Editorial Type:
Article Category: Letter
 | 
Online Publication Date: 14 Sept 2023

14 Years On: A Clinical Case Report of an 86-Year-Old Patient With Full Arch Implant-Supported Restorations With Auro Galvano Crown Attachments

DDS, PhD,
DDS, PhD,
DDS, PhD, and
DDS, PhD
Page Range: 382 – 387
DOI: 10.1563/aaid-joi-D-21-00061
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Oral reconstruction in fully edentulous patients can be challenging at times. Hence, it is important to offer the most suitable treatment option after a detailed clinical examination and treatment plan. This 14-year long-term follow-up report is the clinical case of a 71-year-old nonsmoker who visited the clinic in 2006 and opted for full-mouth reconstruction using Auro Galvano crown (AGC) attachments. Maintenance was performed twice a year for the past 14 years, and the clinical results were satisfactory, with no signs of inflammation or lack of retention of the superstructures. This was associated with a high level of patient satisfaction, as indicated by the Oral Health Impact Profile. Compared to the screw-retained implants over dentures, AGC attachments can be a viable and effective treatment option when restoring fully edentulous arches.

Keywords: implantology; full-mouth reconstruction; Auro Galvano crown; osseointegration; implant prostheses
Figure 1.
Figure 1.

Oral findings at the first visit (2006). Overall inflammation of the gingiva, mobility, caries, and abfraction in most of the teeth.

Figure 2.
Figure 2.

Recording of the vertical dimension and centric relation.

Figure 3.
Figure 3.

Crown-down treatment concept. Confection of custom abutments based in wax-up and silicone core.

Figure 4.
Figure 4.

Intraoral testing of custom abutments, gold-electroformed cap, and titanium frame.

Figure 5.
Figure 5.

Final anterior tooth arrangement in the centric occlusion and recording of the posterior occlusal contacts.

Figure 6.
Figure 6.

Delivery of final restorations (2007).

Figure 7.
Figure 7.

Dental implant maintenance. Plastic-covered ultrasonic scalers (a). single-tuft toothbrush with ConCool solution (b).

Figure 8.
Figure 8.

Seven years’ follow-up after delivery of final restorations (2014).

Figure 9.
Figure 9.

Fourteen years’ follow-up after delivery of final restorations (2021).

Figure 10.
Figure 10.

Evaluation of patient satisfaction before the treatment and 14 years after delivery of the superstructures with the Oral Health Impact Profile-14.

Contributor Notes

*  Corresponding author, e-mail: hiromi2812@gmail.com
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