclusion: greatly improved function, nutrition, psychosocial well-being. Int J Prosthodont 2010;23:42-48.