{"id":6370,"date":"2015-07-02T16:55:53","date_gmt":"2015-07-02T14:55:53","guid":{"rendered":"https:\/\/www.zerodonto.com\/en\/?p=6370"},"modified":"2017-10-19T14:44:25","modified_gmt":"2017-10-19T12:44:25","slug":"fence-technique-innovative-reconstruction-procedure","status":"publish","type":"post","link":"https:\/\/www.zerodonto.com\/en\/2015\/07\/fence-technique-innovative-reconstruction-procedure\/","title":{"rendered":"“Fence Technique”: an innovative reconstruction procedure"},"content":{"rendered":"

Edentulism<\/em> was defined as a pathological condition by the World Health Organization in 1990. The discomfort and inconvenience that this condition can generate in terms of aesthetics, function, as well as psychologically, can be so debilitating as to consider edentulism a social handicap.<\/p>\n

Due to the gradual increase in the average age of the population, today there are more and more people in their seventies who are enjoying overall good health and intrapersonal relationships. Their expectations have significantly increased as well, and as patients are no longer satisfied with traditional removable dentures; explicit requests are now frequently made for fixed prosthetic solutions with a high level of aesthetics and correct function.<\/p>\n

One such example is this patient who came to our observation in 2009 complaining of severe discomfort from a functional and aesthetic perspective (Fig. 1). His dentures were worn and unstable, causing frequent lacerations and sores on the gingival tissues and oral mucosa. The patient reported that this condition was causing psychological problems and lowering his self-esteem, therefore his desire was to solve this complex situation , if possible, with a fixed prosthesis. The assessment of the patient\u2019s systemic risk profile pointed out that his general health conditions were good and that he would classify as ASA class I (Owens et al. 1978).<\/p>\n

The evaluation of local risk factors showed the presence of few dental elements (that were in fact compromised) and a particularly marked atrophy of both the upper and lower jaw. The severe bone deficit could have been related also to infrequent readjustment of the prosthesis.<\/p>\n

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Fig. 1. Photographs taken during the patient\u2019s first visit<\/strong><\/p>\n

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Based on these assessments, as well as a panoramic and a lateral-latero cephalometric x-ray (Fig. 2), a thorough diagnosis was effected during the patient\u2019s first visit and a hypothesis of an implant-prosthetic rehabilitation, taking into consideration costs and chair time , was formulated<\/p>\n

Fig. 2. Initial Radiographs<\/strong><\/p>\n

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The proposal consisted of:<\/p>\n