scholarly journals Magnetic Attachment Retained Complete Overdenture as Treatment for Maintaning Alveolar Ridge Height – A case report

2018 ◽  
Vol 1 (1) ◽  
pp. 54
Author(s):  
Anita Angdrijono ◽  
Nike Herdijantini ◽  
Hanoem Eka

Background:  Magnetic attachment can be used as  a retentive devices in overdenture technique in prostheses. The magnets are attached with remaining root structure transfer the occlusal load to the bone through the periodontal ligament of retained roots and then prevent resorption of the  alveolar ridge. Alvelar ridge plays an important role for the retention and stability of the denture as they will support the denture base. Magnetic assembly consist of magnet and coping with a keeper on the remaining tooth structure  since magnetic attachment can provide support, stability and retention. Purpose: The purpose of this case report was to report magnetic attachment retained complete overdenture design and fabrication as a preserve to alveolar bone height to achieve retention and stability of the denture.  Case: A 69 years old female patient, a baker and private English teacher with partial edentulous ridge came to Dental Hospital of Airlangga University asked for dentures. Clinical examination shown a complete edentulous in the upper jaw and partial edentulous in the lower jaw. The remaining teeth were 33, 34, 35, 43 and 44. 33 and 35 are chronic gangrene radix, 35 shown a slightly mobility. 34 non vital, 44 and 45 are vital with moderate resorption. Case management : All the left teeth in the lower jaw were consulted for endodontic treatment. Magnetic attachment retained complete overdenture was choosen for the lower jaw and complete denture for the upper jaw. The remaining teeth in the lower jaw kept the alveolar ridge from resorption and the magnet provided extra retention for the complete overdenture. Discussion: Overdentures supported by magnet attachment achieved greater satisfaction, gives better retention  and stability for the denture. On the other side, the natural abutment teeth in overdentures  preserved  better proprioception and psychologically beneficial as the patient had not undergone extraction. As a conclusion, overdenture supported by magnetic attachment can be used to increase support, retention and stability especially in the lower jaw and also  prevent further alveolar ridge resorption. Conclusion: Overdenture supported by magnetic attachment can be used to increase retention and the residual root also prevent further alveolar ridge resorption.

2019 ◽  
Vol 1 (1) ◽  
pp. 13
Author(s):  
Edy Machmud ◽  
Sitti Arpa

Objective: According to the manufacture, fewer than 1 in 10 capsule associated with overdentures on natural teeth separated from the denture base during an 8-year clinical trial; more interestingly, none experience loss of magnetic attraction.Methods: A 50 year old female patient came to Dental Hospital Makassar Hasanuddin University wanted to fix a loose denture, which has been used for 9 years. Chief complaint was a mobile mandibular denture. Treatment for the restoration of oral function, including mastication, using mandibular implant-retained overdenture with magnets in total edentulous. Implant supported retained with magnetic attachment constitute an accurate and predictable treatment option and achieve a higher patients satisfaction.Results: The surface of both magnet and attachment keeper were coated with titanium nitride (TiN). Self-curing resin was used for luting between  magnets and denture base resin.Conclusion: Magnetic attachments can be used to retain mandibular implant overdenture.Key words: Implant supported overdenture with magnets, resorbed alveolar ridge, total edentulous


2020 ◽  
Vol 18 (3) ◽  
pp. 15-25
Author(s):  
A. B. Mallaeva ◽  
N. S. Drobysheva

Aim. To assess the size of the alveolar ridge / part of the jaws in patients with gnathic mesial occlusion of the dentition.Materials and methods. A study was carried out, during which we determined the structural features of the alveolar ridge of the upper and lower jaws of 50 adult patients (from 18 to 44 years old), and also studied the presence / absence of the relationship of this parameter with the inclination of the teeth.Results. The smallest thickness of the alveolar bone in the upper jaw was observed in the area of the mesio-buccal root of the first molars and in the area of the first premolars and canines. The smallest thickness of the alveolar bone in the lower jaw was observed in the area of the vestibular surface of the first and second premolars, canines and incisors. The greatest thickness of the alveolar bone is observed in the distal-buccal region of the second molars.Conclusions. A natural mechanism promotes dentoalveolar compensation, while maintaining the amount of bone in the region of the vestibular and lingual alveolar bones to maintain the integrity of the periodontium.


