Replacement of Mandibular Posterior Teeth With Implants in a Postmandibular Resection Case: A Case Report

2013 ◽  
Vol 39 (2) ◽  
pp. 210-213 ◽  
Author(s):  
Jayanth Christian ◽  
Manita Grover ◽  
Padmanabhan Thallam Veeravalli
Keyword(s):  
Case Report ◽  
Bone Formation ◽  
Treatment Plan ◽  
Segmental Resection ◽  
Prosthetic Rehabilitation ◽  
Posterior Teeth ◽  
Final Treatment ◽  
Complete Obliteration ◽  
Fixed Prosthesis ◽  
Mandibular Posterior Teeth

This case report describes the prosthetic rehabilitation of a patient who was treated for ameloblastoma by segmental resection of the mandible. Because of the size of the defect it was decided to use a healing obturator to facilitate bone formation in the defect. At the end of 3 months, bone formation had led to complete obliteration of the defect with an almost complete fill to the crest of the ridge. The next phase of the treatment was prosthetic rehabilitation. The patient preferred a fixed replacement of teeth as opposed to a removable option. The final treatment plan was an implant-supported fixed prosthesis that was progressively loaded.

Small Diameter Implants: Specific Indications and Considerations for the Posterior Mandible: A Case Report

2011 ◽  
Vol 37 (sp1) ◽  
pp. 156-164 ◽  
Author(s):  
Brian J. Jackson
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Small Diameter ◽  
Posterior Teeth ◽  
Endosseous Implant ◽  
Implant Dentistry ◽  
Maxilla And Mandible ◽  
Mandibular Posterior Teeth

The field of implant dentistry continues to grow globally as clinicians embrace the evolution of various endosseous implant technologies and the array of enhanced surgical and prosthetic products. The utilization of small diameter implants in limited osseous regions increases patients' ability to choose implants as a viable restorative option. Although small diameter implants have been indicated in the incisor region for the maxilla and mandible primarily, their usage should be considered in select posterior regions. These 2 case reports demonstrate the incorporation of small diameter implants to replace missing mandibular posterior teeth.

scholarly journals Enhancing Esthetics of Fixed Prosthesis in Anterior Region with an Innovative Pontic Design in conjunction with Periodontal Plastic Surgery- A Case Report

2020 ◽  
Author(s):  
Bhagyashree Dange ◽  
Carol Fernandes
Keyword(s):  
Case Report ◽  
Psychological Health ◽  
Social Stigma ◽  
Prosthetic Design ◽  
Soft Or ◽  
Prosthetic Rehabilitation ◽  
Soft Tissue Graft ◽  
Fixed Prosthesis ◽  
Periodontal Plastic Surgery ◽  
Missing Tooth

Abstract BackgroundThe loss of anterior tooth leads to a volumetric deficit of soft and hard tissues, which causes an altered topography. This localized alveolar ridge defect in turn complicates the prosthetic rehabilitation and un-esthetic result might lead to patient’s social stigma. Such defects can be corrected by either soft or hard tissue augmentation, along with esthetic prosthesis.Case presentationThis case report describes the augmentation of the sub-epithelial soft tissue graft to rebuild the lost gingival contour for prosthetic rehabilitation missing tooth in esthetic region. The surgical “trap door” approach is explained in detail along with procedure to introduce innovative E pontic design in prosthesis.ConclusionThe ultimate goal of any prosthetic treatment is to enhance esthetics of patient thus aiding in his/her psychological health along with functional stabilization of the compromised arch. The periodontal surgery with gingival friendly prosthetic design increases esthetic outcome of the treatment.

Complete Artificial Dentition Supported by Endosseous Implants: A Case Report of Total In-office Treatment

2005 ◽  
Vol 31 (2) ◽  
pp. 91-97
Author(s):  
Dennis Flanagan
Keyword(s):  
Case Report ◽  
Titanium Implants ◽  
Posterior Teeth ◽  
Endosseous Implants ◽  
Complete Restoration ◽  
Occlusal Surfaces ◽  
Medial Pterygoid ◽  
Long Term Result ◽  
Fixed Prosthesis

Abstract This case report demonstrates the construction of a complete restoration of the dentition by the surgical placement of endosseous titanium implants that support a fixed prosthesis in each jaw. The positioning of the implants and teeth in the prostheses are important factors for a successful long-term result. Distribution of the occlusal biting forces over as many implants as possible is important. Off-axial occlusal biting forces should be diverted to the anterior prostheses, where the forces are not as great and the posterior teeth are designed with flat occlusal surfaces that separate during excursionary chewing movements. Medial mandibular flexure caused by the contraction of the medial pterygoid muscle can be addressed by constructing the prosthesis in segments. This is so as not to have a rigid entity encased in flexing bone that may induce stress to the bone, leading to loss of implant integration and failure. Segmenting also insures an appropriate fit of the prosthesis with respect to casting and porcelain firing distortion. Lip support by means of a flange in the prosthesis may be necessary when there has been a large amount of bone loss from edentulous resorption. Cleaning and maintenance of the prostheses every 3 to 6 months is essential.

