Managing the Transition to Edentulousness Using Partial Transitional Dentures for First Time Prosthodontic Patients: Addressing Unrealistic Expectations – A Case Report

2017 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Case Report ◽  
Treatment Outcomes ◽  
Treatment Planning ◽  
Clinical Relevance ◽  
Treatment Plan ◽  
Sequential Treatment ◽  
Aesthetic Result ◽  
Abutment Teeth ◽  
First Time ◽  
Unrealistic Expectations

Aim: The aim of this report is to describe the management of a prosthodontic patient expressing unrealistic expectations with respect to the transition to edentulousness. Objectives: To outline (1) the diagnosis and explicit expectations of the patient on presentation (2) considerations made during treatment planning to address the wishes of the first time prosthodontic patient (3) a sequential treatment plan utilizing transitional partial removable dentures to manage the change to edentulousness (4) functional and aesthetic result achieved. Results: Delivery of immediate removable partial dentures retaining key abutment teeth in upper and lower arches was a viable prosthodontic solution in the transition to edentulousness of a patient expecting unrealistic treatment outcomes. Conclusions: Addressing impractical expectations and devising a treatment plan amenable to both clinician and patient is difficult. Strategies to manage these wishes in prosthodontic dentistry can include transitional partial dentures. Clinical relevance: Practitioners who encounter similar situations may consider this report valuable.

scholarly journals Maxillary removable partial denture combined with O’ring attachment implant: a case report

2018 ◽  
Author(s):  
Tiago Rebelo Costa ◽  
Cláudio Akira Yamaguchi ◽  
Alessandra Pucci Mantelli Galhardo ◽  
Roberto Chaib Stegun ◽  
Bruno Costa ◽  
...  
Keyword(s):  
Case Report ◽  
Oral Rehabilitation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Aesthetic Result ◽  
First Choice ◽  
Abutment Teeth ◽  
Fixed Prosthesis ◽  
The Aesthetic ◽  
Systemic Health

Oral rehabilitation with free-end removable partial denture (RPD) is one of the major challenges in prosthodontic dentistry. The absence of a distal abutment produces undesirable RPD movement during masticatory function due to the high resilience of the residual ridge, which limits the denture efficiency and may damage the abutment teeth and bone over time. The advent of dental implants made possible to substitute the missing teeth with fixed implant-supported dentures as the first choice treatment to overcome such inconveniences. However, this indication may not be suitable for all patients due to financial, anatomical or systemic health conditions. Nevertheless it is possible to improve free extension RPD by using implants in the posterior edentulous ridge to achieve biological, biomechanical, physiological and social benefits. This article aims to present a case report on oral rehabilitation in which a RPD was made combined with an implant for posterior support in a sizeable edentulous ridge. The patient appreciated the retention improvement and the aesthetic result. The combination of a RPD with a posterior implant is an alternative treatment for cases in which implant-supported fixed prosthesis is not indicated, reducing the displacement and minimizing the limitations of the free-end devices.

scholarly journals Telescopic Overdenture as An Aesthetic Treatment for Partially Dentate Patients – A case report

2018 ◽  
Vol 1 (1) ◽  
pp. 27
Author(s):  
Satrio Krestiono M ◽  
Harry Laksono
Keyword(s):  
Case Report ◽  
Aesthetic Result ◽  
Fixed Partial Denture ◽  
Anterior Teeth ◽  
Double Crown ◽  
Removable Denture ◽  
Dental Hospital ◽  
Abutment Teeth ◽  
The Aesthetic ◽  
Partially Dentate

