scholarly journals Full-mouth rehabilitation of Class II deep-bite patient: A 5-year clinical report

2016 ◽  
Vol 10 (03) ◽  
pp. 426-431 ◽  
Author(s):  
Gulfem Ergun ◽  
Erdal Bozkaya
Keyword(s):  
Present Situation ◽  
Clinical Report ◽  
Anterior Maxilla ◽  
Deep Bite ◽  
Maxillary Osteotomy ◽  
Full Mouth Rehabilitation ◽  
Fixed Prosthesis ◽  
Natural Tooth ◽  
Fixation System

ABSTRACTThis case report demonstrates the full-mouth rehabilitation of a 45-year-old male patient with severe deep-bite by increasing vertical dimension. The technique of anterior maxillary osteotomy performed in the present situation has been found to be effective, requiring anterior and inferior repositioning of the anterior maxilla to provide an esthetic and functional implant supported fixed prosthesis. Four months after surgery, the fixation system was removed, and 6 dental implants were placed. The anterior and inferior movements of the segment allowed for natural tooth anatomy and size in the definitive implant supported partial fixed prosthesis. A satisfactory functional and esthetic result was obtained after 5 years of follow-up.

scholarly journals Use of Digital-Conventional Method for Managing a Patient with Severely Worn Dentition: A Clinical Report

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Saied Nokar ◽  
Amirreza Hendi ◽  
Yasamin Babaee Hemmati ◽  
Mehran Falahchai
Keyword(s):  
Conventional Method ◽  
Computer Aided Design ◽  
Clinical Report ◽  
Removable Partial Denture ◽  
Computer Aided ◽  
Complex Procedure ◽  
Cad Cam ◽  
Full Mouth Rehabilitation ◽  
Aided Design

Severe forms of attrition are frequently found in patients with no or insufficient posterior occlusal support. Management of such patients using fixed or removable prostheses is a complex procedure and is still a challenge for clinicians. The present clinical report describes step by step full mouth rehabilitation of a patient with severely worn dentition using computer-aided design/computer-aided manufacturing- (CAD/CAM-) generated wax patterns, milled zirconia frameworks, and fabrication of removable partial denture (RPD) abutments using a digital-conventional method. The results were satisfactory during 18 months of follow-up.

scholarly journals A 5-Year Implant Follow-Up in Maxillary and Mandibular Horizontal Osseous Onlay Grafts and Native Bone

2015 ◽  
Vol 41 (5) ◽  
pp. 570-578 ◽  
Author(s):  
Carolina Sbordone ◽  
Paolo Toti ◽  
Ranieri Martuscelli ◽  
Franco Guidetti ◽  
Ludovico Sbordone ◽  
...  
Keyword(s):  
Dental Implants ◽  
Alveolar Bone ◽  
Survival Rates ◽  
Retrospective Chart Review ◽  
Anterior Maxilla ◽  
Native Bone ◽  
Implant Positioning ◽  
Alveolar Bone Remodeling ◽  
Fixed Prosthesis

The purpose of this study is to analyze marginal bone levels (MBLs) around dental implants positioned in the upper and lower jaw with or without horizontal onlay grafting procedures, and to survey implant survival with a follow-up of 5 years. Seventeen patients were surveyed in the present retrospective chart review. A total of 27 dental implants positioned in pristine bone and 21 in horizontally grafted bone were enrolled. MBLs were recorded for 4 aspects during a radiologic survey of 5 years. Significant differences were searched for among times and surgical procedures with paired and unpaired comparison tests, respectively, and survival rates were calculated for the 2 groups. In the maxilla, no statistically-significant differences between pristine and augmented groups were obtained; the time comparisons for pristine implants showed an affection of palatal, mesial, and distal sides, whereas the resorption around implants placed into horizontally grafted bone of anterior maxilla seemed to be limited just to buccal and distal aspects. Comparisons with the pristine horizontal procedure revealed that just the buccal sides were involved. The analysis of time comparisons attested to a continuous alveolar bone remodeling during the entire time of the survey for the pristine group. Given the extremely unfavorable resorption at the buccal aspect of the augmented areas, clinicians should reserve dental implant positioning into horizontal bone graft to selected patients, in whom it may represent one of the last opportunities of rehabilitation with a fixed prosthesis.

scholarly journals Vertical Guided Bone Regeneration with Mineralized Cancellous Bone Allograft in a Severe Anterior Maxillary Defect: A Clinical Report with 14-Year Follow-Up

