scholarly journals Interrelationship Between Orthodontics and Implantology in Anterior Aesthetic Rehabilitation: A Case Report

2021 ◽  
Vol 28 (2) ◽  
Author(s):  
Adailton de Morais Cavalcante ◽  
◽  
Renata Cordeiro Teixeira Medeiros ◽  
Danilo Lopes Ferreira Lima ◽  
Saulo Ellery Santos ◽  
...  

The rehabilitation of complex cases in the anterior region of the maxilla may require knowledge of several dental specialties. when dental involvement also causes bone and gingival involvement, management usually requires adjustment of gingival zenitis and bone graft to compensate for bone loss. Objective: to discuss a case of previous orthodontic treatment for implant-prosthetic rehabilitation in the anterior region. Case report: This case report describes a 40-year-old patient who came with the intention of extracting the tooth and installing a bridge. The implant-prosthetic treatment was performed after previous orthodontic treatment to adapt the gingiva and space. Conclusion: The interrelationship of specialists in oral rehabilitation improved the aesthetic and functional result of this complex case. Orthodontic mechanics and periodontics adapted the space and improved the periodontal condition before the implant was installed, resulting in a very satisfactory aesthetic, improving the patient’s selfesteem

2020 ◽  
Vol 24 (1) ◽  
pp. 57-61
Author(s):  
Almina Murić ◽  
Demet Cagil Ayvalioglu ◽  
Bilge Gokcen Rohlig

SummaryBackground/Aim: Congenital defects such as cleft palate and lips require a long-lasting and multidisciplinary approach. In cases when surgical and orthodontic treatment is not feasible, prosthodontic management of these patients is advocated. Prosthetic rehabilitation of cleft palate in concerning of achieving aesthetic and function (such as swallowing and speech) outcomes is very demanding.Case report: Material and method: After performing the necessary surgical procedures and orthodontic treatment, 24-years-old male patient was sent to the Department for Maxillofacial Prosthetics of Istanbul University. Followed the clinical examination, the necessary periodontal and conservative therapy was performed. After radiographic evaluation and dental cast analysis prosthetic rehabilitation was performed. The prosthetic rehabilitation of cleft palate was accomplish with conventional fixed partial denture whose number of included abutment were defined by biomechanical principles. Additionally removable partial denture were manufactured for closing oro-nasal defects and lip supporting.Conclusions: The prosthetic rehabilitation resulted with functionally and aesthetically content prosthesis. With achieving proper swallowing Quality of Life of the patient was enormously enhanced.


Author(s):  
Antonio crispino ◽  
Gaetano Pisano ◽  
Leonzio Fortunato

ABSTRACT Scope of work The purpose of this work is the analysis and comparison of the various methods available for the realization of fixed restorations on natural teeth in the anterior sector with the presentation of some case report series. Materials and methods The methods used in relation to the clinical case, are the metal-ceramic, the galvan-ceramic, all- ceramic and porcelain veneers. Results It highlights indications and limitations of each of the methods proposed, emphasizing the prominent role of esthetics in the rehabilitation sector of the front. Conclusion The materials and techniques available, with proper clinical evaluation and to a timely therapeutic planning, are the basis of the rehabilitative ideal choice for each individual case, and they also depend on the achievement of clinical success. How to cite this article Crispino A, Pisano G, Fortunato L. Comparison of Different Methods of Prosthetic Rehabilitation in Anterior Region. Int J Prosthodont Restor Dent 2015;5(4):110-113.


Author(s):  
Tiago Rebelo Costa ◽  
Cláudio Akira Yamaguchi ◽  
Alessandra Pucci Mantelli Galhardo ◽  
Roberto Chaib Stegun ◽  
Bruno Costa ◽  
...  

Oral rehabilitation with free-end removable partial denture (RPD) is one of the major challenges in prosthodontic dentistry. The absence of a distal abutment produces undesirable RPD movement during masticatory function due to the high resilience of the residual ridge, which limits the denture efficiency and may damage the abutment teeth and bone over time. The advent of dental implants made possible to substitute the missing teeth with fixed implant-supported dentures as the first choice treatment to overcome such inconveniences. However, this indication may not be suitable for all patients due to financial, anatomical or systemic health conditions. Nevertheless it is possible to improve free extension RPD by using implants in the posterior edentulous ridge to achieve biological, biomechanical, physiological and social benefits. This article aims to present a case report on oral rehabilitation in which a RPD was made combined with an implant for posterior support in a sizeable edentulous ridge. The patient appreciated the retention improvement and the aesthetic result. The combination of a RPD with a posterior implant is an alternative treatment for cases in which implant-supported fixed prosthesis is not indicated, reducing the displacement and minimizing the limitations of the free-end devices.


