scholarly journals REABILITAÇÃO EM PROTOCOLO ALL-ON-SIX : RELATO DE CASO CLÍNICO

Author(s):  
Cíntia Freire

RESUMO: A técnica de reabilitação com protocolos buscando a redução do número de implantes instalados tem sido realizada com excelentes taxas de sobrevivência e sucesso, além de apresentar uma grande previsibilidade e precisão dos resultados. O objetivo deste relato de caso foi descrever um protocolo reabilitador pela técnica de redução do número de implantes, com prototipagem reversa em maxila. Paciente do sexo masculino, 59 anos de idade, apresentou-se com múltiplas raízes residuais superiores e com uma condição precária de higiene oral. Após a avaliação clínica e radiográfica do paciente foi sugerido a reabilitação em protocolo all-on-six. Foram realizadas extrações de 15 raízes residuais, moldagem total superior e inferior, tomografia computadorizada, confecção de guia cirúrgico, confecção da prótese total superior, instalação de 6 implantes dentários e reabilitação protética. Esta técnica permitiu a obtenção de resultados funcional e estético satisfatórios, de rápida execução, com custo reduzido e menor morbidade.Palavras-chave: all-on-four; planejamento digital; Reabilitação protética.ABSTRACT: The technique of rehabilitation with protocols looking for the reduction of the number of installed implants has been performed with excellent rates of survival and success, besides presenting a great predictability and precision of the results. The purpose of this case report was to describe a rehabilitation protocol with the reduction of the number of installed implants, with reverse prototyping of maxilla. A 59-year-old male patient presented with residual roots of 15 all upper teeth and with a precarious oral hygiene condition. After the clinical and radiographic evaluation it was suggested an all-on-six protocol. fifteen residual roots were extracted, upper and lower total molding, computed tomography, surgical guide, superior total prosthesis preparation, 6 dental implants and prosthetic rehabilitation. This technique allowed to obtain satisfactory functional and aesthetic results with fast execution, with reduced cost and lower morbidity.Key words: All-on-four; Digital planning; Prosthetic rehabilitation.

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.


2017 ◽  
Vol 64 (4) ◽  
pp. 200-204
Author(s):  
Georgi Iliev

Abstract Introduction Optimal aesthetic results require suitable smile design that fulfils patient’s expectations. Psychological importance of teeth appearance is clear and often discussed in relation to the success of prosthetic treatment. The objective of this article was to present methodology for creating customized smile design using the Visagismile concept and evaluate aesthetic satisfaction with prosthetic treatment. Case report A 52-year-old female patient required complete esthetical dental mouth reconstruction. Digital planning software (Visagismile) provided dentists and technicians a 2D preview of the final design that relates facial perception and personality of the patient. The latest innovation of used software in addition to documents that dentists send for the Visagismile application is that they need to send an intraoral 3D scan of the patients mouth (with any scanner) and define the length and position of incisal edges of the central incisors. This information as a STL file is sent to new Visagismile/REBEL center that is actually a digital lab, that converts 2D designs created by the Visagismile concept into 3D and create a digital wax up immediately. Conclusions Visagismile concept supports both dentist and patient in deciding the aesthetics of the prosthetic restoration. The total coefficient of the assessment of patients for the final aesthetic result was highly satisfactory. Using the proposed methodology, a smile design corresponding to individual facial features, temperament and personal preferences of the patient can be reproduced.


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.


2017 ◽  
Vol 15 (2) ◽  
pp. 98-101 ◽  
Author(s):  
Ying Guo ◽  
Tongbai Xu ◽  
Chen Wang ◽  
Jin Wang

This case report presents aortic dissection with aneurysm (ADA) related to Salmonella infection. An 84-year-old male patient was admitted to our hospital for fever and chest pain. Chest computed tomography (CT) showed ADA. The patient underwent aortic dissection and cavity isolation surgery; subsequently, the patient was found to be febrile. Blood culture detected the presence of Salmonella infection. We concluded that the case presented was mycotic aneurysm due to Salmonella infection.


2015 ◽  
Vol 09 (01) ◽  
pp. 149-152 ◽  
Author(s):  
Kubra Torenek ◽  
Suayip Burak Duman ◽  
Ibrahim Sevki Bayrakdar ◽  
Ozkan Miloglu

ABSTRACTCoronoid hyperplasia (CH) is an infrequent condition that can be defined as an abnormal bony elongation of histologically normal bone. Progressive and painless difficulty in opening the mouth is the main clinical finding of CH. In this case report, the clinical and radiological findings for a 23-year-old male patient with bilateral CH are presented. When plain radiographies are not sufficient for diagnosis and evaluation of the CH, cone-beam computed tomography can be used.


