Dental Implant Rehabilitation of a Patient With Down Syndrome: A Case Report

2011 ◽  
Vol 37 (4) ◽  
pp. 481-487 ◽  
Author(s):  
Cleide Gisele Ribeiro ◽  
Aline Franco Siqueira ◽  
Leonardo Bez ◽  
Antônio Carlos Cardoso ◽  
Cimara Fortes Ferreira

Abstract Implant-supported rehabilitations show higher patient satisfaction when compared with conventional prostheses. Systemic conditions, however, can affect treatment planning of dental implant supported rehabilitations. The oral structures that are commonly affected in patients with Down syndrome include the tongue (macroglossia), teeth (number and shape), and poor quality alveolar and jaw bones (osteoporotic-like). This clinical case presents an interdisciplinary team approach aimed at achieving functional, phonetic, and esthetic outcomes in a patient with Down syndrome.

2010 ◽  
Vol 81 (6) ◽  
pp. 953-957 ◽  
Author(s):  
Roberto Villa ◽  
Roberto Crespi ◽  
Paolo Capparè ◽  
Enrico Gherlone

Author(s):  
Ikbal Leblebicioglu Kurtulus ◽  
Emrah Soylu ◽  
Kerem Kılıç

Prosthetic rehabilitation in maxillectomy patients aims to separate the oral and nasal cavities to provide adequate articulation, restore the contour of the midface, and provide acceptable aesthetic results. This clinical case report describes prosthetic rehabilitation via placement of dental implants in the zygomatic bone in a patient who underwent partial maxillectomy due to osteosarcoma. The success of obturator placement after maxillectomy requires retention by the surrounding dental tissue or dental implants. When zygomatic implants cannot be used, dental implants placed in the zygomatic bone and attachments fastened to these implants can easily provide the retention and stability required by the obturator.


RSBO ◽  
2018 ◽  
Vol 1 (1) ◽  
pp. 60
Author(s):  
Katiane Vieira Menezes Leite ◽  
Gustavo Ross Kinder ◽  
Leonardo Fernandes da Cunha ◽  
Gisele Maria Correr ◽  
Carla Castiglia Gonzaga ◽  
...  

Introduction: Fractures at upper anterior teeth are common. In root fracture cases, a dental implant approach proves to be a viable alternative sometimes. Several materials can be used in implant rehabilitation processes. Zirconia, a proven material for restorative purposes, is being employed for biological, functional, and aesthetic ends. In other situations, only the fractured teeth’s restoration with composite resin can rehabilitate their aesthetics and use. Objective: The purpose hereof is to report the use of the immediate implantinstallation technique after an upper incisor extraction with the diagnosis of root fracture, and a coronary fracture zirconia rehabilitation and restoration with a composite resin. Case report: A 24-year-old patient fractured the left central and lateral upper incisors. Tooth 21 received a zirconia crown implant and tooth22 was treated with a composite resin made with nanotechnology. Conclusion: Zirconia and composite resin are materials that present satisfactory biological, functional, and aesthetic features to restore fractured anterior teeth.


RSBO ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 103
Author(s):  
Maria Estela Plens ◽  
Carla Hariene Montanha ◽  
Henrique Scheffer Ferreira ◽  
Andréa Paula Fregoneze ◽  
Vinicius Augusto Tramontina ◽  
...  

Introduction: Down Syndrome (DS) patients have increased susceptibility to the development of periodontal diseases by the occurrence of several factors, such as inadequate hygiene, mouth breathing, dental morphology, leukocyte reduction and increased inflammatory mediators. Objective: This study aimed to review the literature on the main aspects of DS and present a clinical case of a DS patient treated with basic periodontal therapy and free gingival graft surgery. Case report: DS patient, leucoderma, aged 26 years showed gingival recession and little amount of keratinized tissue in the area of teeth #31 and #41. After surgery, there was an increase in the keratinized tissue band. Conclusion: The free gingival graft surgery performed in DS patients was effective, as the increase of keratinized tissue band occurred.


2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Lincoln Lara Cardoso ◽  
Giovanni Gasperini ◽  
Leandro Carvalho Cardoso ◽  
Guilherme Romano Scartezini ◽  
Annika Ingrid Maria Soderberg Campos ◽  
...  

Dental implant surgery is a common procedure in oral and maxillofacial surgery practices. Extensive training, skill, and experience allow this procedure to be performed with an atraumatic approach, but like any surgical technique, it is subject to accidents and complications. This is an unusual clinical case of an accidental displacement of an implant into the submandibular space that progressed to Ludwig’s angina, and it has not yet been described in the literature. This case report describes a clinical case of dental implant displaced into the submandibular space after healing cap removal. After seven days, it progressed to Ludwig’s angina. The removal was performed through extraoral access in the submandibular area by using hemostatic forceps and radioscopic technique. After implant removal, the clinical case showed a satisfactory repair emphasizing the importance of a meticulous clinical planning to achieve an appropriate treatment plan, which is essential for a favorable prognosis. Therefore, prevention and management of displaced objects requires proper planning and surgical technique.


2020 ◽  
Vol 8 (11) ◽  
Author(s):  
Olívia Breda Moss ◽  
Brena Carolina de Lima Pinheiro ◽  
Tássia Caroline da Costa Mendes ◽  
Francisco Pantoja Braga ◽  
Brigitte Nichthauser ◽  
...  