An Early Loaded Implant-Supported Mandibular Complete Arch Fixed Prosthesis in a Young Completely Edentulous Patient: A Case Report

2013 ◽  
Vol 39 (4) ◽  
pp. 487-495
Author(s):  
Miriam Mathew ◽  
Bobby John ◽  
Arun George
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Cost Effective ◽  
Bone Volume ◽  
Edentulous Patient ◽  
Mandibular Arch ◽  
Early Loading ◽  
Cost Effective Treatment ◽  
Fixed Prosthesis ◽  
Provisional Restoration

The restoration of the mandibular arch up to the first molars with 5 one-piece implants presents a viable and cost-effective treatment plan in patients with adequate bone volume and favorable ridge relationships. The early loading of the implants with a provisional restoration reduces the period of edentulousness and restores the patient's ability to eat, talk, and smile effectively. Implants in younger patients prevent resorption of the residual alveolar ridge. This article presents a case report of the restoration of an edentulous mandibular arch with an early loaded implant-supported fixed restoration in a young patient.

scholarly journals Restoration of a Traumatically Amputated Finger by a Traditional Glove-Type Prosthesis: A Case Report

2021 ◽  
Vol 3 (3) ◽  
pp. 41-45
Author(s):  
Simarpreet Kaur ◽  
Mandeep Kaur ◽  
Anupama Verma ◽  
Tarun Singh
Keyword(s):  
Case Report ◽  
Index Finger ◽  
Treatment Plan ◽  
Psychological Trauma ◽  
Microvascular Reconstruction ◽  
Prosthetic Rehabilitation ◽  
Form And Function ◽  
Custom Made ◽  
The Individual ◽  
And Function

Background: Each organ serves a specific function in the human body. Congenital absence or loss of even minor parts of it can pose extreme psychological trauma in addition to the functional impairment and esthetic issues encountered by the individual. Amputation of complete or a part of phalange of hand is frequently encountered either due to trauma or necrosis. Restoration of such defects become mandatory to improve general form and function combined with the esthetic requirements of the patient. It can either be done by microvascular reconstruction or prosthetic rehabilitation. The latter becomes the means of choice in cases where the former is either not possible, unavailable, unsuccessful, or unaffordable. Case Report: A case report has been presented of a 60 years old patient with an old traumatic partially amputated index finger. Treatment Plan: A custom-made glove-type prosthesis was fabricated using silicone elastomer. Conclusion: A ring is provided for better esthetics and special adhesive is recommended for retention of the prosthesis. 

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.

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 Multidisciplinary Approach in the Management of a Complex Case: Implant-Prosthetic Rehabilitation of a Periodontal Smoking Patient with Partial Edentulism, Malocclusion, and Aesthetic Diseases

2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Alessandro Lanza ◽  
Fabrizio Di Francesco ◽  
Gennaro De Marco ◽  
Fabio Scognamiglio ◽  
Valeria Aruta ◽  
...  
Keyword(s):  
Case Report ◽  
Dental Implants ◽  
Multidisciplinary Approach ◽  
Complex Case ◽  
Prosthetic Rehabilitation ◽  
Natural Teeth ◽  
Fixed Prosthesis ◽  
The Right ◽  
Difficult Cases ◽  
Dental Malocclusion

Complex periprosthetic cases are considered as challenges by clinicians. Clinical and radiographic parameters should be considered separately to make the right choice between an endodontically or periodontally compromised treated tooth and implant. Therefore, in order to decide whether the tooth is safe or not, data that have to be collected are specific parameters of both the patient and the clinician. In addition, the presence of periodontal, prosthetic, and orthodontic diseases requires patients to be set in multidisciplinary approach. The aim of this case report is to describe how the multidisciplinary approach could be the best way to manage difficult cases of implant-prosthetic rehabilitation. How to rehabilitate with fixed prosthesis on natural teeth and dental implants a smoker patient who presents with active periodontitis, multiple edentulous areas, dental malocclusion, and severe aesthetic problems was also described.

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