Background: Metal frame denture design is common used for partially dentate patient, one of the problem was a metal appearance from wrought wire or a metal casting clasp as retainer, which is not really aesthetic. Telescopic overdenture with its double crown will be the best solution for those cases. Purpose: The purpose of this case report was to reported telescopic overdenture design and fabrication where the aesthetic was the main consideration. Case: Sixty years old female patient, a businesswoman, came to Dental Hospital of Universitas Airlangga, complained about her upper partially dentate and 6 years lower fixed partial denture, which is not comfortable to wear and her upper anterior teeth doesn’t look quite good. She wanted to make crowns and removable denture. Case management: After the diagnosis were made, the pretreatment plan were remove crown for the upper jaw, remove the bridges on lower jaw, and transitional dentures were made to maintain the VDO. The crowns and veneer were fabricated and inserted while the inner copings were tried up on prepared teeth. After the the dentures were produced, the inner copings were luted to the abutment teeth, and then the dentures were inserted using FGP (Friction GriP) cement for the friction effect. Discussion: Telescopic overdenture is consists of a double crown system known as “the telescopic”, the procedure involves fitting the remaining natural teeth with inner metal crowns, followed by outer crowns as part of an over denture that can be removed by the patient. Conclusion: This technique ensures that telescopic overdentures give natural aesthetic result.

Surgical/orthodontic management of a large mandibular odontogenic keratocyst (OKC)

Dental Update ◽  
2019 ◽  
Vol 46 (5) ◽  
pp. 473-479
Author(s):  
Amarpreet Atwal ◽  
Hannah Cottom ◽  
Peter Doyle ◽  
Jonathan Sandler
Keyword(s):  
Case Report ◽  
Treatment Planning ◽  
Clinical Relevance ◽  
Multidisciplinary Approach ◽  
Odontogenic Keratocyst ◽  
Radiographic Examination ◽  
Optimal Care ◽  
The Third ◽  
Appropriate Treatment ◽  
General Dental Practitioner

The odontogenic keratocyst (OKC) is the third most common cyst of the jaw. OKCs are benign developmental cysts that are often locally destructive and large at presentation. They are usually identified during radiographic examination and require appropriate treatment planning to ensure optimal care. We present a very challenging case of a 12-year-old boy with a large mandibular OKC. The roots of several teeth were displaced, with both LR3 and LR5 unerupted and severely malpositioned. A multidisciplinary approach was therefore essential in view of the complexity, with joint planning and close liaison of treatment between the surgeon, orthodontist and general dental practitioner (GDP). This was fundamental to ensure the best possible outcome was achieved for the patient. CPD/Clinical Relevance: This case report aims to increase awareness of OKCs to GDPs and outlines the surgical, orthodontic and restorative challenges faced in the management of such cases.

Adenomatoid odontogenic tumour: A rare threat to orthodontic treatment planning

2019 ◽  
Vol 46 (3) ◽  
pp. 259-266
Author(s):  
Laura Han ◽  
Alison Downing ◽  
David Farr ◽  
Kaushik Dasgupta ◽  
Duncan Stewart
Keyword(s):  
Case Report ◽  
Treatment Planning ◽  
Orthodontic Treatment ◽  
Treatment Plan ◽  
Dentigerous Cyst ◽  
Histopathological Diagnosis ◽  
Odontogenic Tumour ◽  
Adenomatoid Odontogenic Tumour

This case report aims to increase awareness of how an adenomatoid odontogenic tumour (AOT) can present in a similar fashion to a dentigerous cyst and the importance of accurate histopathological diagnosis. In this case, the AOT resulted in loss of the upper left permanent canine in a patient who already had a congenitally absent upper left second premolar, compromising the original orthodontic treatment plan.

scholarly journals All-On-Four Protocol With Immediate Load on Short Implants in an Atrophic Mandible: A Case Report with a 4-Year Follow-Up

2018 ◽  
Vol 12 (1) ◽  
pp. 1004-1011
Author(s):  
Enéias Carpejani Rosa ◽  
Tuanny Carvalho de Lima Do Nascimento ◽  
Aline Monise Sebastiani ◽  
Rafaela Scariot ◽  
Tatiana Miranda Deliberador ◽  
...  
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Treatment Planning ◽  
Treatment Plan ◽  
Surgical Techniques ◽  
Masticatory Function ◽  
Facial Esthetics ◽  
Short Implants ◽  
Computer Tomography Scan

