Bimaxillary Full Arch Fixed Dental Implant Supported Treatment for a Patient With Renal Failure and Secondary Hyperparathyroidism and Osteodystrophy
A long-term dialysis patient with end-stage renal disease (ESRD) also referred to as chronic kidney disease (CKD) due to IgA nephropathy complicated by severe secondary hyperparathyroidism and renal osteodystrophy was successfully treated with dental implant-supported fixed prostheses. Phosphate binders, vitamin D, calcium cinacalcet calcimimetic therapy, and dialysis 3 times weekly had been instituted with standard divalent ion serum assessments. Successful control of the patient's secondary hyperparathyroidism was achieved. Long and wide diameter implants were used with an anterior guidance occlusion scheme to reduce the per-square-millimeter off-axial implant force delivered to the bone. Patients with ESRD and renal osteodystrophy may be successfully surgically and prosthetically treated with long wide dental implants supporting fixed full arch splinted dental prostheses with an appropriate occlusal scheme.
Figure 1. Preoperative frontal view. Figure 2. Preoperative right side. Figure 3. Preoperative left side. Figure 4. Preoperative panoramic radiograph. Figure 5. Postoperative radiograph of bimaxillary placed implants. Figure 6. Frontal view of cemented prostheses. Figure 7. Panoramic radiograph of cemented prostheses. Figure 8. Frontal view after 2 years of uneventful function.
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