Mutilações faciais decorrentes de cirurgia oncológica provocam deformações na fisionomia, levando os pacientes à depressão e ao isolamento social. Na impossibilidade de reconstrução cirúrgica, a reabilitação protética com próteses bucomaxilofaciais é o meio preferível para restabelecer a aparência estética e corrigir dificuldades de alimentação, deglutição e fonação, proporcionando reintegração social e melhorando a qualidade de vida.  Este artigo visa relatar um caso de reabilitação com prótese obturadora maxilar em paciente pediátrico após cirurgia oncológica para tratamento de osteoma em palato, que provocou comunicação bucosinusal e perda parcial da maxila. Paciente do gênero feminino, 11 anos, procurou atendimento odontológico após cirurgia de excisão de um osteoma que originou comunicação bucosinusal.  Após anamnese, exames intra e extra-oral e análise dos modelos de estudo optou-se pela realização de uma prótese parcial removível provisória superior com obturador palatino e grampos auxiliares de fios ortodônticos, pois a paciente encontrava-se em fase de crescimento. Após moldagem das arcadas superior e inferior, confecção do plano de cera superior e ajuste deste plano seguindo o perfil facial e oclusal da paciente, os modelos foram montados em articulador semi-ajustável e realizada a seleção e montagem dos dentes artificiais. A prova estética e funcional dos dentes mostrou o restabelecimento estético e fonético da paciente. Foi realizada moldagem funcional com boca fechada seguida da acrilização, instalação e proservações da prótese. Conclui-se que a prótese bucomaxilofacial superior vedou a comunicação bucosinusal, restabeleceu a estética, fonética e função mastigatória, devolvendo autoestima e reintegração social a paciente.Descritores: Prótese Maxilofacial; Obturadores Palatinos; Prótese Dentária; Reabilitação Bucal.ReferênciasLongo F, Califano L, De Maria G, Cicarelli R. Solitary osteoma of the mandibular ramus: report of a case. J Oral Maxillofac Surg. 2001; 59(6):698-700.Akmansu H, Eryilmaz A, Dagli M, Korkmaz H. Endoscopic removal of paranasal sinus osteoma: a case report. J Oral Maxillofac Surg. 2002;60(2):230-32.Silveira RL, Borges HO, Machado RA, Cancino CM, Oliveira MG. Análise imaginológica dos osteomas. Rev Bras Patol Oral. 2005;4(1):23-6.Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia oral e maxilofacial. Rio de Janeiro: Elsevier; 2016.Kusterer LEFL, Paraguassú GM, Silva VSM, Sarmento VA. Reabilitação com obturador maxilar após cirurgia oncológica: relato de casos. Rev cir traumatol buco-maxilo-fac. 2012;12(4):9-16.Contis SM, Pérez IM. Necesidad de prótesis bucomaxillofacial en pacientes atendidos em la consulta de somatoprótesis. Rev cuba med mil. 2006;35(3):ID: lil-459350.Goiato MC, Pesqueira AA, Silva CR, Gennari H Filho, Santos DM. Patient satisfaction with maxillofacial prosthesis. Literature review. J Plast Reconstr Aesthet Surg. 2009;62(2):175-80.Oliveira BS. Prótese bucomaxilofacial na reabilitação de pacientes com tumores de boca: análise de casos e impacto na qualidade de vida [monografia]. Florianópolis: Universidade Federal de Santa Catarina; 2016.Rodrigues RG, Rodrigues DS, Olivieira DC. Reabilitação com prótese bucomaxilofacial: revisão de literatura. RSM. 2019;5:20-27.Shibayama R, Tossi R, Campaner M, Queiroz ME, Dallazen E. Reabilitação Protética de Paciente Maxilectomizados-Relato de Caso. Rev Odontol Araçatuba. 2016;37(2):9-16.Rabelo DP, Tanure RP, Grajeda FM, Grossmann SM. Reabilitação Protética Oral em Paciente Oncológico. Rev UninCor. 2018;16(1):1-8.Alhaji MN, Ismail IA, Khalifa N. Maxillary obturator prosthesis for a hemimaxillectomy patient: A clinical case report. Saudi J Dent Res. 2016;7(2):153-59.Chen C, Ren W, Gao L, Cheng Z, Zhang L, Li S et al. Function of obturator prosthesis after maxillectomy and prosthetic obturator rehabilitation. Braz J Otorhinolaryngol. 2016;82(2):177-83.Miracca RAA, Andrade Sobrinho J, Tanaka EMG. Magnetos na retenção de prótese conjugada óculo palpebral e obturador palatino. PCL Rev Ibero Am Prótese Clínica & Laboratorial. 2004; 6(32):365-75.


2016 ◽  
Vol 1 (2) ◽  
pp. 87-89
Author(s):  
Venkat Canakapalli

ABSTRACT Invasive cervical resorption (ICR) is a common clinical entity. Invasive cervical resorption can be arrested using the “Heithersay approach” (i.e., mechanical debridement, treatment with TCA, and restoration). Prudent case selection and proper execution can lead to the successful treatment and long-term retention of the tooth. The key aspects are the location, size, and accessibility of the lesion and the structural integrity of the tooth. Cone beam computed tomography imaging is an invaluable tool to assess and treat ICR. How to cite this article Canakapalli V. Invasive Cervical Resorption: A Clinical Case Report demonstrating the Value of CBCT in Diagnosis and Treatment Planning. J Oper Dent Endod 2016;1(2):87-89.


2020 ◽  
pp. 9-11
Author(s):  
Neeta V. Bhavsar ◽  
Dhara S. Jadav ◽  
Aysha A. Khatri

Maxillary labial and buccal frenum are considered as normal anatomic structures in the oral cavity. However, they may exist intraorally as a thick broad fibrous attachment and/or become located near the crest of the residual ridge, thus interfering with proper denture border extension resulting in inferior denture stability, retention and overall patient satisfaction. This case report highlights the importance of clinical examination and treatment planning which may mandate pre prosthetic surgery prior to fabrication of a new conventional partial denture. Adequate patient satisfaction with conventional partial dentures can be significantly increased after frenectomy.


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