Prosthodontic Rehabilitation of a Patient with a Congenital Disorder using Implant-Supported Prosthesis: A Case Report

Objectives: An interdiciplinary approach is often indicated in the planning and treatment of patients who have anatomic deficiencies in soft and hard tissues due to a congenital disorder. Succesful treatment of such patients may include osseointegrated implants to increase prosthesis retention and stability. This clinical report describes the treatment plan of a patient with congenital disorder whose several teeth and supporting tissues were lost. Material and methods: A 34 year- old man was referred to Marmara University Dentistry Faculty for dental rehabilitation. The patient's history included a congenital disorder which affects the facial and intraoral appearance and mandibular opening. Several different restorative options were discussed with the patient and the patient expressed a desire to keep as many of the remaining teeth as possible. In the maxillary arch, a removable partial denture (RPD) with extracoronal ball attachments was selected for esthetics, function and ease of oral hygiene maintenence. The mandibular arch was primarily affected by the defect with the presence of scar tissue and the absence of alveolar ridge and adequate vestibule. Therefore, to provide retention and meet the esthetic requirements, in the mandibular arch, an implant-supported hybrid prosthesis was planned over 5 implants and the single tooth with a telescope crown. Results and conclusion: At the 2-year follow-up, all implants were stable and the maxillary removable prosthesis with precision attachments and the mandibular hybrid prosthesis did not have any complications. Keywords: implant, disorder, clinical