Planejamento reverso aplicado a reabilitações totais superiores implantadas: relato de caso

Abstract

Reverse planning applied to higher total implanted rehabilitations is indispensable to guide the correct choice of the type of prosthesis to be made. The present study aims to demonstrate clinically the stages of this planning, rehabilitating the case according to its particularities, in the most indicated way and allowed by the patient. Upper - tooth edentulous male patient, under total removable upper prosthesis and lower protocol type prosthesis (in good clinical and radiographic conditions) sought care to rehabilitate the upper arch with dental implants. Before the surgical procedure, the reverse planning was performed and found that the patient would not need compensation in the prosthesis for lip support, and then the preparation of prosthesis type superior protocol. Once the surgical guide was made, the surgery was performed, where 6 implants were installed in the maxilla, and 6 months after surgery, after the radiographic and clinical examination, the prosthesis chosen during the planning phase was started. Patient is being treated annually to monitor the situation of implants and prostheses. It can be concluded that reverse planning is the best way to avoid unwanted outcomes and create false expectations in the patient, guiding the professional so that he can rehabilitate each case in the most appropriate way and with a more favorable prognosis possible for the patient, both functionally , as well as aesthetically