2018 ◽  
Vol 36 (77) ◽  
Author(s):  
Pablo Emilio Molano Valencia ◽  
Bibiana Inés Yepes Ramírez ◽  
Alix María Varela Peñaranda

RESUMEN. Antecedentes: La técnica en rollo modificado se ha utilizado ampliamente para mejorar el aspecto estético de las deficiencias de rebordes alveolares durante el tratamiento de rehabilitación y disminuir dolor posoperatorio. Objetivo: Describir un caso clínico en el que se realizó un aumento del reborde alveolar por medio de técnica en rollo modificada y se presentó un absceso durante las primeras semanas posoperatorias. Se describe también manejo clínico del caso. Resultados: Después del diagnóstico clínico y microbiológico, se realizó tratamiento antibiótico. En el control a los cuatro meses se observó resolución completa del absceso.ABSTRACT. Background: The modified roll technique has been widely used to improve the aesthetic appearance of alveolar ridge deficiencies during the oral rehabilitation treatments and to reduce postoperative pain. Purpose: To describe a case of alveolar ridge increase through modified roll technique and an abscess that occurred during the initial postoperative weeks. The clinical treatment of the case is also described. Results: After clinical and microbiological diagnosis, the patient underwent antibiotic therapy. Four-month follow-up showed complete resolution of the abscess. 


2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
C. Moreno-Soriano ◽  
A. Estrugo-Devesa ◽  
P. Castañeda-Vega ◽  
E. Jané-Salas ◽  
J. López-López

Ameloblastomas are benign but locally invasive odontogenic tumors most frequently located in the mandible. The gold standard of treatment is the surgical resection of the tumor with safety margins. Postsurgical defects generate a significant morbidity that needs reconstruction and oral rehabilitation to restore the oral functions. This case report describes the prosthetic rehabilitation of a 42-year-old male after resection of a mandibular ameloblastoma. Excision of the lesion by segmental mandibulectomy and mandibular reconstruction by microvascularized fibula flap was performed. After placement of 6 dental implants, the patient was rehabilitated with a lower hybrid prosthesis fabricated using computer-aided design-computer-aided manufacturing. During a 7-year and 5-month follow-up, some clinical complications were observed.


2018 ◽  
Vol 20 (1) ◽  
pp. 11
Author(s):  
Sheila Lourdes Molin ◽  
Fabio Pinto Guedes ◽  
Cristhiane Almeida Leite da Silva ◽  
Natalia Sotero Machado Pires

As más oclusões do Padrão II podem demandar diferentes abordagens terapêuticas. Quando a face é no mínimo aceitável, o tratamento poderá se restringir a região dentoalveolar. No entanto, quando a face é desagradável a correção deve envolver a realização de cirurgia ortognática, além do tratamento ortodôntico. E é exatamente à união sinérgica de todas as especialidades - Implante, Prótese, Cirurgia e Ortodontia – que garante a construção de um sorriso mais estético e saudável e com melhorias significativas na face. O objetivo desse trabalho é descrever um caso clínico de um paciente adulto, negro, Padrão II, deficiência mandibular grave, face desagradável. O tratamento envolveu ortodontia descompensatória, reabilitação protética, cirurgia ortognática e por fim, reanatomização estética dos dentes anteriores superiores, o que permitiu ao paciente uma condição de normalidade oclusal e facial.Palavras chave: Diagnóstico. Má Oclusão de Angle Classe II. Cirurgia Ortognática.AbstractPattern II may require different therapeutic approaches. When the face is at least acceptable, treatment may be restricted to dentoalveolar region. However, when the is unpleasant, correction should involve performing orthognathic surgery, in addition to the orthodontic treatment. And that is exactly the synergic union of all specialties - Implant, prosthesis, surgery and orthodontics - which ensures the construction of a more aesthetic and healthy smile and with significant face improvements. The aim of this study is to describe a case of an adult patient, black, malocclusions class II, severe mandibular deficiency, unpleasant face. The treatment involved descompensatory orthodontics, prosthetic rehabilitation, orthognathic surgery and finally aesthetic reanatomization the upper front teeth, which allowed the patient a normality condition of occlusion and face.Keywords: Diagnosis. Malocclusion, Angle Class II. Orthognathic Surgery


