6533b839fe1ef96bd12a5c16

RESEARCH PRODUCT

Implant-supported fixed prostheses in a Patient with Osteogenesis Imperfecta : a 4-year follow-up

Mario Caicedo-rubioElvira Ferrés-amatEduard Ferrés-padró

subject

Connective Tissue DisorderPosterior rightbusiness.industryMandibleDentistryCase Report030206 dentistry:CIENCIAS MÉDICAS [UNESCO]medicine.diseaseOsseointegrationMasticatory force03 medical and health sciences0302 clinical medicineOsteogenesis imperfecta030220 oncology & carcinogenesisOcclusionUNESCO::CIENCIAS MÉDICASMedicineOral SurgerybusinessGeneral DentistryImplant supported

description

Osteogenesis Imperfecta (OI) is a rare autosomal dominant connective tissue disorder in wich, the bone quality and density is affected. OI includes some metabolic disorders and have a wide range of clinical presentations. In Osteogenesis Imperfecta bone has a very low density and it is a disorder currently treated with bisphosphonates. Quality and quantity of bone is important for establishment of osseointegration in dental implants. There are few reported cases in the literature. This is a case report of a 61 year-old man with grade IV OI, rehabilitated with implant-supported fixed prostheses in the posterior right and left mandible, whithout bone grafts. At the 4-year follow-up, clinical and imaging study showed no evidence of pathology in the peri-implant tissues. The final outcome is a correct occlusion and masticatory function. This case shows that dental implants may be a treatment option in this patients, however there is still quite limited scientific evidence. Key words:Osteogenesis imperfecta, osteoporotic bone, dental implants, bone fragility, bisphosphonates, drilling technique.

10.4317/jced.53958http://hdl.handle.net/10550/65096