Complications from Greece

64 year old, Female.

• Severe pain and burning sensation from the use of upper dental implant bar supported removable overdenture – performed at a hospital / academic institution in Greece.

• Unsatisfactory tooth crown and bridge work in lower jaw due to poor margin fit and dental caries (tooth decay) development)
• Unsatisfactory upper dental implant bar supported removable overdenture – design issues include:
  • Inadequate space allowed for bar design – missing bar section at the front part of upper jaw due to prominent incisive papilla (nerve and arterial opening).
  • Inadequate space for oral hygiene measures (cleaning) under bar- gum overgrowth around bar (pain, swelling, redness).
• Chronic atrophic candidiasis (denture stomatitis)- fungal gum infection underlying overdenture

• Dismantle of dental implant bar in the upper jaw and modification of existing upper complete denture to allow temporary use – offering immediate relief of pain and burning sensation.
• Dismantle dental crown and bridge work in lower teeth (as required) to determine the restorability and their replacement.
• Extraction (removal) of lower right canine tooth – found unrestorable.
• Construction of new upper full arch dental implant (conus abutment) supported and retained removable overdenture.