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Gerardo La Monaca ◽  
Nicola Pranno ◽  
Giorgio Pompa ◽  
Susanna Annibali ◽  
Iole Vozza ◽  
...  
Keyword(s):  
Bone Regeneration ◽  
Cancellous Bone ◽  
Soft Tissues ◽  
Bone Allograft ◽  
Bony Defect ◽  
Clinical Report ◽  
Anterior Maxilla ◽  
Ridge Augmentation ◽  
Maxillary Defect

Purpose. To report the supracrestal bone regeneration of approximately 10 mm using solvent-dehydrated mineralized cancellous bone allograft and nonresorbable membrane in rehabilitation of unsuccessful implants in the anterior maxilla and stability of the regenerated bone at the 14th-year follow-up. Case Presentation. A 24-year-old female patient with a history of anterior dentoalveolar trauma resulting in the loss of upper left incisors and canine underwent rehabilitation several years ago with three implant-supported fixed prostheses. The prosthesis was both functionally and aesthetically inadequate, and the patient complained of gingival swelling, bleeding, and food impaction at the site of the implants. A staged approach for retreatment was planned, wherein the first surgical stage aimed at removing the existing implants and preparing the bone ridge and soft tissues for the augmentation procedure. The second stage was vertical ridge augmentation and simultaneous prosthetic-driven placement of two new implants at the sites of the left central incisor and canine. After nine months of uneventful healing, complete regeneration of the bony defect was achieved, and the new prosthetic rehabilitation satisfied both functional and aesthetic requirements. Conclusion. The therapeutic approach followed in the present case proved effective in achieving satisfactory functional and aesthetic results and in maintaining the stability of the regenerated bone at 14 years of follow-up.

scholarly journals A Pragmatic Approach to Full Mouth Rehabilitation

2014 ◽  
Vol 4 (1) ◽  
pp. 14-19
Author(s):  
Amit Krishnarao Jagtap ◽  
Pradeep Dinkar Chaudhari ◽  
Jitendra Anil Bhandari
Keyword(s):  
Functional Restoration ◽  
Posterior Region ◽  
Anterior Region ◽  
Clinical Report ◽  
Pragmatic Approach ◽  
Edentulous Patient ◽  
Low Profile ◽  
Full Mouth Rehabilitation ◽  
Occlusal Vertical Dimension ◽  
Fixed Prosthesis

ABSTRACT Restoring the edentulous patient with an esthetic and functional restoration may present numerous challenges to the clinician. The patient's occlusal vertical dimension, centric relation, esthetics and phonetics need to be determined and maintained throughout the restorative process. This clinical report describes the fabrication of implant supported fixed prosthesis in the mandibular posterior region, a tooth supported fixed prosthesis in the mandibular anterior region and a tooth supported maxillary overdenture with a low profile attachment. A step by step approach to provide an esthetic result is described. How to cite this article Jagtap AK, Chaudhari PD, Bhandari JA. A Pragmatic Approach to Full Mouth Rehabilitation. Int J Prosthodont Restor Dent 2014;4(1):14-19.

Management of Amelogenesis Imperfecta: A 15-Year Case History of Two Siblings

2016 ◽  
Vol 41 (6) ◽  
pp. 567-577 ◽  
Author(s):  
E Dursun ◽  
E Savard ◽  
C Vargas ◽  
L Loison-Robert ◽  
H Cherifi ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Genetic Disorder ◽  
Infectious Complications ◽  
Amelogenesis Imperfecta ◽  
Tooth Surface ◽  
Clinical Report ◽  
Psychological Benefits ◽  
Composite Restorations ◽  
Full Mouth Rehabilitation

SUMMARY Objective: Amelogenesis imperfecta (AI) is a heterogenous genetic disorder that interferes with normal enamel formation in the absence of systemic disorders. The patients' main concerns are caries susceptibility, poor esthetics, and generalized sensitivity. There is a broad clinical spectrum, from discolorations to consequent enamel alterations. This case report describes the 15-year case study and the full-mouth rehabilitation of two siblings affected by a hypocalcified AI. Clinical Considerations: In these two patients, conservative care with stainless steel crowns and direct composite restorations was undertaken to restore function and esthetics and to reduce sensitivities in primary and mixed dentitions. The difficulties in monitoring resulted in severe infectious complications (dental abscess with cutaneous fistula), important dental defects, and loss of spaces with subsequent malocclusion. In the young adult dentition, they were treated by extractions, root canal therapies, and new restorations: stainless steel crowns for permanent molars, direct composite restorations (with strip crowns) for incisors and maxillary canines (to improve the crown morphology as well as to mask the discolorations and the malpositions), and adjusted composite crown molds using a thermoforming procedure for premolars and the mandibular canines. The main difficulties were rapid tooth surface loss, bonding to atypical enamel, developing dentition, long-term follow-up. Conclusion: Restoring function and esthetics in AI-affected patients is a challenge from primary to adult dentition. Early corrections are essential to avoid dental damage and for psychological benefits. This clinical report highlights the adhesive rehabilitation for anterior and premolar areas and the difficulty of patient follow-up.