2019 ◽  
Vol 2 (2) ◽  
pp. 229-234
Author(s):  
Valentin Melchner ◽  
Edwin Sever Bechir ◽  
Florentin Daniel Berneanu

AbstractIntroduction. Complete edentulism is escorted by various comorbidities, which affect an individual. The management of edentulous patients was approached since the early days of dentistry.The aim of this case report was to present the implanto-prosthetic rehabilitation of a bimaxillary complete edentulous patient with implant-supported overdentures, by using Straumann dental implants.Case presentation. This case report presents the applied treatment to a bimaxillary complete edentulous patient, where the predictable osseointegration and implant stability after the placement of implants was possible, with the purpose to support the overdentures.Conclusions. The oral rehabilitation of complete bimaxillary edentulism through implant-supported overdentures is a procedure with a predictive treatment that presents beneficial aspects in the quality of life of the patients.


2013 ◽  
Vol 17 (4) ◽  
pp. 376-380
Author(s):  
Ervina Sofyanti

Comprehensive orthodontic treatment among adult patients that required multidisciplinary approaches has been increased since a lot of them could not avail themselves with any treatment decades ago. Treatment of impacted canine in adult orthodontic patient needs to be integrated into the overall orthodontic treatment scheme. The following case report described an orthodontic treatment of 33-year-old woman with convex profile, palatally impacted of left maxillary canines and single dental crossbite. Dental midline shift associated with narrow arch form of upper arch and asymmetric tooth amount. Management of this case was started by extraction of first upper premolars in the opposite site from impacted maxillary in order to overcome dental discrepancy problem. Surgical exposure allowed the potency natural eruption of the impacted tooth. After 24-months of treatment, the impacted maxillary canines took place as integral elements in dentition and Class I Canine relationship was achieved. The success of this comprehensive orthodontic treatment also considered biomechanical and periodontal condition during treatment based on proper evaluation and good prognostic of the impacted tooth position. Providing adequate space and surgical exposure during levelling aligning phase followed by orthodontic traction and gingivectomy, were the multidisciplinary approaches of this following case. In conclusion, biomechanical orthodontic treatment related to periodontal condition must be considered in comprehensive orthodontic treatment of adult patient.


2017 ◽  
Vol 2 (s1) ◽  
pp. 68-72
Author(s):  
Roxana Rugina ◽  
Alexandru Rugina ◽  
Cristian Petri ◽  
Cosmin Sinescu

Abstract The aim of this case presentation is to outline some of the advantages that an adjunct orthodontic treatment can offer in a comprehensive oral rehabilitation of an adult patient. Adjunctive orthodontic treatment is usually limited to a dental arch or to a group of teeth within an arch. The purpose of dental movements in this case will be to position the teeth in a way that makes the restoration or replacement of damaged or missing teeth as easy as possible and with minimal dental tissue sacrifice. In addition, the improved position of the teeth will create a healthier periodontal environment that is easier to maintain over time.


2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Alessandro Lanza ◽  
Fabrizio Di Francesco ◽  
Gennaro De Marco ◽  
Felice Femiano ◽  
Angelo Itro

The use of reliable indices to evaluate the aesthetic outcomes in the aesthetic area is an important and objective clinical aid to monitor the results over time. According to the literature various indices were proposed to evaluate aesthetic outcomes of implant-prosthetic rehabilitation of the anterior area like Peri-Implant and Crown Index [PICI], Implant Crown Aesthetic Index [ICAI], Pink Esthetic Score/White Esthetic Score [PES/WES], and Pink Esthetic Score [PES] but none of them was related to prosthetic rehabilitation on natural teeth. The aim of this study is to verify the validity of PES/WES index for natural tooth-prosthetic rehabilitation of the anterior area. As secondary objective, we proposed to evaluate the long-term predictability of this clinical application, one of which is presented below, following the analysis of the most currently accepted literature.


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