Reabilitação protética após fratura dento-alveolar extensa – relato de caso

2020 ◽  
Vol 12 (45) ◽  
pp. 83-90
Author(s):  
Vanessa Malcher da Silva ◽  
Franklin Barbosa da Silva ◽  
Derlyn Henrique Reis Andrade ◽  
Felipe Muniz Aguiar ◽  
Francisco Pantoja Braga
Keyword(s):  
Tooth Extraction ◽  
Treatment Plan ◽  
Traumatic Injury ◽  
Radiographic Examination ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Posterior Maxilla ◽  
Palatal Plate ◽  
Metal Frame ◽  
The Right

Bucco-sinus communications are common incidences and may be associated with posterior superior tooth extraction. In large maxillary losses, repairing prostheses have a categorical or essential indication. Thus, the objective of this study is to report a clinical case of prosthetic rehabilitation using a removable partial denture (RPD) due to absence of teeth in the posterior maxilla region resulting from a dento-alveolar fracture as consequence of traumatic injury. A 21-year-old male patient attended the dental clinic at Nilton Lins University, reporting masticatory failure, discomfort and sensitivity when eating cold foods in the right upper molars region. After clinical and radiographic examination, it was observed that in addition to the absence of teeth 16, 17 and 18, there was an extensive bone loss in the right posterior hemiarch, with surgically sealed bucosinusal communication. As treatment plan, rehabilitation using a removable partial prosthesis modified and adapted to the acquired defect was proposed. In the consultations, the stages of study model manufacturing, assemble in a semi-adjustable articulator and delineation. The modification of the metallic frame consisted of a larger connector, like a wide palatal plate 10 mm long without relief on the palate, complemented by indirect twinned clamps and direct “T” type on tooth 15. The case was concluded with the steps of metal frame test, teeth assembly, teeth testing, acrylization and installation. The rehabilitation treatment by means of restorative PPR was satisfactory, as it was observed that after its installation, the patient showed extreme satisfaction with the result obtained, with an explicit improvement in chewing and swallowing.

Tratamento reabilitador com prótese total imediata maxilar e prótese parcial removível mandibular

2020 ◽  
Vol 9 (35) ◽  
pp. 32-39
Author(s):  
Ianca Zany Nunes Corrêa ◽  
Erika Akiko Moura Shiota ◽  
Ely Moacyr De Souza Portela ◽  
Gabriel Garcia Bardales ◽  
Francisco Pantoja Braga ◽  
...  
Keyword(s):  
Tooth Extraction ◽  
Functional Restoration ◽  
Radiographic Examination ◽  
Prosthetic Rehabilitation ◽  
Oral Rehabilitation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Natural Teeth ◽  
Oral Examinations ◽  
Artificial Teeth

Immediate complete denture (ICD) is a mucosa-supported prosthesis manufactured before the removal of natural teeth and installed soon after their extraction. This paper aims to describe a clinical case of oral rehabilitation with upper ICD and lower removable partial denture (RPD). A 57-year-old female patient sought treatment with dissatisfaction with her aesthetics and mobility of the upper teeth. After anamnesis, intra and extra-oral examinations, radiographic examination and analysis of study models mounted on a semi-adjustable articulator, periodontal pockets were found in the upper teeth and extensive bone loss. So, upper tooth extraction, superior ICD and lower RPD were indicated as treatment. For ICD preparation, anatomical and functional moldings were made, made up of orientation and intermaxillary relationship plans for the assembly of the semi-djustable articulator models. The remaining upper teeth were removed from the model for assembly of the artificial teeth and the ICD was polymerized and polished. The lower RPD was made following the standard steps. After dentures manufacturing, the surgery for upper tooth extraction was performed and prostheses installed immediately after surgery. The results demonstrated that the performed treatment provided aesthetic, phonetic, and functional restoration to the patient avoiding her to undergo a period of edentulism. It was concluded that ICD is a good indication for prosthetic rehabilitation of patients with advanced periodontitis, whose planning is the exodontia of all the teeth of an arch.

scholarly journals Kombinasi hybrid prosthesis dengan precision attachment pada kasus mahkota klinis pendek Hybrid prosthesis combined with precision attachment to overcome clinically short crown

2013 ◽  
Vol 12 (2) ◽  
pp. 118
Author(s):  
Irene Melina ◽  
Soekobagiono Soekobagiono ◽  
Harry Laksono
Keyword(s):  
Clinical Success ◽  
Crown Height ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Hybrid Prosthesis ◽  
Abutment Teeth ◽  
Metal Frame

In the case of losing many teeth and the residual teeth have short clinical crown, design of the denture may hybriddenture. Hybrid denture is a removable partial denture with metal frame which have retention in the form ofprecision attachment. In short clinical crown, placement of crowns and the use of traction can be a problem,because there is no or lack of retention. In the manufacture of hybrid denture with precision attachment retention,using abutment with short clinical crowns is contraindicated. But in some literatures mentioned that the rest of theclinical crown height of not less than 2 mm can still be used as an abutment, but the abutments must be modified,such as making a longer preparation towards cervical edge. In several studies and literature, it is mentioned that toimprove the retention of the crown, the axial wall of abutment must be 4-6°. This article is aimed to report the clinical success of using the hybrid denture on abutment teeth which have short clinical crowns in a patient woman