Purpose: Edentulism has been demonstrated to have negative social and psychological effects on individuals that include adverse impacts on facial and oral esthetics, masticatory function and speech abilities, that when combined, are translated into significant reductions in patients’ quality of lives. It is well-known that immediate placement of implants is a challenging surgical procedure that requires proper treatment planning and surgical techniques. Therefore, the present study describes a 4-year follow-up case report where short implants were placed in an atrophic mandibule and were loaded with the utilization of an all-on-four prosthetic protocol. Case report: A 54 year-old woman dissatisfied with her oral and facial esthetics, masticatory function and speech ability came to the implantology clinic of the Positivo University seeking for oral rehabilitation treatment. After detailed physical and clinical examination, a Computer Tomography scan (CT-scan) was performed to determine the patient’s bone ridge density, dimensions and eligibility for the placement of dental implants. The CT-scan results have indicated the presence of an extremely atrophic mandibular bone ridge. The CT-scan was also used as an aid during the final restoration treatment planning in terms of vertical dimension of occlusion, masticatory function, and stabilization of the lower denture. An all-on-four protocol supported by short implants was then treatment-planned to reduce time, costs and morbidity, and also to achieve superior immediate esthetic results and masticatory function. To reconstruct the patient’s atrophic edentulous mandibule, 4 short implants, including 2 distally tilted, were placed with a final torque of 45 Ncm. Results: Following the development and implementation of a complex treatment plan, the patient displayed stable soft and hard tissues at 4-year postoperative follow-up assessment, demonstrating the effectiveness of the all-on-four technique supported by short implants. Conclusion: Within the limits of this study, the present case report demonstrated that the all-on-four prosthetic protocol with immediate loading on short implant was effective in an atrophic mandible over a 4-year follow-up.

Marked extrinsic staining following microabrasion: a case report of a boy with dental fluorosis

Dental Update ◽  
2019 ◽  
Vol 46 (5) ◽  
pp. 462-465
Author(s):  
Nikolaos N Lygidakis ◽  
Kathryn Harley
Keyword(s):  
Case Report ◽  
Clinical Relevance ◽  
Dental Fluorosis ◽  
Treatment Plan ◽  
Rare Complication

A 12-year-old boy, born and raised in Iran, presented with dental fluorosis affecting all his teeth. The defects were predominantly opaque white in appearance with brown opacities on the maxillary central incisors. The treatment plan entailed microabrasion of the maxillary central incisors followed by vital bleaching, if required. Despite providing post-operative instructions, the patient had a drink containing turmeric later that day. He subsequently presented with yellow staining of his maxillary central incisors. A further course of microabrasion as well as vital bleaching provided a satisfactory final result. The teeth remained unchanged in a two-month review appointment. CPD/Clinical Relevance: This case presents a rare complication following microabrasion for dental fluorosis which occurred because post-operative instructions were not followed.

Holmium-166 Radioembolization

2021 ◽  
Author(s):  
Marnix G. E. H. Lam ◽  
Maarten L. J. Smits ◽  
Rutger C. G. Bruijnen ◽  
Bart de Keizer ◽  
Arthur J. A. T. Braat
Keyword(s):  
Treatment Outcomes ◽  
Treatment Planning ◽  
Clinical Studies ◽  
Treatment Plan ◽  
New Product ◽  
Individualized Treatment ◽  
Safety And Efficacy ◽  
Improve Treatment ◽  
Pre Treatment ◽  
Yttrium 90

AbstractRadioembolization is usually performed with microspheres containing yttrium-90 (90Y). Holmium-166 (166Ho)-microspheres were developed as an alternative new product for radioembolization. The unique characteristics of 166Ho-microspheres allow for improved imaging possibilities. They can be visualized and quantified, already at low numbers and activities, to predict treatment distribution using 166Ho-microspheres at scout quantity during pre-treatment simulation. The option to reliably predict the distribution of microspheres provides physicians control over the treatment, allowing them to select and treat patients with a personalized treatment plan. Safety and efficacy were established in several clinical studies. 166Ho-microspheres radioembolization aims to optimize individualized treatment planning in order to improve treatment outcomes.

scholarly journals Non-Coronary Aortic Sinus Dilatation with Aortic Regurgitation in a Marfan’s Syndrome Patient - A Case Report

