Citation Information :
Hegde R, John N, Shetty A, Shetty M, Garlapati N, Palaniswamy S. A Rare Presentation of Idiopathic Multiple Impacted Teeth and Its Management with Multiunit Abutment and Malo Bridge. World J Dent 2021; 12 (6):492-495.
Aim and objective: This case report aims to bring into limelight the full mouth rehabilitation in the non-syndromic presentation of multiple carious teeth and impacted teeth, using multiunit abutments.
Background: Presentation of multiple impacted teeth is very rare among the Indian population unless it is associated with syndromes or eruption disturbances. However, there are very rare instances where such patients do present with non-syndromic associations. Functional and esthetic rehabilitation of the condition becomes very crucial especially in young patients. Implants by far are considered to provide the best definitive option.
Materials and methods: The surgical protocol was to extract existing partially erupted teeth and immediately place implants. Multiunit screw-retained abutments were loaded within 6 weeks. A passively seating full-arch prosthesis was designed with anterior Malo bridge. This was done to mask the labially facing unesthetic screw holes of the angulated abutments.
Conclusion: In the above-mentioned case, delivery of a functional prosthesis was possible because of the use of multiunit abutments. Furthermore, the Malo bridge masked the labially facing unesthetic screw holes of the angulated abutments, thereby providing good esthetic results. Additionally, there is also the option of prosthesis retrievability, wherein the practitioner can unscrew the prosthesis whenever a surgical removal of the impacted teeth is necessary.
Clinical significance: With the use of multiunit abutments, it is possible to deliver fast treatment without compromising on esthetics and functionality.
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