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.

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.

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.

scholarly journals Use of Removable Partial Denture in Child with Papillon-Lefevre Syndrome: Case Report

2020 ◽  
Vol 2 (2) ◽  
pp. 25
Author(s):  
Tania Saskianti ◽  
Karina Ramadhani ◽  
Aulia Nuur Ainayah ◽  
Ardianti Maartrina Dewi
Keyword(s):  
Genetic Disorder ◽  
Treatment Options ◽  
Rare Condition ◽  
Growth Period ◽  
Pediatric Dentistry ◽  
Clinical Report ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Dental Hospital ◽  
Periodontal Destruction

Background: Papillon-Levefre Syndrome (PLS) is a rare genetic disorder with prevalence of 1-4 cases per millions of birth, characterized by the presence of palmar-plantar hyperkeratosis and rapid periodontal destruction of both the primary and secondary dentition. Purpose: This clinical report described such a rare condition with special attention on its diagnostic characterization, various treatment options and Prosthodontic rehabilitation. Case: Five years-old boy accompanied by his mother came to Pediatric Dentistry Specialist Clinic, Universitas Airlangga Dental Hospital - Surabaya with the chief complaint of gradually loss of upper and lower teeth since the patient was 3 years old. Case Management: Removable partial denture was chosen because it was considered as an appliance that can recover the function of mastication, speech and aesthetic patient. Removable partial denture was designed to replace 51, 52, 53, 54, 55, 61, 62, 63, 64, 65, 72, 73, 74, 75, 82, 83, 84 and 85 with retention on 16, 26, 36 and 46, and anterior bite riser on 31 and 41. Conclusion.Removable partial denture is the treatment of choice for children with PLS who are still in the growth period because it can recover mastication and aesthetic functions, have a good aesthetic, and easy maintenance that could done by the child.

scholarly journals Prosthodontic Rehabilitation of Hereditary Ectodermal Dysplasia in an 11-Year-Old Patient with Flexible Denture: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Neha Jain ◽  
Dinesh Naitam ◽  
Arti Wadkar ◽  
Anuradha Nemane ◽  
Shiva Katoch ◽  
...  
Keyword(s):  
Ectodermal Dysplasia ◽  
Treatment Plan ◽  
Permanent Teeth ◽  
Definitive Treatment ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Inherited Disorders ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Rare Group

Hereditary ectodermal dysplasia is a rare group of inherited disorders characterized by aplasia or dysplasia of two or more tissues of ectodermal origin such as hair, nails, teeth, and skin. The dental characteristics of this syndrome include anodontia or hypodontia of the primary and/or permanent teeth, hypoplastic conical teeth, and underdevelopment of the alveolar ridges. The options for a definitive treatment plan include fixed, removable or implant-supported prostheses, singly or in combination. This clinical report describes the prosthetic rehabilitation of an 11-year-old boy with hereditary ectodermal dysplasia. Maxillary flexible removable partial denture and mandibular conventional complete denture were fabricated to establish an acceptable masticatory function, speech, and esthetics for the patient.

Rehabilitation of an Extremely Atrophied Mandibule with Cortical Plates

2021 ◽  
pp. 1-4
Author(s):  
Iyad ABOU_RABII ◽  
Keyword(s):  
Soft Tissue ◽  
Alveolar Bone ◽  
Treatment Plan ◽  
Dental Practice ◽  
Severe Loss ◽  
Implant Placement ◽  
Removable Prosthesis ◽  
Fixed Prosthesis ◽  
Systemic Pathology ◽  
Dental Conditions

A 74-year-old woman presented in our dental practice with severe loss of alveolar bone and soft tissue without any apparent systemic pathology contributing to her dental conditions. She had a complete removable prosthesis supported with a four locaters system. Unfortunately, two of the four supporting implants were failed. The patient wanted a fixed prosthesis. The treatment plan was to use the remaining implant with an additional axial implant and two cortical plates (Victory ®) followed by implant placement. The implants and plates were immediately loaded with a screw-retained prosthesis made with Znatex frame (Victory Implants ®) and resine.

scholarly journals EPCT-02. COMPARISON OF TARGETED AGENTS RECOMMENDED BY THE CNS-TAP TOOL TO THOSE SELECTED BY A TUMOR BOARD IN A MOLECULARLY-DRIVEN DIPG CLINICAL TRIAL

