{"id":5811,"date":"2015-05-04T00:00:00","date_gmt":"2015-05-03T23:00:00","guid":{"rendered":"https:\/\/blog.avinent.com\/2015\/05\/04\/sobredentaduras-sobre-barras-fresadas-y-pilares-locator\/"},"modified":"2025-06-02T17:43:54","modified_gmt":"2025-06-02T15:43:54","slug":"sobredentaduras-sobre-barras-fresadas-y-pilares-locator","status":"publish","type":"post","link":"https:\/\/avinent.com\/en\/blog\/sobredentaduras-sobre-barras-fresadas-y-pilares-locator\/","title":{"rendered":"Sobredentaduras sobre barras fresadas y pilares Locator\u00ae"},"content":{"rendered":"

\t\t\t\tActualmente el CAD-CAM<\/strong> es una herramienta de gran utilidad para dise\u00f1ar y confeccionar barras fresadas en titanio para retener estas sobredentaduras<\/strong>. Este tipo de rehabilitaci\u00f3n est\u00e1 indicada principalmente en:<\/p>\n

    \n
  1. \n
      \n
    1. \u2013 Tratamiento de atrofias severas de los maxilares.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
        \n
      1. \n
          \n
        1. \u2013 Presencia de grandes divergencias entre implantes<\/strong>.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
            \n
          1. \n
              \n
            1. \u2013 Necesidad de gran retenci\u00f3n y estabilidad de la pr\u00f3tesis.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n

              La utilizaci\u00f3n de este tipo de barras fresadas, nos aporta una serie de ventajas respecto a las sobredentaduras convencionales:<\/p>\n

                \n
              1. \n
                  \n
                1. \u2013 Nos permite a\u00f1adir en la estructura elementos de retenci\u00f3n como Locators\u00ae<\/span><\/sup><\/strong>.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                    \n
                  1. \n
                      \n
                    1. \u2013 Los elementos de retenci\u00f3n pueden ser colocados en su posici\u00f3n ideal sobre la barra, trabajando de manera m\u00e1s eficiente que si estuvieran colocados directamente sobre el implante.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                        \n
                      1. \n
                          \n
                        1. \u2013 Las sobredentaduras sobre barras fresadas tienen mayor estabilidad que las retenidas directamente sobre los implantes.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                            \n
                          1. \n
                              \n
                            1. \u2013 Presencia de cierta fricci\u00f3n entre la barra y la meso-estructura.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                                \n
                              1. \n
                                  \n
                                1. \u2013 Se observa menor reabsorci\u00f3n de las bases \u00f3seas que en sobredentaduras retenidas con anclajes directos a implante.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n

                                  Este tipo de barras tambi\u00e9n se pueden realizar mediante procesos de fabricaci\u00f3n convencionales, pero la tecnolog\u00eda CAD-CAM<\/strong> nos ofrece valor a\u00f1adido, principalmente por:<\/p>\n

                                    \n
                                  1. \n
                                      \n
                                    1. \u2013 Mayor facilidad de dise\u00f1o.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                                        \n
                                      1. \n
                                          \n
                                        1. \u2013 Mejor ajuste.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                                            \n
                                          1. \n
                                              \n
                                            1. \u2013 Menor tiempo de laboratorio.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                                                \n
                                              1. \n
                                                  \n
                                                1. \u2013 Mayor simplicidad t\u00e9cnica.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n