2017 ◽  
Vol 2 (1) ◽  
pp. 76
Author(s):  
Elvi Elvi ◽  
Edy Machmud ◽  
Bahruddin Thalib ◽  
Armawati Arafi ◽  
Indah Sulistiawaty

Objective: To give information about management of releasable full denture in patient with pseudo jaw relation class IIIMethods: A 58 years old woman came with complaints that she could not chew food and felt shy when she laughed, the woman asked a denture made for her. Last tooth withdrawal was 3 months ago. Shape of upper jaw sharp edge is triangle (pointed alveolar ridge), while lower jaw sharp edge is in resorbtion condition. Making of denture was started with initial molding, physiology molding, bite determination, and teeth arrangement based on Lingualized occlusion to insertion.Results: A case with pseudo jaw relation class III successfully treated using denture with lingualized occlusion.Conclusion: Teeth arrangement using occlusion pattern Lingualized occlusion can give natural appearance to patient and stability of denture.


Materials ◽  
2020 ◽  
Vol 13 (17) ◽  
pp. 3688
Author(s):  
Michael Benno Schmidt ◽  
Angelika Rauch ◽  
Marcus Schwarzer ◽  
Bernd Lethaus ◽  
Sebastian Hahnel

Completely digital workflows for the fabrication of implant-supported removable restorations are not yet common in clinical dental practice. The aim of the current case report is to illustrate a reliable and comfortable workflow that reasonably merges conventional and digital workflows for the CAD/CAM‑fabrication of implant-supported overdentures. The 53-year old patient was supplied with a digitally processed complete denture in the upper jaw and, simultaneously, with an overdenture supported by four interforaminal implants in the lower jaw. The overdenture included a completely digitally processed and manufactured alloy framework that had been fabricated by selective laser sintering. The case report indicates that digital manufacturing processes for extensive and complex removable restorations are possible. However, as it is currently not yet possible to digitally obtain functional impressions, future developments and innovations might focus on that issue.


2012 ◽  
Vol 59 (1) ◽  
pp. 51-56
Author(s):  
Aleksandar Medojevic ◽  
Milica Jovanovic-Medojevic ◽  
Djordje Nejkovic

Implantology has become an important therapeutic procedure that allows complete aesthetic and functional rehabilitation of the oro-facial system in edentulous patients. Implant supported prosthetic restorations can be fixed in two ways, by cement or screws. Both techniques have advantages and disadvantages and their selection depend on situation in patient?s mouth. The aim of this study was to describe complete process of prosthetic rehabilitation in an edentulous patient, from pre-implant preparation, through implant placement and fixation of final restoration on implants. In this case report, one ceramo-metal bridge was fixed by screws in the lower jaw while the other one was fixed using glass-ionomer cement in the upper jaw. After bone augmentation and time necessary for its osseointegration (6 to 8 months), 16 implants were placed in both jaws. Eight weeks after the implant placement, final prosthetic rehabilitation was achieved by cementation of one ceramo-metal bridge in the upper jaw using glass ionomer cement and fixation of the second bridge with screws in the lower jaw. To achieve successful implant supported prosthetic rehabilitation, the treatment protocol must be followed from the beginning to the end of the therapy.


