Overview
Dental implants are widely regarded as the gold standard for tooth replacement, offering superior stability and functionality. However, implant failure can occur due to mechanical complications, biological factors, or poor maintenance. Studies indicate that the global dental implant failure rate ranges from 5% to 10%, while in India, it is estimated to be around 3% to 7%, depending on the patient’s health and surgical expertise.
This case study highlights the successful full-mouth rehabilitation of an 83-year-old patient who experienced implant failure. It showcases the expertise of Dr. Suhrab Singh at Neo Dental Care, one of the best dental clinics in Noida.
Basic Info
Doctor’s Name: Dr. Suhrab Singh
Clinic/Hospital Name: Neo Dental Care
Patient’s Name: S L Dhingra
Patient’s Age: 83 years
Gender: Male
Patient Background
An 83-year-old male presented to Neo Dental Care with complaints of a fractured implant-supported crown and bridge prosthesis. The patient reported difficulties in chewing, persistent oral ulcers, and dissatisfaction with dental aesthetics. Despite his advanced age, his medical history was unremarkable, making him a suitable candidate for implant-supported rehabilitation.
Symptoms
- Fractured implant-supported prosthesis
- Difficulty in chewing and impaired mastication
- Persistent oral ulcers causing discomfort
- Instability of prosthetic components leading to occlusal disharmony
- Aesthetic concerns affecting self-confidence
Diagnostic Method
Intraoral Examination: Assessed the condition of the existing prosthesis, implant stability, and surrounding soft tissues.
Radiographic Evaluation: Orthopantomogram (OPG) and Cone Beam Computed Tomography (CBCT) scans confirmed fractured abutments and multi-unit screws.
Prosthesis Integrity Assessment: Verified the structural failure of the existing dental prosthesis while confirming the viability of underlying implants for rehabilitation.
Disease Diagnosed
The patient was diagnosed with mechanical failure of the implant-supported prosthesis, which led to occlusal imbalance and soft tissue trauma.
Dr. Suhrab Singh, a highly acclaimed dentist in Noida, explains:
“Implant-supported prosthetic failure is a serious issue that compromises both function and aesthetics. Factors such as prolonged wear, inadequate load distribution, and component fatigue can contribute to this condition. Early intervention is essential to prevent worsening complications and ensure a successful rehabilitation.”
Treatment - Full-Mouth Rehabilitation with All-on-Four Hybrid Denture for Implant Failure
The treatment plan focused on removing the failed prosthetic components and restoring function and aesthetics with an All-on-Four hybrid denture, a durable and stable solution for full-mouth rehabilitation.
Pre-Operative Preparation
- Comprehensive oral assessment to finalize the treatment plan
- Pre-procedural imaging to determine implant health and bone density
- Custom fabrication of the All-on-Four hybrid denture
- Patient counseling on procedure expectations and post-operative care
Step-by-Step Procedure
1.Removal of Failed Prosthesis: The fractured crown, bridge, abutments, and screws were carefully extracted.
2.Implant Surface Cleaning: Debridement of implant surfaces to remove biofilm and prevent further complications.
3.Attachment of Multi-Unit Abutments: New abutments were secured onto the existing implants to enhance stability.
4.Trial Placement: The hybrid denture was temporarily positioned to ensure proper fit, occlusion, and comfort.
5.Final Fixation: The All-on-Four hybrid denture was permanently secured using high-precision techniques to restore function and aesthetics.
6.Bite Adjustment and Polishing: Occlusion was carefully refined, and the prosthesis was polished for a natural appearance.
Post-Surgery Guidelines
For optimal healing and long-term success, the patient was advised to follow specific post-operative care instructions:
Oral Hygiene Maintenance: Regular use of prescribed antiseptic mouth rinses to prevent infections.
Dietary Restrictions: Soft food diet during the initial healing phase to avoid excessive biting forces.
Routine Follow-ups: Scheduled check-ups for prosthetic adjustments and monitoring implant stability.
Prosthesis Care: Daily cleaning of the hybrid denture using a non-abrasive brush and specialized cleaning solutions.
Outcome
The rehabilitation procedure effectively restored the patient’s oral function and aesthetics. The patient reported immediate improvement in chewing efficiency and a significant reduction in oral discomfort. Follow-up evaluations confirmed stable prosthesis integration, excellent soft tissue healing, and high patient satisfaction. The All-on-Four hybrid denture provided a secure and natural-looking dental restoration, greatly enhancing the patient’s confidence and quality of life.
Long-Term Expectations
With regular maintenance and adherence to professional guidelines, the patient is expected to experience:
Sustained Implant Stability: The implants are projected to remain secure with proper oral hygiene.
Improved Mastication: Enhanced chewing ability with reduced discomfort.
Long-Term Aesthetic Benefits: The prosthetic design ensures a natural appearance and prevents further bone loss.
Minimal Risk of Recurrence: Routine check-ups and good oral hygiene will help prevent future complications.
Patient Feedback
“I was worried about losing my ability to chew and smile confidently after my old implants failed. Dr. Suhrab Singh and his team at Neo Dental Care explained the entire process in detail, making me feel comfortable from the start. The procedure was smooth, and I felt an immediate difference after getting my new All-on-Four hybrid denture. Now, I can eat without discomfort, and my smile looks great. I’m extremely grateful to the best dentist in Noida for restoring my confidence and oral health.”
This case study demonstrates the exceptional expertise of Dr. Suhrab Singh. It also highlights the advanced dental solutions offered at Neo Dental Care, a leading dental hospital in Noida, in handling complex implant failure cases with remarkable success.
Disclaimer: The information shared in this content is for educational purposes only and not for promotional use.