scholarly journals Coronectomy of two neighbouring ankylosed mandibular teeth: A case report

2014 ◽  
Vol 71 (8) ◽  
pp. 777-779 ◽  
Author(s):  
Vladimir Biocanin ◽  
Ljubomir Todorovic

Introduction. Intentional partial odontectomy or coronectomy is primarily advocated in situations with intimate relationships between the roots of the tooth indicated for extraction and the inferior alveolar nerve (IAN). The aim of this report was to present a patient with two neighbouring infraoccluded teeth in the right mandible indicated for extraction prior to prosthetic rehabilitation, which were coronectomied as to prevent injuring of the IAN and causing iatrogenic fracture of the mandibular body. Case report. Coronectomy of both teeth was performed as recommended in the literature. The patient had no special discomfort after the operation or deficit in sensitive nerve function, and the wound healed uneventfully. The patient was followed regularly during a 2- year period. Conclusion. The presented case suggests coronectomy as quite beneficial solution for avoiding serious problems (injuring of the IAN and possible fracture of the mandible) and making feasible forthcoming prosthetic rehabilitation.

2016 ◽  
Vol 21 (3) ◽  
pp. 94-103 ◽  
Author(s):  
Marcel Marchiori Farret ◽  
Milton M. Benitez Farret

ABSTRACT Introduction: A canted occlusal plane presents an unesthetic element of the smile. The correction of this asymmetry has been typically considered difficult by orthodontists, as it requires complex mechanics and may sometimes even require orthognathic surgery. Objective: This paper outlines the case of a 29-year-old woman with Class II malocclusion, pronounced midline deviation and accentuated occlusal plane inclination caused by mandibular deciduous molar ankylosis. Methods: The patient was treated with a miniplate used to provide anchorage in order to intrude maxillary teeth and extrude mandibular teeth on one side, thus eliminating asymmetry. Class II was corrected on the left side by means of distalization, anchored in the miniplate as well. On the right side, maxillary first premolar was extracted and molar relationship was kept in Class II, while canines were moved to Class I relationship. The patient received implant-prosthetic rehabilitation for maxillary left lateral incisor and mandibular left second premolar. Results: At the end of treatment, Class II was corrected, midlines were matched and the canted occlusal plane was totally corrected, thereby improving smile function and esthetics.


2009 ◽  
Vol 67 (5) ◽  
pp. 1104-1112 ◽  
Author(s):  
Pietro Felice ◽  
Giuseppe Corinaldesi ◽  
Giuseppe Lizio ◽  
Adriano Piattelli ◽  
Giovanna Iezzi ◽  
...  

2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Alessandro Lanza ◽  
Fabrizio Di Francesco ◽  
Gennaro De Marco ◽  
Fabio Scognamiglio ◽  
Valeria Aruta ◽  
...  

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.


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.


2012 ◽  
Vol 59 (4) ◽  
pp. 211-218
Author(s):  
Srdjan Postic

Introduction. The aim of this study was to fabricate a complete upper acrylic denture and a partial lower acrylic denture and provide occlusal rehabilitation with added benefit of correcting the position of altered condyle in a dysfunctional stomatognathic system. Case Report. Procedures for fabrication of acrylic dentures are thoroughly described. Specific scheme of occlusion was applied in the treatment of this patent. Occlusal contacts were established as tripod minor contacts on the side where the part of upper edentulous ridge was intensively reduced (on the right side) with divergent tracing of the condyle due to dysfunction. Tripod contacts were established on occlusal surfaces of opposing teeth as well. Contacts on the left side were formed as circumferential surfaces. Specially distributed occlusal contacts favorably influenced reduction of occlusal stresses on supporting tissues in the mouth of the patient. Tooth contacts arranged in such particular order were established to redistribute loading as well as to prevent excessive propulsion and latero-protrusive movements of the lower jaw. Conclusion. Occlusal pattern of tripod and single-point contacts was used to compensate differences in condylar movements of this patient with stomatognathic dysfunction, intending to diminish loads on reduced surfaces.


VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.


2006 ◽  
Vol 55 (4) ◽  
pp. 349
Author(s):  
Ju Won Lee ◽  
Kyung Hee Lee ◽  
Seung Min Kwak ◽  
Yong Sun Jeon ◽  
Soon Gu Cho ◽  
...  
Keyword(s):  

Sign in / Sign up

Export Citation Format

Share Document