Prosthetics in Pediatric Dentistry: Etiology of Tooth Loss and Prosthetic Rehabilitation in Children

Abstract The aim of this study was to estimate self-reported prevalence of edentulism, severe tooth loss and lack of functional dentition in elders, and to identify potential associated factors. A population based cross-sectional study was carried out with 1,451 elders (≥60 years), in Pelotas, RS, Brazil. Crude and adjusted prevalence ratios were estimated using Poisson regressions. The prevalence of edentulism, severe tooth loss and lack of functional dentition was 39.3%, 60.9% and 82.7%, respectively. The factors positively associated with tooth loss in the three-degree severity were sex (females), older individuals, low familial income, low level of schooling and having the last dental visit longer than 24 months ago. The high prevalence of tooth loss in its different degrees of severity and the association with preventable factors highlight the need of programs focused on elders, emphasizing the prevention of tooth loss and need for prosthetic rehabilitation.

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Periodontitis subject with failing dentition and management with cross arch bridge and implants

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20160717 ◽

2016 ◽

Vol 2 (3) ◽

pp. 58

Author(s):

Farhan Durrani

Keyword(s):

Periodontal Disease ◽

Tooth Loss ◽

Disease Recurrence ◽

Prosthetic Rehabilitation ◽

Long Term Follow Up ◽

Full Mouth Rehabilitation ◽

Severe Periodontal Disease ◽

Arch Bridges

<p class="abstract"><span lang="EN-US">Severe periodontal disease often leads to tooth loss, necessitating prosthetic rehabilitation to restore function and aesthetics. The concept of perio-prosthetic treatment using extensive bridges of cross-arch design was introduced approximately 30 years ago. Long term follow-up studies have shown that teeth with reduced periodontal support can be used as abutments for extensive fixed prostheses, provided periodontal disease had been treated successfully and an effective recall program had been instituted to prevent periodontal disease recurrence. Implants along with cross arch bridges in controlled periodontitis subject have never been used together for complete full mouth rehabilitation.</span></p>

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Locked Mouths: Tooth Loss in a Women’s Prison in Northeastern Brazil

The Scientific World JOURNAL ◽

10.1155/2014/587469 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 4

Author(s):

Iris Sant’ Anna Araújo Rodrigues ◽

Ingrid Thays de Melo Silveira ◽

Magaly Suênya de Almeida Pinto ◽

Alidianne Fabia Cabral Xavier ◽

Thaliny Batista Sarmento de Oliveira ◽

...

Keyword(s):

Oral Health ◽

Tooth Loss ◽

Statistical Tests ◽

Cross Sectional Study ◽

Health Condition ◽

Northeastern Brazil ◽

Prosthetic Rehabilitation ◽

Dental Services ◽

Cross Sectional ◽

Women's Prison

Background. Prisoners, in general, exhibit unsatisfactory oral conditions, especially with regard to the large number of missing teeth and with untreated caries. The aim of this study was to assess tooth loss, use of and need for prosthetic rehabilitation, and use of dental services among inmates. A cross-sectional study involving 65 inmates was developed at the Regional Women’s Prison of Campina Grande, Brazil. Data regarding sociodemographic and sentencing profile, use of dental services, dental morbidity, and self-perceived oral health impacts were investigated. Chi-square, Pearson, and Kruskal-Wallis (P<0.05) statistical tests were used. The mean tooth loss was 11.3 teeth. Significant association between tooth loss and oral health satisfaction (P=0.049), self-perceived need for dental prosthesis (P<0.001), uncomfortable teeth brushing (P=0.005), difficult speaking (P=0.002), and difficulty in performing routine tasks (P=0.025) was observed. It was observed that 29.2% of inmates were using some type of prosthesis, all deemed unsuitable for use, and 78.5% of inmates needed prosthetic rehabilitation. The oral health condition of the population studied was found to be poor, and prisoners showed significant tooth loss and need for dentures, with the aggravation of having tooth extraction as the major reason for seeking dental care.

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Removal of Implant and New Rehabilitation for Better Esthetics

Case Reports in Dentistry ◽

10.1155/2018/9379608 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Wilson Matsumoto ◽

Victor Garone Morelli ◽

Rossana Pereira de Almeida ◽

Alexandre Elias Trivellato ◽

Cássio Edvard Sverzut ◽

...

Keyword(s):

Treatment Regimen ◽

Functional Outcomes ◽

Tooth Loss ◽

Clinical Case ◽

Lateral Incisor ◽

Prosthetic Rehabilitation ◽

Rehabilitation Treatment ◽

Rehabilitation Planning ◽

Facial Esthetics

Tooth loss can result in loss of facial esthetics, in addition to its effect on mastication, swallowing, and speech. Adequate planning is required in order for the prosthetic treatment of the teeth and implants to be successful. Here, we present a clinical case demonstrating that improper positioning of an implant can make prosthetic rehabilitation unfeasible, necessitating new surgical and rehabilitation planning to achieve the desired esthetics. The patient had a missing right lateral incisor and cuspid, and a buccally directed implant. The preferred treatment regimen involved the removal of this implant and placement of another one more properly positioned distally and three dimensionally. The repositioning of the implant made rehabilitation treatment with a mesial cantilever possible. Due to esthetic considerations, gingival conditioning in the cantilever region was performed in the temporary prosthesis phase. The changes adopted in planning the surgery and rehabilitation resulted in good esthetics as well as functional outcomes.