2012 ◽  
Vol 19 (2) ◽  
pp. 167
Author(s):  
Yusrina Sumartati ◽  
Haryo Mustiko Dipoyono ◽  
Erwan Sugiatno

Latar belakang. Kehilangan gigi anterior rahang atas mengakibatkan gangguan fungsi fonetik dan estetik. Gangguan fungsi estetik menyebabkan pasie menjadi rendah diri. Kondisi ini dapat diatasi oleh dokter gigi, salah satunya dengan pembuatan cantilever bridge. Tujuan. Penulisan ini yaitu untuk memberi informasi bahwa pada kasus kehilangan gigi-gigi anterior rahang atas dengan space yang telah menyempit dan malposisi gigi dapat dibuatkan protesa berupa gigi tiruan cekat dengan desain cantilever bridge. Kasus dan perawatan. Laporan kasus ini membahas tentang pasien perempuan umur 39 tahun yang datang ke Rumah Sakit Gigi dan Mulut Prof. Soedomo, dengan keluhan merasa kurang percaya diri karena gigi depan rahang atas hilang sejak 5 tahun yang lalu akibat kecelakaan. Gigi-gigi anterior rahang atas yang masih ada mengalami malposisi akibat pemakaian gigi tiruan sebagian lepasan yang tidak baik. Perawatan yang dilakukan adalah dengan pembuatan cantilever bridge pada gigi 11, 12, 13 dan 21, 22, 23. Kesimpulan. Gangguan fungsi estetik pada gigi anterior rahang atas dapat diatasi dengan pembuatan cantilever bridge. Background. Maxillary anteriortooth loss resulting in impaired function of phonetic and aesthetic. Impaired function of aesthetic cause patients to become self conscious. This condition can be treated by a dentist, one with a cantilever bridge. Purpose. To inform that in case of missing anterior teeth of the upper jaw with a space that has been narrowed, and malposition of teeth can be made prosthesis denture fixed bridge with a cantilever design. Case and treatment. This case report discusses the 39 years old female patient who came to he Dental Hospital Prof. Soedomo, with complaints of feeling less confident due to the maxillary front teeth missing since 5 years ago due to an accident. Anterior teeth of the upper jaw are still experiencing malposition due to the use of removable partial dentures are not good. The treatment is done is by cantilever bridge on teeth 11, 12, 13 and 21, 22, 23. Conclusion. Impaired function of the aesthetic in the maxillary anterior teeth can be solved by a cantilever bridge. 


2015 ◽  
Vol 2015 ◽  
pp. 1-7
Author(s):  
Doğu Ömür Dede ◽  
M. Cenk Durmuşlar ◽  
Onur Şahın ◽  
Ayşegül Köroğlu ◽  
Özer İşısağ

This case report presents a patient who had been rehabilitated with a telescopic overdenture and implant supported fixed partial denture (ISFPD). The treatment process was as follows: (1) fabricating telescopic crowns and overdenture prosthesis for the lower jaw and a temporary complete denture for the upper jaw, (2) using the temporary denture as diagnostic and surgical guide to optimize dental implant placement, and (3) fabricating ISFPD for the upper jaw. Using the patient’s existing or temporary denture not only serves as an alternative surgical guide to calibrate the dental implant locations but also helps to finish the restoration at desired dimension, size, and anatomic form.