2021 ◽  
Vol 23 (Supplement_1) ◽  
pp. i46-i46
Author(s):  
Holly Roberts ◽  
Karthik Ravi ◽  
Bernard Marini ◽  
Cassie Kline ◽  
Sabine Mueller ◽  
...  
Keyword(s):  
Anticancer Agents ◽  
Treatment Plan ◽  
Treatment Options ◽  
Objective Evaluation ◽  
Molecular Profiling ◽  
Diffuse Intrinsic Pontine Glioma ◽  
Tumor Board ◽  
Patient Specific ◽  
Targeted Agents ◽  
Tumor Boards

Abstract Recently, sequencing of diffuse intrinsic pontine glioma (DIPG) biopsy specimens has revealed genomic heterogeneity of these tumors, fueling an interest in individualized, targeted treatment options. The Pacific Pediatric Neuro-Oncology Consortium recently completed enrollment onto a feasibility study PNOC003: Molecular Profiling for Individualized Treatment Plan for DIPG (NCT02274987), in which a multidisciplinary tumor board recommended molecularly-targeted agents based on genomic and molecular profiling of each patient’s tumor. Separately, our group developed the Central Nervous System Targeted Agent Prediction (CNS-TAP) tool, which combines pre-clinical, clinical, and CNS penetration data with patient-specific genomic information to allow for numeric scoring of targeted anticancer agents to objectively evaluate these therapies for use in patients with CNS tumors. We hypothesized that highly-scored agents within CNS-TAP would overlap with the agents recommended by the tumor board in this study. For each PNOC003 participant, we utilized the genomic report to identify actionable alterations and input patient-specific data into CNS-TAP to identify the highest scoring agents. We compared high-scoring agents within CNS-TAP with recommendations from the PNOC003 tumor board for each of the enrolled 28 subjects. Overall, 93% (26/28) of patients had at least one agent recommended by both the tumor board and CNS-TAP. Additionally, 38% (37/95) of all agents recommended by the tumor board were also selected by CNS-TAP. Furthermore, we identified factors that likely contributed to the discordance between these two methods. Without clinician input, CNS-TAP is unable to account for drug-drug interactions, includes only designated anticancer agents, and cannot easily be updated in real time. However, CNS-TAP provides an objective evaluation of targeted therapies, whereas tumor boards are inherently subjective. Given the discordance identified between these methods and the strengths of each, a prospective study incorporating both CNS-TAP and a molecular tumor board for targeted therapy selection in DIPG patients is warranted.

scholarly journals A Treatment Protocol for Restoring Occlusal Vertical Dimension Using an Overlay Removable Partial Denture as an Alternative to Extensive Fixed Restorations: A Clinical Report

2009 ◽  
Vol 3 (1) ◽  
pp. 213-218 ◽  
Author(s):  
Mit B Patel ◽  
Sompop Bencharit
Keyword(s):  
Scientific Evidence ◽  
Treatment Options ◽  
Treatment Protocol ◽  
Vertical Dimension ◽  
Clinical Report ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Advantages And Disadvantages ◽  
Occlusal Vertical Dimension ◽  
Fixed Prosthesis

Treatment options for patients with severe attrition resulting in reduced occlusal vertical dimension are often limited to fixed prosthesis to reestablish proper occlusal vertical dimension and functional occlusion. In some cases such as when there are limited finances, minimal esthetic concerns, and medical considerations fixed prosthesis may not be the ideal treatment option. Overlay removable partial dentures (ORPDs) can be used as a provisional or interim prosthesis as well as permanent prosthesis in these cases. While ORPDs can provide a reversible and relatively inexpensive treatment for patients with a significantly compromised dental status, there is not much scientific evidence in the literature on ORPDs. Most studies published on ORPDs to date are primarily reviews and clinical reports. In this article, literatures on ORPDs are summarized and a patient treated with interim and permanent ORPDs is presented. This article reviews previously published literatures on the use of ORPDs. Indications, advantages and disadvantages are discussed. Treatment protocol with an example of the prosthodontic treatment of a patient with severely worn dentition with an interim ORPD and later a permanent ORPD are discussed in details.

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