Integrated surgical-prosthetic planning in a patient with alzheimer's disease: a clinical case report
DOI:
https://doi.org/10.62331/2965-758X.v3.2025.75Keywords:
Oral rehabilitation, Dental implants, Surgical planning, Planning guide, Alzheimer's disease, Implant-supported prosthesisAbstract
Contemporary implantology prioritizes osseointegration and primary stability, grounded in titanium alloys and surface treatments. This study aimed to report an integrated surgical-prosthetic planning protocol for a patient with Alzheimer's disease. Planning was based on clinical examinations, panoramic radiography, and computed tomography, followed by impressions for surgical guide fabrication and an articulator-mounted model. For mandibular rehabilitation, four CM Titamax® implants (11 mm × 3.75 mm) were placed with strategic posterior inclination to optimize prosthetic support. Despite adequate primary stability (45 N), neurodegenerative progression required protocol adaptation, leading to the replacement of immediate loading with a provisional prosthesis featuring mini-conical abutments. The study emphasizes that neurodegenerative and systemic factors may necessitate therapeutic modifications, although reverse planning with surgical guides and 3D imaging remains crucial for predictability.
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Copyright (c) 2025 Jucelino Fernandes Santana Junior, Farid Jamil Silva de Arruda, André Luis da Silva Fabris, Samuel Lucas Fernandes, Ana Gabriela Vieira Miranda, Ueverton Rodrigues de Sousa

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