Rehabilitation of a maxillary partial edentulous patient using an implant-supported overdenture retained with two bilateral milled bars

2020 ◽  
Vol 13 (8) ◽  
pp. e235530
Author(s):  
Atif Mohammed Almadani ◽  
Fabian Huettig
Keyword(s):  
Alveolar Bone ◽  
Treatment Plan ◽  
Treatment Options ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Masticatory Efficiency ◽  
Final Treatment ◽  
Natural Teeth ◽  
Edentulous Patients ◽  
Natural Tooth

The use of implants has enabled more treatment options for prosthetic rehabilitation of partially and completely edentulous patients. This clinical report describes a treatment approach for an 80-year-old patient taking advantage of the remaining natural teeth for prosthetic rehabilitation. The final treatment plan included natural tooth-supported and implant-supported crowns combined with a milled bar partial overdenture retained by tilted dental implants. The overdentures supported by the milled bar implants provide the advantages of both fixed and removable restorations. In addition to patient satisfaction, the overdentures also minimise alveolar bone resorption, increase longevity and stability and improve masticatory efficiency.

Prosthetic Rehabilitation of a Complete Bilateral Maxillectomy Patient Using a Simple Magnetically Connected Hollow Obturator: A Case Report

2008 ◽  
Vol 9 (1) ◽  
pp. 70-76 ◽  
Author(s):  
T. Sunil Chandra ◽  
Amar Sholapurkar ◽  
Robin Mathai Joseph ◽  
I.N. Aparna ◽  
Keerthilatha M. Pai
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Mouth Opening ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Facial Contour ◽  
Masticatory Efficiency ◽  
Full Complement ◽  
Obturator Prosthesis

Abstract Aim The purpose of this clinical report is to present a description of the prosthetic rehabilitation of a bilateral complete maxillectomy patient using a two piece magnetically connected prosthesis. Background A complete bilateral maxillectomy defect presents a considerable reconstructive challenge for the prosthodontist. It results in devastating effects on cosmetic, functional, and psychological aspects of the patient. Report A 46-year-old woman reported with a chief complaint of missing teeth in the upper jaw. Her primary concerns were a poor facial appearance, inability to chew food, and regurgitation of the food into the nasal cavity. She was diagnosed with carcinoma of the maxillary sinus, for which a bilateral maxillectomy was done followed by post surgical radiation therapy. The prosthetic treatment objectives were to separate the nasal and oral cavities, restore the mid-facial contour, and improve her masticatory functions by providing a full complement of maxillary teeth using a two-piece connected hollow obturator prosthesis connected by a magnet. Summary Insertion and removal of a large prostheses used for rehabilitation of midfacial defects requires good neuromotor coordination and an adequate mouth opening. Because these factors were problematic for this patient, the treatment plan was to fabricate a two piece magnetically connected prosthesis. After fabrication and insertion of the prosthesis, the fit between two sections was evaluated and instructions for insertion, removal, and maintenance of the obturator were given. The patient's speech, masticatory efficiency, and swallowing dramatically improved after insertion. Citation Chandra TS, Sholapurkar A, Joseph RM, Aparna IN, Pai KM. Prosthetic Rehabilitation of a Complete Bilateral Maxillectomy Patient Using a Simple Magnetically Connected Hollow Obturator: A Case Report. J Contemp Dent Pract 2008 January; (9)1:070-076.

Use of Patient's Own Natural Teeth as Part of the Interim Prosthesis on Immediately Placed Single Implants in a Staged Surgical Approach: A Clinical Report

2018 ◽  
Vol 44 (5) ◽  
pp. 351-357
Author(s):  
Sarah A. Bukhari ◽  
Abdulaziz AlHelal ◽  
Periklis Proussaefs ◽  
Antoanela Garbacea ◽  
Mathew T. Kattadiyil
Keyword(s):  
Surgical Approach ◽  
Poor Prognosis ◽  
Tooth Extraction ◽  
Treatment Plan ◽  
Acrylic Resin ◽  
Clinical Report ◽  
Implant Placement ◽  
Natural Teeth ◽  
Natural Tooth

