scholarly journals Guided Bilateral Transcanine Implant Placement and Implant-Supported Oral Rehabilitation in a Patient with Progressive Systemic Scleroderma

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Igor Smojver ◽  
Ivan Katalinić ◽  
Marko Vuletić ◽  
Luka Stojić ◽  
Dražena Gerbl ◽  
...  
Keyword(s):  
Systemic Scleroderma ◽  
Oral Rehabilitation ◽  
Impacted Tooth ◽  
Implant Placement ◽  
Planning Software ◽  
Digital Planning ◽  
Metal Ceramic ◽  
Assessment And Treatment ◽  
Progressive Systemic Scleroderma ◽  
Standard Implant

When faced with a situation where an impacted tooth is in the way of a planned implant, one approach to avoid an invasive surgical procedure and potential associated complications is to place a transcanine implant. The aim of this report was to add a new case of a transimpacted tooth dental implant placement to the existing international literature and to share our experience of transcanine implantation in the maxilla followed by implant prosthodontic rehabilitation of a patient with progressive systemic scleroderma. A 55-year-old woman attended our office for oral cavity assessment and treatment planning for complete oral rehabilitation. Digital planning software was used, and implants were positioned according to a surgical template in regions 13, 16, 23, and 26 (Straumann, Basel, Switzerland) with screw-retained metal-ceramic bridges. Placement of the dental implants through impacted canines and the creation of interfaces other than implant-bone interfaces did not lead to postoperative pain or implant failure. Clinically, overall healing was observed, and the implants were successfully used for implant-supported prosthodontic rehabilitation of the jaw. Within the limitations of this case report, transcanine implantation could represent a valuable alternative to standard implant protocols.

scholarly journals Digital planning and guided surgery in oral rehabilitation

2020 ◽  
Author(s):  
Larissa Braga dos Santos ◽  
Adriano Relvas Barreira de Oliveira ◽  
Mauro Lefrançois ◽  
Marcos Venício Azevedo ◽  
Pablo Sotelo ◽  
...  
Keyword(s):  
Surgical Planning ◽  
Three Dimensional ◽  
Oral Rehabilitation ◽  
Digital Workflow ◽  
Surgical Guide ◽  
Surgical Guides ◽  
Digital Planning ◽  
Cad Cam ◽  
Correct Understanding ◽  
Plaster Model

Digital planning of the prosthesis associated with surgical planning increased predictability, since surgical guides indicate the best place for implant installation, thus reducing the number of complications, and the CAD/CAM system provides predictability in the preparation of final restorations, according to the procedure previously planned. Our study reported a digital workflow used for the guided installation of two dental implants in regions 14 and 16, extraction of tooth 15 and installation of a fixed prothesis over implants. After anamnesis and clinical evaluation, intra- and extra-oral photographs of the patient were performed, molding the upper arch with polyvinylsiloxane (2-step putty/light-body technique) and requesting computed tomography. The plaster model obtained was sent to the laboratory and scanned. The generated file (STL) was used to create a diagnostic wax-up that was aligned to the tomography (in DICOM format), enabling the three-dimensional planning of the implants, which generated a partial printed surgical guide after approval of the dentist. After six months, the patient received the provisional fixed prosthesis printed in PMMA (polymethylmethacrylate) on an intermediate in PEEK (polyetheretherketone) aiming to condition an emergency profile to receive a definitive prosthesis two months later, with zirconia-milled infrastructure on a ti-base. The correct understanding of the operator about the steps of the digital workflow (diagnosis, prosthetic planning, surgical planning, guide preparation, temporary and final restorations) gives the operator improved predictability at the time of surgery as well as satisfactory aesthetic and functional result of definitive restorations.

Oral Rehabilitation of Severe Dentoalveolar Trauma: A Clinical Report

2012 ◽  
Vol 38 (6) ◽  
pp. 757-761 ◽  
Author(s):  
Fonda G. Robinson ◽  
Larry L. Cunningham
Keyword(s):  
Clinical Examination ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Endosseous Implants ◽  
Vehicle Accident ◽  
Metal Ceramic ◽  
Dentoalveolar Trauma ◽  
Ceramic Crowns

This clinical report describes the oral rehabilitation of an adult male who suffered severe dentoalveolar trauma as a result of a motor vehicle accident. The specific objectives of this treatment were to restore esthetics and masticatory function. Treatment included removal of fractured roots, placement of multiple endosseous implants, and placement of anterior and posterior metal-ceramic crowns and fixed partial dentures. Three year clinical examination revealed no pathology associated with the rehabilitation. The patient's esthetic and functional expectations were successfully achieved.