2007 ◽  
Vol 8 (6) ◽  
pp. 57-63 ◽  
Author(s):  
Ahmed A. Zahrani

Abstract Aim The aim of this report is to describe a significantly deficient case of alveolar bone that was managed by alveolar bone augmentation using a technique of distraction osteogensis and onlay bone grafting prior to dental implant placement. Background Injury to the teeth and alveolar ridge of the maxillary anterior region can cause a severe alveolar ridge deficiency resulting in ridge atrophy and maxillary retrognathism. The loss of these teeth and alveolar bone together with fibrotic scar formation can result in adverse changes of the interarch space, occlusal plane, arch relationship, and arch form which complicates rehabilitation and can compromise the esthetic outcome. While implant dentistry has become a new paradigm in oral reconstruction and replacement of missing teeth, ideal implant positioning can be compromised by inadequate alveolar bone in terms of bone height, width, and quality of the bone itself. Correction of osseous deficiencies with ridge augmentation allows ideal implant placement and creates a more natural soft tissue profile which influences crown anatomy and esthetics. Report A 20-year-old female presented with a complaint of poor esthetics resulting from oral injuries incurred in a traffic accident six years previously. In addition to a mandibular parasymphyseal fracture, five maxillary anterior teeth and the most of the alveolar ridge were lost. Clinical examination revealed severe loss of bone in the maxillary anterior region, an absence of a labial sulcus, loss of upper lip support, and a slight over eruption of the mandibular anterior teeth. In preparation for dental implants a distraction osteogenesis surgical procedure was done to lengthen the height of the alveolar ridge. After a three-month healing period, the width of the residual ridge was found to be insufficient for implant placement. To correct this deficiency, a bone graft of a cortiocancellous block was harvested from the chin and fixed to the labial aspect of the ridge. To facilitate revascularization, small perforations were made in the cortical bone of the alveolar ridge at the recipient site before cancellous bone retrieved from the donor site was gently placed between the bone block and the ridge. The patient was then appropriately medicated and healing was uneventful. After three months, the width of the residual ridge was assessed to be adequate for endosseous implants. Summary The clinical result reported here has shown several procedures may be necessary for the rehabilitation of a trauma patient. Distraction osteogenesis per se may not always satisfactorily improve the anatomical alveolar anatomy but it has advantages over other methods of augmentation. It can improve the height and also expand the soft tissue for further bone grafting. Augmentation of the alveolar bone with an onlay bone graft often provides the desired gain of bone, allows for the ideal placement of dental implants, and improves any discrepancy between the upper and lower arches. Citation Zahrani AA. Augmentation in Two Stages of Atrophic Alveolar Bone Prior to Dental Rehabilitation: A Case Report. J Contemp Dent Pract 2007 September;(8)6:057-063.


2011 ◽  
Vol 3 (2) ◽  
pp. 31-33
Author(s):  
Manasali Bheema Setty ◽  
Nadiger K. Ramesh ◽  
Shaik A Saquib

ABSTRACT Over denture is favoured treatment modality for an elderly patient with few remaining teeth, because of adaptation to wearing is facilitated. Roots maintained under the denture base preserve the alveolar ridge, provide sensory feedback and improve the stability of the dentures. In comparison with complete dentures, overdentures may provide better functions. The most common problem of mandibular complete denture is retention & stability and alveolar ridge resorption; hence care must be taken to preserve it.


2015 ◽  
Vol 72 (12) ◽  
pp. 1126-1131 ◽  
Author(s):  
Sinisa Mirkovic ◽  
Igor Budak ◽  
Tatjana Puskar ◽  
Ana Tadic ◽  
Mario Sokac ◽  
...  

Introduction. An autologous bone (bone derived from the patient himself) is considered to be a ?golden standard? in the treatment of bone defects and partial atrophic alveolar ridge. However, large defects and bone losses are difficult to restore in this manner, because extraction of large amounts of autologous tissue can cause donor-site problems. Alternatively, data from computed tomographic (CT) scan can be used to shape a precise 3D homologous bone block using a computer-aided design-computer-aided manufacturing (CAD-CAM) system. Case report. A 63-year old male patient referred to the Clinic of Dentistry of Vojvodina in Novi Sad, because of teeth loss in the right lateral region of the lower jaw. Clinical examination revealed a pronounced resorption of the residual ridge of the lower jaw in the aforementioned region, both horizontal and vertical. After clinical examination, the patient was referred for 3D cone beam (CB)CT scan that enables visualization of bony structures and accurate measurement of dimensions of the residual alveolar ridge. Considering the large extent of bone resorption, the required ridge augmentation was more than 3 mm in height and 2 mm in width along the length of some 2 cm, thus the use of granular material was excluded. After consulting prosthodontists and engineers from the Faculty of Technical Sciences in Novi Sad we decided to fabricate an individual (custom) bovine-derived bone graft designed according to the obtained 3D CBCT scan. Conclusion. Application of 3D CBCT images, computer-aided systems and software in manufacturing custom bone grafts represents the most recent method of guided bone regeneration. This method substantially reduces time of recovery and carries minimum risk of postoperative complications, yet the results fully satisfy the requirements of both the patient and the therapist.


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