A technique is described where the tooth's natural crown is used as part of the interim implant supported prosthesis in clinical situations where a tooth with poor prognosis is extracted and an implant is placed immediately after tooth extraction. A preliminary impression is made before tooth extraction, and the exact tooth positioning is assessed in the laboratory as part of the treatment plan. An acrylic resin repositioning jig is fabricated that will guide the clinician in seating and orienting the crown intraorally after implant placement is completed. After the natural tooth is extracted and an implant is immediately placed via guided approach, the extracted natural crown is hollowed and placed on top of an interim abutment. The natural crown is positioned intraorally by using the acrylic resin repositioning jig. The crown is then internally relined and placed as part of the interim implant supported prosthesis. After osseointegration has been confirmed, a definitive prosthesis is placed.

scholarly journals Comprehensive Treatment of a Partially Edentulous Patient with Overdentures

2014 ◽  
Vol 4 (3) ◽  
pp. 185-189
Author(s):  
Jyoti Nadgere ◽  
Ganesh Pandurang Mengal
Keyword(s):  
Treatment Plan ◽  
The Other ◽  
Comprehensive Treatment ◽  
Complete Dentures ◽  
Edentulous Patient ◽  
Partial Denture ◽  
Masticatory Efficiency ◽  
Important Benefit ◽  
Natural Teeth ◽  
Edentulous Patients

ABSTRACT Treatment of partially edentulous patients with few remaining teeth is very challenging. These cases can be successfully treated with natural teeth supported overdentures. Comprehensive treatment plan with natural teeth supported overdentures saves the proprioceptive response of the teeth, along with other benefits such as improved masticatory efficiency, better retention, stability, support as compared to conventional tissue supported complete dentures. The other most important benefit of overdentures is the psychological security of well retaining dentures which increases patient's confidence level. This article presents a case report in which a partially edentulous patient was successfully rehabilitated with comprehensive treatment of maxillary natural teeth supported overdenture with locator attachment (Zest Anchors) and mandibular partial denture. How to cite this article Mengal GP, Ram SM, Nadgere J, Shah N. Comprehensive Treatment of a Partially Edentulous Patient with Overdentures. J Contemp Dent 2014;4(3):185-189.

scholarly journals Prosthetic Rehabilitation on Edentulous Patients with Microstomia: About Three Cases

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Oumaima Tayari ◽  
Jamila Jaouadi ◽  
Safa Jemli ◽  
Hela Haloui ◽  
Ali Ben Rahma
Keyword(s):  
Quality Of Life ◽  
Treatment Options ◽  
Clinical Treatment ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Oral Aperture ◽  
Oral Opening ◽  
Abnormal Condition ◽  
Edentulous Patients

Limited oral opening is an acquired or congenital abnormal condition that compromises patient esthetics, nutrition, and quality of life. In addition, it may hinder conventional prosthetic procedures of edentulous patients, make it challenging, and present difficulties at all its stages. This clinical report presents different clinical treatment options suitable to be chosen by the prosthodontic carer in the case of reduced oral aperture.

scholarly journals The Esthetic Salutation and Functional Acceptance of Maxillary Superimposed Prosthesis

2016 ◽  
Vol 7 (2) ◽  
pp. 107-110
Author(s):  
Vini Rajeev ◽  
Rajeev Arunachalam ◽  
Sivadas Ganapathy ◽  
Vaishanavi Vedam
Keyword(s):  
Case Report ◽  
Alveolar Bone ◽  
Treatment Options ◽  
Prosthetic Rehabilitation ◽  
Edentulous Patient ◽  
Restorative Treatment ◽  
Double Crown ◽  
Abutment Teeth ◽  
Natural Teeth

