Choix des thérapeutiques implantaires et critères décisionnels chez le patient édenté complet maxillaire

Abstract : The toothless’ prevalence tends to decrease in most of the industrialized nations. For all that, the number of toothless will continue to increase for several decades owing to the rise of the average age of the population. For more than a century, the conventional total removable maxillary and mandibular prosthesis have been the standard treatments. Nevertheless, thanks to Mc Gill’s consensus, patients have been presented with new therapeutical options concerning the toothless jaw’s recovery especially of the mandible. But what is the situation with the maxillary arch? After highlighting the anatomical characteristics of the maxillary, the different decision-making criteria enabling to choose between several therapeutical implant options aiming to restore the toothless’ maxillary will be discussed. The therapeutical implant options are mainly of the number of four : the « All-on-six » concept, the « All-on-four » concept, the total fixed prosthesis on zygomatic implants, the PACSI (total removable prosthesis on implants). Whatever the practitioner’s therapeutical choice, it has been proved in literature that they are all reliable and viable in time. However, each one of them has its own precise indications that have to be respected. Moreover, the restoration’s project has to be thought in advance with for instance a precise and meticulous surgical planning.
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Master Thesis
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Laura Barone. Choix des thérapeutiques implantaires et critères décisionnels chez le patient édenté complet maxillaire. Chirurgie. 2019. ⟨dumas-02110255⟩

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