Immediate Removable Partial Denture For Aesthetic Anterior Maxillary Tooth Rehabilitation

DENTA ◽  
2016 ◽  
Vol 10 (1) ◽  
pp. 100
Author(s):  
Benita Aryani Hendrata ◽  
Paulus Budi Teguh
Keyword(s):  
Case Report ◽  
Bone Resorption ◽  
Case Management ◽  
Tooth Extraction ◽  
Anterior Tooth ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Self Confidence ◽  
Woman Teacher ◽  
Maxillary Tooth

<p><strong><em>Background: </em></strong><em>An anterior tooth extraction can cause aesthetic and psychological problems. An Immediate Removable Partial Denture could be the choice of aesthetic rehabilitation because is inserted immediately following the natural tooh extraction. <strong>Purpose: </strong>This paper reported the case of Immediate Removable Partial Denture for aesthetic anterior maxillary tooth rehabilitation in a 41-years old woman teacher. <strong>Case Report: </strong>A 41-years-old woman teacher wasn’t confident with her #22 tooth microdontia and malpositioned. In order to rehabilitated her aesthetic problem could be done by immediate #22 tooth extraction. <strong>Case Management: </strong>Removable Partial Denture preparation was done by removing the #22 tooth. The denture was inserted immediately after the extraction. After the denture was inserted, at the 24-hours, 3 days, 1 week, and 1 month should be evaluated to know the bone resorption process and whether the Immediate Removable Partial Denture should be relined or not. <strong>Conclusion(s): </strong>The Immediate Removable Partial Denture provides an aesthetic rehabilitation and increases the patient’s self-confidence because the patient has no edentulous period.</em></p>

scholarly journals Justification of forming active prosthetic segments

2004 ◽  
Vol 51 (3) ◽  
pp. 153-157
Author(s):  
Ljiljana Tihacek-Sojic ◽  
Slobodan Saulic
Keyword(s):  
Observational Period ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Military Medical Academy ◽  
Random Choice Method ◽  
Medical Academy ◽  
Abutment Teeth ◽  
Metal Frame ◽  
Almost All ◽  
The Military

The aim of this paper was to examine the justification of forming active prosthetic segments on the abutment teeth for the incline of the elements of removable partial denture. Methods. The investigation was performed during 3-years observational period, at the Prosthodontic Clinics of Belgrade University Dental School, and the Military Medical Academy (MMA). During the mentioned observation period two groups of 200 patients with different kinds of edentulousness were analyzed, indicated for the design of metal frame removable partial dentures (MFRPD) with cast clasps. A total of 400 patients represented 50% of the sample chosen by random choice method for the determined observational period and dental institutions. Results. The evaluation of justification of the abutment teeth preparation was done during the analysis of the requirement of forming: guide planes, planes for occlusal rests, vestibular under cut, oral under cut. Conclusion. Upon the evaluation of the performed analyses the following can be concluded: during the composition of every MFRPD it is necessary to use at least two or more guide planes, depending on the type edentulousness of patients' teeth; formation of guide planes is performed in excessively high number of the abutment teeth (over 95%); during the composition of each particular MFRDP it is necessary to use as more occlusal rests as possible, at least 3, or more, which also depends on the type of patients' edentulousness; composition of the planes for occlusal rest has to be performed in almost all the patients (over 95% of the abutment teeth); vestibular planes of the abutment teeth should be prepared in over 50% of the used teeth; oral planes are prepared within the preparation of the abutment teeth for other active prosthetic segments. Conclusion. It is necessary to perform the composition of active prosthetic segments according to the plan established for the study models, both if the preparation of teeth for the adoption of MFRDP elements with clasps represents the use of an uninvasive, or an invasive dental method.

scholarly journals Penggunaan gigitiruan sebagian lepasan kerangka logam pascaperawatan periodontal Using metal frame removable partial denture after periodontal treatment

2011 ◽  
Vol 10 (2) ◽  
pp. 97 ◽  
Author(s):  
Krisnadi Setiawan ◽  
Aprillia Adenan
Keyword(s):  
Tooth Movement ◽  
Dental Materials ◽  
Periodontal Treatment ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Tooth Position ◽  
Metal Framework ◽  
Removable Denture ◽  
Metal Frame ◽  
Lower Arch

Metal framework denture is needed in patient with tooth loss accompanied by the presence of periodontal disease inthe remaining tooth is needed. This denture primarily maintains the existing teeth post periodontal treatment. Theuse of metal framework in this case can help to prevent tooth movement and maintain tooth position afterperiodontal treatment. Therefore, the success of the treatment can be achieved because the metal characteristic ismore rigid when compared to other dental materials. This paper discusses the use of frame denture in patient afterperiodontal treatment on the remaining teeth in lower arch. It can be concluded that removable denture with metalframe combined with splint must be done on mobile teeth, to decrease mobile teeth and to preventincreasing of periodontal tissue damage after periodontal treatment.

