Mandibular Rehabilitation: The Peculiarities of the Multifunctional Guide

Obtaining the ideal position of the implant is a critical consideration in surgeries for rehabilitation, favoring the ideal design of the prosthesis and an adequate maintenance of oral hygiene. A multifunctional guide can function as a surgical template during implant placement and provides a framework for the definitive impression and occlusal registration. The aim of this case report is show the need for good prosthetically - driven implant planning using a multifunctional guide before performing surgeries for prosthetic rehabilitation, through a case of poorly positioned implants, which affected the quality of the prosthesis. The patient had poorly positioned implants with bone loss that affected the quality of overdenture prosthesis, which did not provide comfort and safety in chewing. After radiographic and tomographic examinations, it was then planned the removal of all implants and new implant installation, as well as the preparation of a new prosthesis. The protocol proposed by Br?nemark was adopted, with the installation of five new implants in ideal positions with the use of the multifunctional guide as a reference, and a new prosthesis was manufactured, following the concepts of occlusion and stability. The new prosthesis was installed 48 hours after surgery and provided comfort and satisfaction to the patient, returning masticatory and aesthetic function. After 18 months according to the patient is satisfied. The use of the multifunctional guide proved to effective for the success of mandibular rehabilitation with implants.