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Survival and clinical evaluation of various space maintainers used for early primary tooth loss

International Dental Research ◽

10.5577/intdentres.2021.vol11.suppl1.32 ◽

2021 ◽

Vol 11 (Suppl. 1) ◽

pp. 222-227

Author(s):

Semanur Özüdoğru ◽

Gül Tosun

Keyword(s):

Survival Time ◽

Clinical Evaluation ◽

Tooth Loss ◽

Clinical Performance ◽

Pediatric Dentistry ◽

Primary Tooth ◽

Probability Of Survival ◽

Mean Survival Time ◽

Significant Difference ◽

Early Primary

Aim: This retrospective study investigated the survival rate and clinical performance of space maintainers fitted in 50 patients aged from 6-11years in the Department of Pediatric Dentistry at Selcuk University between 2016 and 2019. Methodology: Sixty-one subjects were included in the study. The clinical examination included performing the gingival index (GI) and the plaque index. The values of the indexes were determined and compared, and the failures of retainers were recorded and analyzed in terms of survival. Results: Follow-up loss occurred in 18% of 61 space maintainers. A total of 10% of the evaluated 50 space maintainers had failed due to breakage. By using the Kaplan–Meier method, the estimated mean survival time for space maintainers was 13 months. Lingual arches had the lowest mean survival time of 12 months. Band and loops and removable partial dentures had a similar probability of survival. A significant decrease was observed in the time-dependent evaluation of the means of plaque and gingival indexes; however, no significant difference was found between space maintainer types. Conclusion: The successful use of space maintainers for the premature loss of primary tooth space is achieved by regular follow-ups with the patient’s parents, patient cooperation, and proper space maintainers and choice of material. How to cite this article: Özüdoğru S, Tosun G. Survival and clinical evaluation of various space maintainers used for early primary tooth loss. Int Dent Res 2021;11(Suppl.1):222-7. https://doi.org/10.5577/intdentres.2021.vol11.suppl1.32 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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Prosthetic rehabilitation using adhesive bridge and fixed-fixed bridge on the maxilla and telescopic crown overdenture on mandible

Journal of Dentomaxillofacial Science ◽

10.15562/jdmfs.v1i3.320 ◽

2016 ◽

Vol 1 (3) ◽

pp. 210

Author(s):

Indah Sulistiawaty ◽

Mohammad Dharmautama ◽

Edy Machmud ◽

Jevin S. Cialy ◽

Elvi Elvi

Keyword(s):

Tooth Loss ◽

Alveolar Bone ◽

Prosthetic Rehabilitation ◽

Missing Teeth ◽

Rehabilitation Process ◽

Stomatognathic System ◽

Removable Denture ◽

Abutment Teeth ◽

Metal Frame ◽

Male Patients

Prosthetic rehabilitation is the rehabilitation process of masticatory and esthetics function for patients missing teeth and alveolar bone by means of manufacture and installation of dentures. The prosthetic rehabilitation commonly used include denture adhesive bridge, fixed-fixed bridge, as well as telescopic overdenture. Adhesive bridge is bridge denture consisting of single pontic and two retainer wings attached to the abutment using cement or resin. Fixed-fixed bridge is a bridge denture with rigid connectors on both ends of the pontics, whereas the telescopic crown Overdenture is a removable denture that uses linked precision on the original tooth in the form of primary coping on abutment and secondary coping on the denture. To expose the procedures of prosthetic rehabilitation using adhesive bridge and fixed-fixed bridge on the maxilla and telescopic crown Overdenture on mandible. Male patients aged 32 years came with complaints of difficulty to chew food because he had lost some teeth behind. In the maxilla, teeth are lost in the region of 15 and 16 performed by making the fixed-fixed bridge with abutment teeth 14 and 17. Loss of teeth in the region of 26, performed the manufacture of adhesive bridge with a box preparation on the occlusal 25 and 27. In the mandible, tooth loss in the region of 36,37,46, and 47 performed manufacture of telescopic crown Overdenture with primer coping on the teeth 35.38, 45, and 48 and the secondary coping on a metal frame. Prosthetic rehabilitation especially in the case of loss of back teeth is very important because with the denture patients can chew properly and maintain the stomatognathic system.