Mandibular Incisor Apicoectomy in a Canadian Beaver

2009 ◽  
Vol 26 (3) ◽  
pp. 164-167
Author(s):  
Gerhard Steenkamp ◽  
Leon Venter ◽  
David Crossley ◽  
Peter Buss
Keyword(s):  
Tooth Extraction ◽  
Treatment Plan ◽  
Maxillary Incisor ◽  
Incisor Tooth ◽  
Mandibular Incisor ◽  
Arrest Growth ◽  
The Right

A 52-month-old Canadian beaver was presented for treatment of lip trauma resulting from overgrowth of the right mandibular incisor tooth following earlier loss of the right maxillary incisor tooth. Extraction of the affected tooth was considered, but rejected due to the length of the embedded portion of rodent mandibular incisor teeth. The lip injury was managed by crown reduction (odontoplasty) of the overgrowing incisor tooth pending a more permanent treatment plan. A 2-cm apicoectomy of the right mandibular incisor tooth was performed to arrest growth of the tooth when the beaver was 82-months-old. The remainder of the tooth continued to erupt and was completely expelled during a 9-month period with one additional odontoplasty being required. The beaver continued to feed normally with just the left maxillary and mandibular incisor teeth until its death at 118-months, with odontoplasty performed twice on the remaining incisor teeth during the 30-months following exfoliation.

scholarly journals T-Bar clasp-retained removable partial denture as an alternative to implant-based prosthetic treatment

2008 ◽  
Vol 19 (3) ◽  
pp. 257-262 ◽  
Author(s):  
Osvaldo Luiz Bezzon ◽  
Mariane Gonçalves ◽  
Valéria Oliveira Pagnano
Keyword(s):  
Treatment Options ◽  
Acrylic Resin ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Fixed Partial Denture ◽  
Orthodontic Wire ◽  
First Choice ◽  
Diabetic Individual ◽  
The Right ◽  
Clinical Conditions

This article reports the case of a 55-year-old female patient who presented with unsatisfactory temporary crowns in the right mandibular premolars and molars, and a premolar-to-molar fixed partial denture in the left side. The clinical and radiographic examinations revealed a fracture of the left first premolar that was a retainer of the fixed partial denture and required extraction. Initially, the acrylic resin crowns were replaced by new ones, and a provisional RPD was made using acrylic resin and orthodontic wire clasps to resolve the problem arising from the loss of the fixed partial denture. Considering the patient's high esthetic demands, the treatment options for the definitive prosthetic treatment were discussed with her and rehabilitation with implant-supported dentures was proposed because the clinical conditions of the residual alveolar ridge were suitable for implant installation, and the patient's general health was excellent. However, the patient did not agree because she knew of a failed case of implant-retained denture in a diabetic individual and was concerned. The patient was fully informed that implant installation was the best indication for her case, but the arguments were not sufficient to change her decision. The treatment possibilities were presented and the patient opted for a clasp-retained removable partial denture (RPD) associated with the placement of crowns in the pillar teeth. The temporary RPD was replaced by the definitive RPD constructed subsequently. Although RPD was not the first choice, satisfactory esthetic and functional outcomes were achieved, overcaming the patient's expectations. This case report illustrates that the dentist must be prepared to deal with situations where, for reasons that cannot be managed, the patient does not accept the treatment considered as the most indicated for his/her case. Alternatives must be proposed and the functional and esthetic requirements must be fulfilled in the best possible manner.

scholarly journals PATTERN OF DEMAND FOR MAKING DENTURES AT DENTAL LABORATORY IN SURABAYA CITY, INDONESIA

2019 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Okti Setyowati ◽  
Sujati Sujati ◽  
Sri Wahjuni
Keyword(s):  
Sharp Increase ◽  
Secondary Data ◽  
Acrylic Resin ◽  
High Demand ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Metal Frame ◽  
Better Than ◽  
Dental Technology

Background: Dental laboratory in Surabaya frequently make various kinds of the denture. But surely there is a case that was the most commonly accepted, to adjust to the needs of dental laboratories on the priorities of the work was done, it was necessary to give attention to the case that many common and must be taught to students Dental Technology. Purpose: To find an overview of the number the dentures received by the dental laboratory in Surabaya from 2013 until 2017. Methods: The data used is secondary data from a dental laboratory in Surabaya from 2013 to 2017. Result: A request for flexible and RPDs porcelain, acrylic resin and metal in 5 years obtained tend to be stable in high demand, even ina given year a sharp increase in RPDs flexible and drastic decline on fixed porcelain denture. Instead of facing acrylics, fixed denture tends to stabilize at its lowest during the period. While the acrylic RPDs has increased significantly in the last two years, in contrast to metal frame dentures, which decreased at two years latest. Conclusion: Flexible denture significantly better than with acrylic resin conventional denture on parameters taken in this research. Fixed porcelain denture are mostly made by a dental laboratory when compared with a removable partial denture acrylic resin.

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