                                                  A continuaci\u00f3n se detallan los pasos del dise\u00f1o y elaboraci\u00f3n de una rehabilitaci\u00f3n total de un paciente que presentaba una gran reabsorci\u00f3n \u00f3sea maxilar y mandibular. Se decidi\u00f3 tratar el caso mediante una sobredentadura sobre barra fresada con pilares de anclaje Locator<\/strong><\/sup>\u00ae<\/sup><\/strong><\/span>.<\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  La mand\u00edbula era extremadamente atr\u00f3fica y presentaba un espacio muy limitado para colocar implantes por la presencia del canal incisivo. Esto nos oblig\u00f3 a realizar una barra fresada en titanio grado V<\/strong> para distalizar los elementos de retenci\u00f3n (Locators\u00ae<\/strong>) y aportar estabilidad y retenci\u00f3n suplementaria a la pr\u00f3tesis.<\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  En el maxilar, la presencia limitada de hueso en anchura no permiti\u00f3 una emergencia paralela de los implantes. Esta discrepancia se soluciono ferulizando los implantes mediante una barra CAD-CAM<\/strong> fresada en titanio grado V.<\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  Una vez acabadas las barras en el centro de fresado, se mandaron al laboratorio para elaborar las supraestructuras reforzadas con una estructura interna de Co-Cr<\/strong> adaptada a la barra primaria.<\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  De esta manera la rehabilitaci\u00f3n final puede ser removida por el paciente, posibilitando de esta forma, una mejor higiene y cuidado de los implantes. La funcionalidad y la est\u00e9tica, junto a un bajo \u00edndice de complicaciones y unos elevados niveles de satisfacci\u00f3n y aceptaci\u00f3n por parte de los pacientes, convierte a las sobredentaduras implanto-soportadas sobre barras fresadas en una buena alternativa como tratamiento para pacientes con maxilares atr\u00f3ficos.<\/p>\n

                                                  <\/p>\n

                                                  <\/p>\n

                                                  Blibliografia:<\/strong><\/h1>\n
                                                    \n
                                                  1. \n
                                                      \n
                                                    1. \u2013 Bohen GC, Ragboebar GM, Vissink A, Meijer HJ<\/strong>. Improving masticatory performance, bite force, nutritional state and patient\u2019s satisfaction with implant overdentures: a systemathic review of the literature<\/em>. J Oral Rehab 2014. Oct 13. doi: 10.1111\/joor.12241<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                                                        \n
                                                      1. \n
                                                          \n
                                                        1. \u2013 Katsoulis J, W\u00e4lchi J, Kobel S, Gholami H, Merecske-Stern R<\/strong>. Complications with Computer-Aided Designed\/Computer- Assisted Manufactured Titanium and soldered gold bars for mandibular implant overdentures: Short-Term observations<\/em>. Clinical Dent Related Res.2013. Aug 5. doi: 10.1111\/cid.12130<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n
                                                            \n
                                                          1. \n
                                                              \n
                                                            1. \u2013 Greenstein G, Tarnow D.<\/strong>The mental foramen and nerve Clinical and anatomical factors related to dental implants placement: a literature review.<\/em> J Periodontol. 2006; 77(12):1933-43.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n

                                                              <\/p>\n

                                                              <\/div>\n

                                                              <\/p>\n

                                                              \n
                                                              \n

                                                              Colaboradores<\/h3>\n
                                                              \n
                                                              \n
                                                              \n

                                                              Laboratorio DENTEK<\/h4>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

                                                              Actualmente el CAD-CAM es una herramienta de gran utilidad para dise\u00f1ar y confeccionar barras fresadas en titanio para retener estas sobredentaduras. Este tipo de rehabilitaci\u00f3n est\u00e1 indicada principalmente en: \u2013 Tratamiento de atrofias severas de los maxilares. \u2013 Presencia de grandes divergencias entre implantes. \u2013 Necesidad de gran retenci\u00f3n y estabilidad de la pr\u00f3tesis. La […]<\/p>\n","protected":false},"author":2,"featured_media":6055,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[37],"tags":[80],"profesional_medics":[],"segment":[],"class_list":["post-5811","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casos-clinicos","tag-sobredentadura"],"acf":[],"yoast_head":"\n\u25b7Sobredentaduras sobre barras fresadas y pilares Locator\u00ae - \u3010 Avinent \u3011<\/title>\n<meta name=\"description\" content=\"Actualmente el CAD-CAM es una herramienta de gran utilidad para dise\u00f1ar y confeccionar barras fresadas en titanio\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u25b7Sobredentaduras sobre barras fresadas y pilares Locator\u00ae - 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