ABSTRACT In cases where patients are left with few teeth, clinicians face a dilemma. Psychological satisfaction of the patient by retaining the natural teeth not only provides retention but also helps in the preservation of the alveolar bone and proprioception. Overdenture therapy has a long-term advantage where the forces of mastication are directed along the long axis of the abutment teeth, which provides guidance and support and further prevents the dislodgement of denture during movements. Overdenture design remains one of the best treatment options for patients who do not have the financial ability to support an extensive restorative treatment. This management is a preventive prosthodontic therapy, which can delay or eliminate future prosthodontic problems. This case report is about the prosthetic rehabilitation of a partially edentulous patient using a hybrid overdenture with a double crown for the maxilla and conventional overdenture for the mandible, giving the patient a denture with better esthetics, more support, and retention. How to cite this article Rajeev V, Arunachalam R, Ganapathy S, Vedam V. The Esthetic Salutation and Functional Acceptance of Maxillary Superimposed Prosthesis. World J Dent 2016;7(2): 107-110.

Splinting Osseointegrated Implants and Natural Teeth in Partially Edentulous Patients: A Systematic Review of the Literature

2012 ◽  
Vol 38 (4) ◽  
pp. 424-434 ◽  
Author(s):  
Anastasios Mamalis ◽  
Kleopatra Markopoulou ◽  
Konstatinos Kaloumenos ◽  
Antonis Analitis
Keyword(s):  
Systematic Review ◽  
Therapeutic Option ◽  
Survival Rates ◽  
Term Survival ◽  
Osseointegrated Implants ◽  
Rigid Connection ◽  
Natural Teeth ◽  
Edentulous Patients ◽  
Natural Tooth

Dental implants in partially edentulous patients are a predictable therapeutic option. In patients with reduced bone volume, tooth-to-implant connected prostheses have been described as a treatment option. In this systematic review, the incidence of biologic and technical complications and the long-term survival rates of tooth-implant supported fixed partial dentures (FPDs) are analyzed. In cases where a natural tooth is connected with an implant to support a FPD, a rigid connection should be preferred.

scholarly journals RESECTION AND REGENERATION- A HOPE FOR THE HOPELESS

2020 ◽  
pp. 1-5
Author(s):  
Apeksha Annigeri B. ◽  
Rajiv Nidasale Puttaswamaiah ◽  
Avinash Janaki Lingaraju
Keyword(s):  
Alveolar Bone ◽  
Treatment Plan ◽  
Treatment Options ◽  
Case Series ◽  
Cost Effective ◽  
Ridge Preservation ◽  
Tooth Structure ◽  
Implant Placement ◽  
Long Term Prognosis

Preservation of tooth structure has always been the prime aim of dental practice. Teeth with advanced periodontal disease in multirooted teeth often pose a significant challenge to the clinician, complicating the treatment plan and compromising long term prognosis. The outcome of the treatment is determined by proper case selection and surgical, endodontic and prosthetic parameters. Resective and regenerative osseous procedures are often employed to help preserve the tooth structure, alveolar bone involving the retained root of multirooted teeth and are cost effective over the other treatment options like ridge preservation/augmentation followed by implant placement. This case series describes application of resective and regenerative techniques for molars with extensive combined periodontal-endodontic disease.

Tratamento da Classe II com Invisalign

2021 ◽  
Vol 14 (53) ◽  
pp. 107-119
Author(s):  
Alexandre Moro ◽  
Bruna Girotto Olinquevicz ◽  
Nathaly D. Morais ◽  
Stéffany dos Anjos Francisco ◽  
Francielle Topolski ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Treatment Options ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Clinical Report ◽  
Orthodontic Appliance ◽  
Dental Aesthetics ◽  
Tooth Extractions ◽  
Class Ii Elastics

