scholarly journals Aesthetic rehabilitation in a patient with skeletal mandibular deficiency and open bite: journey from splinted metalloceramic prosthesis to all-ceramic crowns

2020 ◽  
pp. 1-14
Author(s):  
Rizwan Nazeer ◽  
Shizrah Jamal ◽  
Farhan Raza Khan
Keyword(s):  
Multidisciplinary Approach ◽  
Treatment Plan ◽  
Open Bite ◽  
Anterior Teeth ◽  
All Ceramic ◽  
Abutment Teeth ◽  
Ceramic Crowns ◽  
Crown Lengthening ◽  
Periodontal Healing ◽  
Endodontic Retreatment

Abstract This case report is of a 31-year-old female who presented with splinted and faulty metalloceramic prosthesis on maxillary anterior teeth, which was responsible for localised periodontal disease and poor aesthetics. At multiple sites the ceramic had chipped off and the prosthesis colour did not match with the adjacent healthy teeth. A multidisciplinary approach of endodontics, periodontics and prosthodontics was employed for this case. The treatment plan consisted of removing the faulty prosthesis, endodontic retreatment of inadequately root-treated teeth and endodontics in the other coronally prepared abutment teeth. Crown lengthening surgery was performed for the correction of periodontal pockets and high smile line and maintenance of an adequate biological width. After periodontal healing, all-ceramic individual crowns were placed on the maxillary anterior teeth along with a three-unit all-ceramic bridge for the replacement of the left upper maxillary first premolar. Continuous...  

Replacement of Congenitally Missing Bilateral Maxillary Canines with Dental Implants: A Rare Case Report and Mini Review

2019 ◽  
Vol 13 (1) ◽  
pp. 371-376
Author(s):  
Abduljabbar Mohammed Alsameai ◽  
Basema Abdullah Khabaz ◽  
Mohammed Abdo Alraawi ◽  
Mohammed M Al Moaleem
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Young Female ◽  
Normal Function ◽  
Short Term Result ◽  
Osseointegrated Implants ◽  
All Ceramic ◽  
Rare Case Report ◽  
Ceramic Crowns ◽  
Congenitally Missing

Introduction: Maxillary canines play strategic roles in maintaining the normal function and visibility of teeth. However, rare cases of bilateral permanent congenitally missing maxillary canines were occurring. Replacing these missing canines with dental implant prostheses is an optimal treatment plan for aesthetics and functions. Case Report: In this case report, we described the replacement of bilateral maxillary canines with osseointegrated implants to support all-ceramic prostheses for a young female patient. This treatment avoids the conventional preparation of adjacent teeth as a part of prosthetic reconstructions. In addition to that, all-ceramic crowns are biocompatible with oral cavity structures. Conclusion: The stable short-term result has been achieved with the replacement of the bilateral congenitally missed canines with an implant and cemented all-ceramic crowns, with 3-years cumulative success rate.

scholarly journals Management of an Adult with Spaced Dentition, Class III Malocclusion and Open-bite Tendency

2011 ◽  
Vol 05 (01) ◽  
pp. 121-129 ◽  
Author(s):  
Demet Kaya ◽  
Tulin Ugur Taner
Keyword(s):  
Treatment Plan ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Anterior Teeth ◽  
Old Adult ◽  
Facial Pattern ◽  
Set Up ◽  
Tongue Thrust

ABSTRACTThe aim of this case report was to present the orthodontic treatment of an adult with spaced dentition, Class III malocclusion, and open-bite tendency. A 28.4-year-old adult woman was concerned about the unesthetic appearance of her spaced dentition localized at both upper and lower arches while smiling. She had a mild tongue thrust, hypertropic upper frenum, and mild speech difficulty while pronouncing “s”. Her profile was straight with prominent lips. Molar relationship was Class III on both sides. Anterior teeth were in an end-to-end relationship. Lower dental midline was deviated to the left side. Cephalometric analysis revealed a skeletal Class III relationship with hyperdivergent facial pattern. The treatment plan included myotherapeutic exercises for the tongue thrust habit and a diagnostic set-up for closure of diastemas. A strict retention protocol was followed combined with gingivoplasty, fiberotomy, and frenectomy procedures. All spaces were closed successfully, adequate overbite and overjet relationships were obtained, and tongue thrust habit and speech difficulty while pronouncing “s” were eliminated. Clinical and cephalometric results indicated the maintenance of the treatment outcome at 6-months post-retention period. (Eur J Dent 2011;5:121-129)

scholarly journals A multidisciplinary approach for the rehabilitation of a patient with chondrosarcoma: prosthetically-driven digital workflow for maxillary reconstruction and implant treatment