1970 ◽  
Vol 28 (3) ◽  
pp. 183-188
Author(s):  
M Siraj ◽  
MH Rahman
Keyword(s):  
Case Report ◽  
Aortic Regurgitation ◽  
Coronary Sinus ◽  
Clinical Condition ◽  
Surgical Procedure ◽  
Treatment Plan ◽  
Syndrome Patient ◽  
Aortic Sinus ◽  
To Come ◽  
First Time

Aneurysm of the coronary sinus is an uncommon clinical condition. It is rare to come across an uncomplicated aneurysm as it remains silent and most of the available literature describe treatment plan after a rupture has taken place. Our case a 41 year old female also had aortic regurgitation and was a Marfan Syndrome patient. We carried out a modified Bentall's procedure on an elective basis for this patient. It may be noted this is the first time such a surgical procedure has been carried out successfully in Bangladesh. Here we describe the rationale in deciding our treatment plan. DOI: 10.3329/jbcps.v28i3.6513J Bangladesh Coll Phys Surg 2010; 28: 183-188

scholarly journals REHABILITATION OF MANDIBULAR ARCH USING CAST PARTIAL DENTURE AND FIXED TREATMENT MODALITY

2020 ◽  
Vol 8 (11) ◽  
pp. 600-604
Author(s):  
Maban Carmeen Coelho ◽  
◽  
Sunitha Naveen Shamnur ◽  
Nandeeshwar D.B ◽  
Barath Panjanan Duraiswamy
Keyword(s):  
Case Report ◽  
Treatment Planning ◽  
Treatment Modality ◽  
Conventional Treatment ◽  
Partial Denture ◽  
Mandibular Arch ◽  
Abutment Teeth

Successful restoration can be done with plenty of contemporary and conventional treatment planning. Attachment retained partial dentures are one such kind of treatment modality in prosthodontics. Studies have also demonstrated that precision-attachment partials last longer, wear less, need fewer adjustments, look better, work better, less destructive, protect abutment teeth, and are easier to clean. In this case report patients functional and aesthetic expectations were met by using a combination of Porcelain fused to metal (PFM) restorations and semi-precision attachments.

scholarly journals A Case Report on Aesthetic Rehabilitation of Midline Diastema- An Insight into Perio-Restorative Interrelationship

2020 ◽  
Author(s):  
Archie Khera ◽  
Vidhi Kiran Bhalla ◽  
Rajeev Ranjan ◽  
Daya Shankar
Keyword(s):  
Case Report ◽  
Treatment Planning ◽  
Soft Tissues ◽  
Therapeutic Option ◽  
Clinical Results ◽  
Vital Role ◽  
Treatment Modalities ◽  
Comprehensive Treatment ◽  
Aesthetic Result ◽  
Crown Lengthening

Aesthetic restorative procedures have gained immense popularity in the recent years. Midline diastemas have been commonly reported by a majority of patients due to poor aesthetic appeal. Various treatment modalities are available and cases have to be managed differently depending on the aetiological factors. Also, the selection of an appropriate restorative option is imperative to providing a pleasing smile. Conservative treatments that provide a solution to aesthetic problems and fulfil the patient’s expectations should always be the first therapeutic option. Ceramic veneers are capable of providing an accurate replica of the natural teeth along with good colour stability and periodontal biocompatibility. Soft tissues play a vital role in creating a harmonious and aesthetic result between the restorations, hard tissues and surrounding gingiva. Therefore, periodontal treatments such as crown lengthening and frenectomy are essential for creating an ideal soft tissue form corresponding to the tooth proportions. Management of large anterior interdental spaces requires a comprehensive treatment planning and often, a multidisciplinary approach is essential from a team of restorative dentists and periodontists to focus on the aetiological factors, patient needs, aesthetics and achieve stable long-term clinical results. The present case report discussed the satisfactory management of a wide anterior maxillary midline diastema in a 30-year-old female using a conservative perio-restorative approach with ceramic veneers after frenectomy and aesthetic crown lengthening procedure without any orthodontic intervention. The success of the present case was determined by a proper diagnosis of the underlying aetiology, treatment planning, use of ceramic veneers and total-etch adhesive technique.

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