scholarly journals REHABILITATION OF THE ESTHETIC ZONE USING MULTIPLE ADJACENT INDIVIDUAL IMPLANT-SUPPORTED RESTORATIONS: WHERE ARE THE LIMITS?

2019 ◽  
Vol 30 (2) ◽  
Author(s):  
Guillermo Bernal Dulcey ◽  
Rafael Murgueitio ◽  
Hector Fabio Rios
Keyword(s):  
Gold Standard ◽  
Decision Making Process ◽  
Treatment Alternative ◽  
Anterior Maxilla ◽  
Partial Denture ◽  
Fixed Partial Denture ◽  
Natural Dentition ◽  
Single Crowns ◽  
Prosthetic Complications ◽  
Individual Implant

Rehabilitation of the partially edentulous anterior maxilla is considered one of the most difficult challenges for the restorative dentist due to the esthetic, functional and psychological implications. Implant-supported restorations provide an appealing treatment alternative that responds to today’s patient expectations. The gold standard for this scenario has been the use of an implant-supported fixed partial denture with pontics that masks the soft tissue deficiencies, with acceptable esthetic results. However, nowadays patients are looking for individual single crowns since they believe that this type of restorations resemble the natural dentition, are easy to clean and floss. From the dentist perspective, they are easy to maintain and in case of prosthetic complications they can be repaired or changed without compromising the adjacent restorations. Three parameters have been identified that could guide the decision-making process when multiple adjacent implant supported restorations (MAISR) are selected as the treatment of choice: 1) Smile line 2) Inter-implant distance and tooth-implant distance 3) Patient's expectations and ability to clean.

scholarly journals A Conservative Treatment Approach to Replacing a Missing Anterior Tooth

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Kunwarjeet Singh ◽  
Nidhi Gupta ◽  
Nandini Unnikrishnan ◽  
Vikram Kapoor ◽  
Dhruv Arora ◽  
...  
Keyword(s):  
Treatment Approach ◽  
Young Patients ◽  
Anterior Tooth ◽  
Definitive Treatment ◽  
Treatment Alternative ◽  
Partial Denture ◽  
Fixed Partial Denture ◽  
Reinforced Composite ◽  
Direct Fabrication ◽  
Functional Replacement

An implant-supported crown or conventionally fixed partial denture is the most common treatment modality to replace a missing anterior tooth but a more conservative approach, with a fiber reinforced composite resin FPD, can be used to replace a missing anterior tooth in young patients or when the patient does not agree for an implant, or conventional FPD or RPD therapy. It is an esthetic, conservative single sitting chairside procedure which can be used as a definitive treatment alternative in certain clinical situations for esthetic and functional replacement of a missing anterior tooth. To achieve desirable results, putty matrix was used for proper positioning of the pontic during direct fabrication of FRCFPD.

scholarly journals Prosthodontic Rehabilitation Alternative of Patients with Cleft Lip and Palate (CLP): Two Cases Report

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Emrah Ayna ◽  
Emine Göncü Başaran ◽  
Köksal Beydemir
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Infectious Agents ◽  
Prosthetic Rehabilitation ◽  
Removable Partial Denture ◽  
Anterior Maxilla ◽  
Partial Denture ◽  
Prosthetic Reconstruction ◽  
Fixed Partial Denture ◽  
Reinforced Composite

Although patients with cleft lip and palate (CLP) are not seen regularly in general dental practice, this is a frequent congenital anomaly; approximately one in every 800 live births results in a CLP. The cause of CLP is unknown, but possible causes are malnutrition and irradiation during pregnancy, psychological stress, teratogenic agents, infectious agents (viruses), and inheritance. Most clefts are likely caused by multiple genetic and nongenetic factors. Prosthetic reconstruction of the anterior maxilla is important for these patients. This paper describes the prosthetic rehabilitation of two patients with CLP, 19-year-old and 21-year-old women, both with surgically treated CLP. In both, an examination revealed a residual palatal defect of  mm and missing maxillary lateral incisors. The 19-year-old was treated with a fiber-reinforced composite resin-bonded fixed partial denture. The 21-year-old was treated with a removable partial denture with an extracoronal attachment system. The prosthetic rehabilitation of the two patients with CLP was evaluated clinically. In both, well-planned prosthetic, periodontal, and surgical therapy resulted in satisfactory function and esthetics, alleviating their deformities. With education and appropriate recall, the patients should be able to maintain their oral health.

scholarly journals Tissue Recession around a Dental Implant in Anterior Maxilla: How to Manage Soft Tissue When Things Go Wrong?

Prosthesis ◽  
2021 ◽  
Vol 3 (3) ◽  
pp. 209-220
Author(s):  
Uccioli Umberto ◽  
Fonzar Alberto ◽  
Lanzuolo Stefania ◽  
Meloni Silvio Mario ◽  
Lumbau Aurea Immacolata ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Soft Tissue ◽  
Gold Standard ◽  
Orthodontic Treatment ◽  
Tooth Extraction ◽  
Decision Making Process ◽  
Anterior Maxilla ◽  
Socket Preservation ◽  
Connective Tissue Graft ◽  
Implant Placement

Dental implants represent the gold standard for the treatment of single edentulism, even in anterior areas. Today, the basic criteria for implant success has changed from mobility, pain, radiolucency, and peri-implant bone loss (>1.5 mm) to prosthetic level success, aesthetics, soft tissue parameters, as well as patient satisfaction. This case report documents a combination of surgical and prosthetic procedures for the treatment of gingival recessions in the anterior maxilla, appearing after tooth extraction, socket preservation, and staged guided implant placement. Prosthetic management of the temporary restoration, orthodontic treatment, and a connective tissue graft were performed. The decision-making process and step-by-step execution of the treatments are presented to describe the entire clinical and surgical management of the reported case. Finally, good aesthetic outcomes, patient satisfaction, and recovery of the soft tissue recession were observed with the combination of these techniques.

scholarly journals Autologous Graft in the Anterior Maxilla—A Case Report

2021 ◽  
Vol 5 (1) ◽  
pp. 36
Author(s):  
Rodolfo Vaz ◽  
Pedro Gameiro ◽  
Pedro Sottomayor ◽  
Bernardo Saldanha ◽  
Pedro Rodrigues
Keyword(s):  
Bone Regeneration ◽  
Gold Standard ◽  
Treatment Plan ◽  
Previous History ◽  
Guided Bone Regeneration ◽  
Bone Thickness ◽  
Anterior Maxilla ◽  
Patient Morbidity ◽  
History Of ◽  
Palatal Bone

A 44-year-old male patient was referred to the Egas Moniz Dental Clinic, with a previous history of failed bone regeneration, resulting in a reduced buccal-palatal bone thickness and aesthetic compromise of the gingival margin of the anterior maxilla. Since the use of autologous bone is considered the “gold-standard” in guided bone regeneration, the treatment plan consisted of an autologous mental graft into the maxilla, with a simultaneous guided bone regeneration with a xenograft and absorbable membrane. This allowed a predictable volumetric bone regeneration with low patient morbidity and posterior fixed rehabilitation.

Minimum acceptable laboratory procedures for satisfactory complete dentures, removable partial dentures, and fixed partial denture services

1972 ◽  
Vol 27 (1) ◽  
pp. 79-80 ◽  
Author(s):  
George A. Buckley ◽  
Louis Blatterfein ◽  
David H. Coelho ◽  
Robert L. Pearce ◽  
James T. Jackson ◽  
...  
Keyword(s):  
Complete Dentures ◽  
Partial Denture ◽  
Fixed Partial Denture ◽  
Laboratory Procedures
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