Complete correction of Class II malocclusion in an adult patient is not an easy task. In a case with large skeletal discrepancy, orthognathic surgery is the treatment of choice. However, in case of slight or borderline discrepancy, other treatment options are available, such as tooth extractions and miniscrews. Intermediate cases can also be treated with Class II correctors and elastics. This clinical report presents the orthodontic treatment of a 25-year-old female patient with Class II malocclusion. Clinically, the maxilla was well positioned, and the mandible was slightly retruded. The patient presented vestibularized upper incisors, well-positioned lower incisors and opted for a more aesthetically attractive orthodontic appliance. The treatment plan included teeth leveling and aligning in both arches, Class II correction, establishment of Class I molar and canine relationships, correction of overjet and overbite, midline correction, and improvement of facial and dental aesthetics. The orthodontic treatment consisted of removable Invisalign aligners and Class II elastics.

scholarly journals Natural Tooth Pontic: An Instant Esthetic Option for Periodontally Compromised Teeth—A Case Series

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Rishi Raj ◽  
Kriti Mehrotra ◽  
Ipshita Narayan ◽  
Triveni Mavinakote Gowda ◽  
D. S. Mehta
Keyword(s):  
Tooth Loss ◽  
Treatment Options ◽  
Three Dimensional ◽  
Case Series ◽  
Final Treatment ◽  
Removable Prosthesis ◽  
Abutment Teeth ◽  
The Right ◽  
Natural Tooth ◽  
Early Wound

Sudden tooth loss in the esthetic zone of the maxillary or mandibular anterior region can be due to trauma, periodontal disease, or endodontic failure. The treatment options for replacing the missing tooth can vary between removable prosthesis, tooth-supported prosthesis, and implant-supported prosthesis. Irrespective of the final treatment, the first line of management would be to provisionally restore the patient’s esthetic appearance at the earliest, while functionally stabilizing the compromised arch. Using the patient’s own natural tooth as a pontic offers the benefits of being the right size, shape, and color and provides exact repositioning in its original intraoral three-dimensional position. Additionally, using the patient’s platelet concentrate (platelet rich fibrin) facilitates early wound healing and preservation of alveolar ridge shape following tooth extraction. The abutment teeth can also be preserved with minimal or no preparation, thus keeping the technique reversible, and can be completed at the chair side thereby avoiding laboratory costs. This helps the patient better tolerate the effect of tooth loss psychologically. The article describes a successful, immediate, and viable technique for rehabilitation of three different patients requiring replacement of a single periodontally compromised tooth in an esthetic region.

scholarly journals Soft Tissue Dehiscence Associated with a Titanium Patient-Specific Implant: A Prosthetic Solution as an Alternative to Soft Tissue Grafting

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Sharaf Eldeen M. Abbas ◽  
Mohamed A. ELKhashab
Keyword(s):  
Soft Tissue ◽  
Treatment Plan ◽  
Treatment Options ◽  
Patient Specific ◽  
Clinical Report ◽  
Food Impaction ◽  
Removable Partial Denture ◽  
Implant Exposure ◽  
Removable Prosthesis ◽  
Soft Tissue Complication

Patients. This clinical report describes the detailed prosthodontic management of a 23-year-old male patient suffering from soft tissue complication following the placement of a 3d-printed titanium patient-specific implant. This implant was implemented simultaneously with the resection of a calcifying cystic odontogenic tumor related to the maxillary arch. Later, soft tissue dehiscence and implant exposure were encountered with subsequent food impaction, infection, and pus discharge. The treatment plan was to fabricate removable partial denture. The prosthesis was planned to be retained by bar and clip attachment on the patient-specific implant side, while on the other side, the removable prosthesis was allowed to engage two abutments with an embrasure clasp assembly in addition to covering the palatal tissues to offer protection for the soft tissue dehiscence against food impaction. Discussion. Soft tissue dehiscence and implant exposure are among the frequently reported complications associated with the patient-specific implant. The resulting infection complicates the prognosis of the implemented implant and necessitates, in some occasions, its removal. The selection of the removable prosthesis to cover soft tissue dehiscence was a conservative alternative to the implant removal as it protects the exposed titanium surface from food impaction while maintaining the implant functionality. Conclusion. Three-year follow-up showed complete resolution of the patient’s complaints while fulfilling the patient’s aesthetic and functional demands and indicates that the use of detachable overlay prosthesis could be one of the proposed treatment options.

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