Peñarrocha-Oltra D, Peñarrocha-Diago M, Balaguer-Martínez J, Ata-Ali J, Peñarrocha-Diago M. Full-arch fixed prosthesis supported by four implants in patients with recessive dystrophic epidermolysisbullosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Aug;112(2):e4-10.
The aim of this study was to describe the rehabilitation of patients diagnosed with recessive dystrophic epidermolysis bullosa (RDEB), with edentulous maxillas and/or mandibles, by using fixed full-arch short-expand prostheses supported by 4 anterior implants.
A retrospective study was carried out to study edentulous patients with RDEB rehabilitated with fixed full-arch prosthesessupported by 4 anterior implants.
In total, 32 anterior implants were placed and used to support 8 full-arch fixed prostheses; 20 implants were placed in the maxilla by using osteotomes and 12 in the mandible by using conventional drilling. Implant success rate was 100% after an average follow-up of 22.9 (range 12-48) months after prosthetic loading. Patient satisfaction with the implant therapy was very high (mean 9.0) for all the factors assessed.
Fixed full-arch short-expand prostheses supported by 4 anterior implants can be successfully used to rehabilitate patients withrecessive dystrophic epidermolysis bullosa, considerably improving these patients‘ quality of life.