Progressive Systemic Scleroderma In a Child: A Case Report

1967 ◽  
Vol 60 (3) ◽  
pp. 236-240 ◽  
Author(s):  
WILLIAM P. BEETHAM ◽  
LAMAR S. OSMENT ◽  
WILLIAM H. WISNER
Keyword(s):  
Case Report ◽  
Systemic Scleroderma ◽  
Progressive Systemic Scleroderma

scholarly journals DSD and CAD/CAM integration in the planning and execution of an oral rehabilitation procedure

2019 ◽  
Author(s):  
Marina Medeiros Toste Coelho Dos Santos ◽  
Adriano Relvas ◽  
Bárbara Vieira ◽  
Renata Ventura ◽  
Ângelo Raphael Segundo ◽  
...  
Keyword(s):  
Clinical Case ◽  
Treatment Plan ◽  
Facial Features ◽  
Oral Rehabilitation ◽  
Rehabilitation Process ◽  
Original Plan ◽  
Digital Planning ◽  
Cad Cam ◽  
Adhesive Cementation ◽  
Clinical Conditions

This article presents a clinical case involving the integrated application of CAD/CAM and DSD. DSD – Digital Smile Design – assists in obtaining a treatment plan adjusted to the patient’s facial features, achieving the best aesthetic potential. The integration between DSD and CAD/CAM allows for greater fidelity in respect to the original plan. A patient received a rehabilitation with veneers milled out of leucite-reinforced feldspathic ceramics, using the CAD/CAM system and a DSD-obtained digital wax-up. This workf low simplifies design and fabrication, providing greater accuracy and predictability to the rehabilitation process. The digital planning and development of the mockup also makes clinical conditions more predictable. Making ceramic veneers using the CAD/CAM technique requires judicious adhesive cementation, and also an accurate practical and theoretical knowledge on the part of the professional.

scholarly journals Integration of function, aesthetics and patients’ personal preferences in the prosthetic treatment planning

2017 ◽  
Vol 64 (4) ◽  
pp. 200-204
Author(s):  
Georgi Iliev
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Facial Features ◽  
Aesthetic Result ◽  
Facial Perception ◽  
Stl File ◽  
Planning Software ◽  
Digital Planning ◽  
Final Design ◽  
Aesthetic Results

Abstract Introduction Optimal aesthetic results require suitable smile design that fulfils patient’s expectations. Psychological importance of teeth appearance is clear and often discussed in relation to the success of prosthetic treatment. The objective of this article was to present methodology for creating customized smile design using the Visagismile concept and evaluate aesthetic satisfaction with prosthetic treatment. Case report A 52-year-old female patient required complete esthetical dental mouth reconstruction. Digital planning software (Visagismile) provided dentists and technicians a 2D preview of the final design that relates facial perception and personality of the patient. The latest innovation of used software in addition to documents that dentists send for the Visagismile application is that they need to send an intraoral 3D scan of the patients mouth (with any scanner) and define the length and position of incisal edges of the central incisors. This information as a STL file is sent to new Visagismile/REBEL center that is actually a digital lab, that converts 2D designs created by the Visagismile concept into 3D and create a digital wax up immediately. Conclusions Visagismile concept supports both dentist and patient in deciding the aesthetics of the prosthetic restoration. The total coefficient of the assessment of patients for the final aesthetic result was highly satisfactory. Using the proposed methodology, a smile design corresponding to individual facial features, temperament and personal preferences of the patient can be reproduced.

scholarly journals Neuropathic pain after a dental procedure in an older adult with Alzheimer’s disease: a case report

2021 ◽  
Vol 69 ◽  
Author(s):  
Erica Negrini LIA ◽  
Marco Polo Dias FREITAS ◽  
Lucas Fernando TABATA ◽  
Fabiano MALUF ◽  
Sergio Bruzadelli MACEDO
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Neuropathic Pain ◽  
Case Report ◽  
Older Adult ◽  
Dental Implant ◽  
Oral Rehabilitation ◽  
Implant Placement ◽  
Geriatric Conditions ◽  
Direct Injury

ABSTRACT Neuropathic pain occurs when there is damage to nervous system structures, particularly as a result of direct injury or disease. It can occur in the orofacial territory after dental implants placement. Oral rehabilitation is often performed with dental implant placement for older adults. However, the general health status should be considered, requiring a careful assessment of the patient and the identification of geriatric conditions that could lead to predictable failures. The purpose of this case report is to present the diagnosis and treatment of neuropathic pain after dental implant placement in an older adult with dementia due to Alzheimer’s disease.

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