Núñez Marbán Eva Isabel DDS*, Espinoza Santos Alejandro DDS** PROSTHODONTICS AND IMPLANTOLOGY DEPARTMENT, UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO, UNAM, MEXICO CITY.

INTRODUCTION: In the sixth decade of the Last century were widely used with controversial results, two types of implants it involved subperiosteal implants and blade implants.

Patient: Male SLH Occupation: Priest AP: Does not mention any disease Marital status: Single Age: 81 years "Restore my mouth, I can’t speak"

Detachment of the blade implants which caused the eviction of the rehabilitation of the maxilla. Low angular crestal bone loss around these types of implants. 1

Núñez Marbán Eva Isabel DDS*, Espinoza Santos Alejandro DDS** PROSTHODONTICS AND IMPLANTOLOGY DEPARTMENT, UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO, UNAM, MEXICO CITY.

Pre-surgical, radiographic and tomographic evaluation

Phase I

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General health, physical autonomy. Financial considerations. Difference in the nature of the bone in the edentulous maxilla and mandible. Occlusal force. Anatomical risk factors and available bone volume.

Tomographic evaluation

Implant-supported jaw overdenture through 2 regular diameter 4.1 x 6 Tissue Level implants with axial Locator type attachments 2

Núñez Marbán Eva Isabel DDS*, Espinoza Santos Alejandro DDS** PROSTHODONTICS AND IMPLANTOLOGY DEPARTMENT, UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO, UNAM, MEXICO CITY.

Mucogingival surgery

Phase II

Before

Removal resilient tissue in the anterior segment of the maxilla to achieve stability of the dentures 21 days control

3

After

Núñez Marbán Eva Isabel DDS*, Espinoza Santos Alejandro DDS** PROSTHODONTICS AND IMPLANTOLOGY DEPARTMENT, UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO, UNAM, MEXICO CITY.

Locators

Laboratory procedure

Minimum standard of care for the edentulous mandible.

Clinical procedure 4

Electromyography

Núñez Marbán Eva Isabel DDS*, Espinoza Santos Alejandro DDS** PROSTHODONTICS AND IMPLANTOLOGY DEPARTMENT, UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO, UNAM, MEXICO CITY.

Blade

Conclusions

Conical

The blade implant is a valid therapeutic device useful for treating cases with particular anatomical characteristics. The results with blade implants were controversial, which was confirmed through the radiographic and clinical study that was obtained from the patient in his previous treatment. Today, osseointegration has made significant advances, placing implants in a conical shape, there is a higher success rate to provide function and aesthetics. Being the overdenture treatment of choice with two implants for edentulous patients.

Vs

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REFERENCES: BLADE IMPLANTS IN THE TREATMENT OF THIN RIDGES, Luca Dal Carlo, DDS; Marco E. Pasqualini, DDS; Michele Nardone, Medical Officer, Ministry of Health, Rome, Italy; and Prof. Leonard I. Linkow, DDS. 2013. Lezzi G, Scarano A, Perrotti V, Tripodi D, Piattelli A. Immediately loaded blade implants. A histological and histomorphometrical evaluation after a long loading period. A retrospective 20 years analysis (1989-2009). J Osseointegr 2012;3(4):39-42. Diotallevi P, Dal Carlo L, Pasqualini ME, Mazziotti S, Nardone M, Moglioni E. Radiological evaluation of long term complications of oral rehabilitations of thin ridges with titanium blade implants. J Osseointegr 2014;6(1):11-14. Mandibular two implant- supported overdentures as the first choice standard of care for edentulous patients - The York Consensus Statement, British Dental Journal 207 NO. 4 AUG 22 2009