A combined lateral-crestal approach of sinus floor elevation: A report on three cases

2020 ◽  
Author(s):  
Xin Zhang ◽  
Yuting Zhang ◽  
Jian Wang ◽  
Qianbing Wan ◽  
Lei Li
Keyword(s):  
Clinical Study ◽  
Conservative Treatment ◽  
Lateral Approach ◽  
Clinical Report ◽  
Sinus Lift ◽  
Sinus Floor Elevation ◽  
Long Term Follow Up ◽  
Sinus Floor

This clinical report describes a combined lateral-crestal approach to elevate the sinus floor when placing implants on a wide maxillary posterior ridge. The buccally enlarged osteotomy broadens vision of practitioners and facilitates access of instruments in the sinus. Compared to the traditional lateral approach of sinus lift, the proposed technique may offer a more conservative treatment modality. And a clinical study with sufficient subjects and long term follow up is needed to validate the potential and limitations of the proposed technique.

Full Mouth Fixed Rehabilitation of a Young Adult with Ectodermal Dysplasia: Making Mountain Out of a Molehill in The Literal Sense

2020 ◽  
Author(s):  
Vaishnavi Rajaraman
Keyword(s):  
Ectodermal Dysplasia ◽  
Treatment Plan ◽  
Sweat Glands ◽  
Congenital Diseases ◽  
Facial Esthetics ◽  
Key Factor ◽  
Full Mouth Rehabilitation ◽  
Fixed Prosthesis ◽  
Multiple Abnormalities ◽  
Hereditary Condition

The personality of an individual is often judged by his looks. A beautiful smile brings immense pleasure, not only to the viewer but also to the wearer of the smile. Time and again in dentistry, esthetics has been the prime area of focus. Prosthodontic rehabilitation also involves esthetics as its key factor, which is challenging especially in patients with congenital diseases or syndromes. Ectodermal dysplasia is one such hereditary condition associated with failure of the development of ectoderm in the embryonic stage and can cause multiple abnormalities. The ectodermal structures like skin, nails, hair, sweat glands, and teeth are particularly affected. The management of ectodermal dysplasia is quite complex and multidisciplinary owing to the abnormal morphology in craniofacial structures, a wide array of dentofacial defects, and age of the affected individuals, as most of them are very young when they report for or are evaluated for treatment. The deciduous as well as the permanent dentition in these patients may present with anodontia, hypodontia or oligodontia or combination of these. Hypodontia is one of the most common intraoral finding among these scenarios. Therefore, the affected patients obviously require absolute attention towards prosthodontic treatments throughout their developmental years till their adulthood. This report presents a case of an adult diagnosed with having ectodermal dysplasia with hypodontia. By appropriate modification and customization, the prosthodontic management was meticulously planned for the young patient which involved a full mouth rehabilitation with tooth supported fixed prosthesis in the maxillary and mandibular arch. The devised treatment plan had a key impact on the psychological, the masticatory function, speech and facial esthetics of the patient.

scholarly journals Repair of a Divergent Elbow Dislocation with Distal Ulnar Fracture in a Dog Using TightRope and External Skeletal Fixation

VCOT Open ◽  
2021 ◽  
Vol 04 (01) ◽  
pp. e58-e64
Author(s):  
Marcos Garcia ◽  
Camille Bismuth ◽  
Claire Deroy-Bordenave
Keyword(s):  
Elbow Dislocation ◽  
Lateral Collateral Ligament ◽  
Normal Activity ◽  
Long Term Results ◽  
Collateral Ligament ◽  
Elbow Luxation ◽  
Ulnar Fracture ◽  
Fixation System

AbstractThe aim of this study was to report the outcome in a 6-year-old male English Setter dog that suffered a combination of divergent elbow dislocation and open distal ulnar fracture. This study is a case report. After surgical reduction in the elbow luxation, the dog was treated with the TightRope fixation system used as replacement of the lateral collateral ligament, a radioulnar positional screw, and external skeletal fixation. Removal of all implants was performed 3 months postoperatively. The 6-month follow-up visit found the dog without lameness, displaying normal activity, and with normal elbow range of motion and normal Campbell's test. Successful surgical management was achieved with good long-term results using TightRope, a positional screw, and an external skeletal fixator.

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