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The Assessment of Speech Quality and Intellibility After Replacement of Lost Teeth With Removable Dentures: Review of Literature

Acta Chirurgica Latviensis ◽

10.2478/v10163-012-0014-8 ◽

2012 ◽

Vol 12 (1) ◽

pp. 72-77

Author(s):

Victoria Artjomenko ◽

Aldis Vidzis ◽

Kristine Broka

Keyword(s):

Oral Cavity ◽

Speech Production ◽

Tooth Loss ◽

Speech Disorders ◽

Speech Quality ◽

World Health ◽

Prosthetic Rehabilitation ◽

Manual Search ◽

Removable Denture ◽

Before And After

Summary The prevalence of edentulism among Latvian population is high. According to the World Health Organization criteria complete tooth loss is regarded as a disability. One of the basic oral cavity functions is taking part in speech production. Alterations in oral cavity, caused by tooth loss and resorption of its supporting alveolar ridge, can produce changes in speech quality and intelligibility. This can lead to psychological and social problems, thus decreasing the patient’s quality of life. There are several options in replacing missing teeth. In Latvia prosthetic rehabilitation with removable dentures is in great demand. It is mentioned in literature, that removable dentures improve speech quality and intelligibility. However, there is no consensus in this field. The objective of this review is to screen literature for data related to the assessment of speech quality and intelligibility after replacement of lost teeth with removable dentures. Literature was selected through several electronic databases, as well as a manual search in dental journals. The detailed analysis of thirty two articles was performed and some significant facts were revealed. There exists an opinion, that removable dentures may have a negative effect on speech production. As the volume of oral cavity is diminished, resonation of oral cavity is decreased. Artificial teeth, removable denture base can limit tongue space and change the location of its articulation contacts. The assessment of speech quality and intelligibility is an essential diagnostic tool before and after prosthetic rehabilitation in order to provide the best option for restoring lost function. A standardized method for determining changes in speech quality after tooth loss and further prosthodontics has not yet been established. Semi-standardized instruments for the analysis of speech disorders are well documented when dealing with speech changes before and after prosthetic rehabilitation with various oral osseointegrated implant supported prostheses. For the Latvian language this method has not been described yet.

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Clinical Evaluation of Periodontal Tissue Status in Prosthodontic Treatment of Patients with Partial Tooth Loss and Generalized Periodontitis

Galician Medical Journal ◽

10.21802/gmj.2017.4.4 ◽

2018 ◽

Vol 24 (4) ◽

Author(s):

A. Kushlyk ◽

Z. Ozhogan ◽

M. Melnychuk

Keyword(s):

Combination Treatment ◽

Tooth Loss ◽

Tooth Extraction ◽

Prosthetic Rehabilitation ◽

Tooth Grinding ◽

Fixed Prosthodontics ◽

Group I ◽

Periodontal Index ◽

Group Ii ◽

Tooth Removal

The problem of selection and application of dental prostheses in periodontal disease is especially relevant in case of severe generalized periodontitis, which is accompanied by mobile tooth removal resulting in overloading the periodontium of the remaining teeth as well as the increase in tooth mobility. Therefore, in generalized periodontitis, it is important to apply the method of direct dental prosthetic rehabilitation since, in case of partial tooth loss, it will prevent the development of generalized periodontitis complications.The objective of the research was to improve the effectiveness of combination therapy for patients with generalized periodontitis and partial tooth loss applying the developed method of direct fixed dental prosthetic rehabilitation based on the study of the periodontal status.Materials and methods. The study included 129 patients with general periodontitis, II-III degree and partial tooth loss over the age of 45 years. According to prosthodontic treatment, all the patients were divided into three groups: Group I consisted of 42 (20 women and 22 men) patients who immediately after tooth extraction were rehabilitated with the application of direct plastic laminar immediate prosthesis and selective tooth grinding; permanent dental prosthetic rehabilitation was performed 6 weeks after tooth extraction; Group II included 43 (21 women and 22 men) patients who underwent traditional permanent dental prosthetic rehabilitation using fixed dental bridges 6 weeks after mobile tooth removal and wound healing; Group III comprised 44 (21 women and 23 men) patients who immediately after mobile tooth removal were rehabilitated with the application of direct fixed sectional dental bridge (Ukrainian patent UA 20995. 2007 Feb 15) and selective tooth grinding; permanent dental prosthetic rehabilitation was performed 6 months after tooth extraction. The control group consisted of 26 people with intact dentitions over the age of 45 years.Results and discussion. The application of direct dental prosthetic rehabilitation method after mobile tooth removal in combination treatment of generalized periodontitis allows stabilizing degenerative and inflammatory processes in the periodontium in the initial stages, as well as increasing the resistance of the capillaries and bone mineral density of the interdental septa. The obtained data indicated that the application of the proposed direct fixed sectional dental bridge was more effective as compared to conventional prosthetics methods.Conclusions. 1. Direct fixed prosthodontics using direct fixed sectional dental bridge is essential in combination treatment of generalized periodontitis, especially if mobile tooth extraction is needed. It allows increasing the effectiveness of treatment in comparison with direct removable prosthodontics using direct plastic laminar immediate prosthesis (Group I) and traditional treatment methods (Group II). 2. We have proved the advantages of direct fixed prosthodontics in treatment of patients with generalized periodontitis, II-III degree based on the improvement of oral hygiene indices, the gingival bleeding index, the papillary-marginal-alveolar index, the periodontal index and the depth of periodontal pockets 6-12 months after treatment.

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