2007 ◽  
Vol 01 (03) ◽  
pp. 183-187 ◽  
Author(s):  
Çiğdem Küçükesmen ◽  
Buğra Özen ◽  
Mustafa Akçam

ABSTRACTObjectives: Common carious lesions owing to vomiting are not widespread in children. In this case, we aimed to report an 11-years-old male patient with common carious lesions due to repeated vomitings, chewing and eating difficulty and retarded growth with Multiple Hereditary Osteochondromatosis (MHO).Case Report: An 11-years-old boy was referred to Department of Pediatric Dentistry in Faculty of Dentistry because of eating difficulty owing to common carious lesions. It was seen that the patient growth was generally retarded in extra-oral examination. Some exostoses were also present on the extremities. It was learned that he was previously diagnosed as MHO in Faculty of Medicine. Nausea and vomiting have been commonly occurring after taking of Didronat. Chewing and eating difficulty and inadequate nutrition were present because of bad oral hygiene, carious lesions and remained roots. Growth was negatively affected by malnutrition and MHO.Results: Diet recommendations were given and oral hygiene behaviors were rearranged. Preventive, surgical, restorative and prosthetical dental applications were applied for dental treatments. (Eur J Dent 2007;1:183-187)


2020 ◽  
Vol 10 (1) ◽  
pp. 93-6
Author(s):  
Fabio Jose Barbosa Bezerra ◽  
Felipe Moura Araujo ◽  
Guilherme Jose Pimentel Lopes de Oliveira ◽  
Bruna Ghiraldini

The aim of this case report was to present an indication of the PEEK as a material of customizable healing abutment. A 35-year-old male complained about the absence of the right upper first molar that had been previously extracted (2 years) due to unsuccessful endodontic treatment. After the anamnesis, the clinical and radiographic evaluation, a good bone availability that enables a dental implants placement was observed in the edentulous region. A dental implant with hybrid microgeometry and morse taper prosthetic connection was placed. A good primary stability was obtained (32 Ncm), however, the early loading technique was opted for this case instead of the immediate loading, since the implants placed in the posterior region requires to support a high masticatory loading force which could interfere with the healing process of the dental implant. Then, a customizable PEEK healing abutment was installed in order to define the prosthetic emergence profile. There were no signs of complications during the postoperative period, and after the twenty-eight-day healing period, a prosthetic interface for digital transfer was installed and intraoral scanning was performed. The prosthetic rehabilitation was performed by the CAD/CAM system, and a screwed prosthetic rehabilitation was installed at the same day. The patient was followed up for 12 months, and no signs or symptoms of peri-implant pathology or prosthetic complications were detected. The customizable PEEK healing abutment is a good option to induce a properly soft-tissue healing that enables an adequate prosthetic emergency profile.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Tatiana Miranda Deliberador ◽  
Suyany Gabriely Weiss ◽  
Alexandre Teixeira Domingues Neto ◽  
Isabela Zago Zetola ◽  
Maria Eduarda Santana Prix ◽  
...  

Digital flow has become a part of currently practiced dentistry. Virtual planning ensures predictable aesthetic and functional rehabilitation, painless postoperative recovery, and better communication with patients, thus meeting their expectations. The purpose of this case report is to demonstrate the digital planning for the correction of a gummy smile with a personalized preparation using a piezoelectric surgical guide (PerioGuide) for gingival contouring and flapless osteotomy. The guide was designed using Nemo Studio software, based on the patient’s facial aesthetic analysis, through photos, videos, and facial scanning. These images were aligned with the scan and placed over the cone beam computed gingival tomography for prediction of results, based not only on the distance from the cementoenamel junction to the bone crest but also on the best gingival margin contour according to virtual aesthetic planning. Digital planning, combined with the use of a piezoelectric device, allows for a flapless guided surgical technique for gingival contouring and osteotomy. As a result, the surgical procedure is safer, faster, and more predictable with better postoperative outcomes.


1991 ◽  
Vol 81 (9) ◽  
pp. 502-505 ◽  
Author(s):  
JP Boylan ◽  
KR Springer ◽  
FP Halpern

The intention of this report is to heighten the practitioner's clinical suspicion of intraosseous lipoma of the calcaneus. The apparent infrequency of this diagnosis may be attributed to the dependence on radiographic evaluation and the use of closed needle biopsy. Thus, to make a proper diagnosis, a computed tomography scan with the rate of attenuation and, ultimately, a large tissue biopsy with attentive gross and microscopic examination are necessary.


2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Paulo Sérgio Flores Campos ◽  
José Aloysio Carvalho Oliveira ◽  
Janaina Araújo Dantas ◽  
Daniela Pita de Melo ◽  
Nilson Pena ◽  
...  

A rare case of Stafne's bone cavity, type III-G, is reported in a 49-year-old male patient who had been referred to a private clinic for a routine evaluation. The final diagnosis was based on computed tomography. Scintigraphy played a fundamental role in determining the most likely etiology.


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