2021 ◽  
Vol 8 (3) ◽  
pp. 207-215
Author(s):  
Yanjun Ge ◽  
◽  
Danni Guo ◽  
Xiaofeng Shan ◽  
Lei Zhang ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Treatment Plan ◽  
Maxillofacial Surgery ◽  
Tumor Resection ◽  
Previous Treatment ◽  
Functional Results ◽  
Primary Treatment ◽  
Virtual Design ◽  
Anterior Teeth ◽  
Guide Plate

Aim To describe a comprehensive digital therapy oriented towards the final restoration for treating an oral maxillofacial defect caused by maxillary chondrosarcoma. Summary The prosthetically-driven multidisciplinary approach was applied to achieve perfectly functional-aesthetic reconstruction for a male patient with maxillary chondrosarcoma. The complete tumor resection was ensured by the design of virtual osteotomy and surgical guide plate. A reverse engineering technique was used to reconstruct the bone defect in the maxillary aesthetic area, which offered reference for a three-dimensional printing guide plate to shape and fix the free vascularized iliac bone flap. On the solid basis of previous treatment, the implant placement was performed under the guidance of the prosthetic-driven implant plate. Vestibular extension and tissue graft were performed to increase keratinized gingiva width to improve implant-supported fixed prosthesis effect. Key learning points 1. A multidisciplinary approach including maxillofacial surgery, prosthodontic and periodontal treatment can provide better esthetic and functional results for complex rehabilitation of a patient with oral maxillofacial defect. 2. Predictability of maxillary reconstruction and implant restoration can be increased with prosthetic-driven treatment plan. 3. Applying preoperative virtual design and personalized guide plate is beneficial to achieve an ideal outline of reconstructed upper jaw. 4. Obtaining comprehensive aesthetic parameters of the expected restoration is one of the key principles of upper anterior teeth rehabilitation. 5. Digital technology provides an opportunity for consistency between the primary treatment design and the final restoration outcome.

scholarly journals Aesthetic Rehabilitation in Teeth with Wear from Bruxism and Acid Erosion

2018 ◽  
Vol 12 (1) ◽  
pp. 486-493
Author(s):  
Pamella Tomazi Godoy de Oliveira ◽  
Deise Caren Somacal ◽  
Luiz Henrique Burnett Júnior ◽  
Ana Maria Spohr
Keyword(s):  
Joint Pain ◽  
Multidisciplinary Approach ◽  
Treatment Plan ◽  
Dental Erosion ◽  
Gingival Tissue ◽  
Clinical Report ◽  
Functional Disorder ◽  
Time Intervals ◽  
Anterior Teeth ◽  
Ceramic Restorations

Background:Bruxism is defined as a repetitive activity of grinding the teeth through lateral or protrusive movements of the mandible, and it is considered the most complex and destructive functional disorder. In addition, erosion caused by diet or reflux can damage the remaining teeth.Objective:In this report, a patient with bruxism and dental erosion was treated with a multidisciplinary approach to restore the function and aesthetic.Methods:This clinical report describes the management of an adult woman, 33 years old, who was dissatisfied with the aesthetics of her smile and complained of joint pain and headaches. As result of her condition, the patient’s dentition exhibited generalized wear on the vestibular and incisal surface of the upper incisors incompatible with her age, moderate darkening of the teeth and excess gingival tissue in the upper incisors. After a detailed anamnesis and clinical examination, a diagnosis of bruxism and acid erosion caused by a diet rich in citrus foods and beverages was obtained. Forthwith, a treatment plan was established, and the patient underwent home bleaching, gingivoplasty and ceramic laminates of lithium disilicate on the anterior teeth. After the rehabilitation was completed, a night guard was made to reduce the symptoms of bruxism and avoid fracture of the ceramic restorations. The patient was followed at different time intervals.Conclusion:The improvement in the aesthetics of the teeth was significant and remained stable after periodic controls in which no adverse effects were observed.

scholarly journals A multidisciplinary approach to restoration of severely worn dentition: a case report

2016 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer PC ◽  
Levin Chengappa
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Treatment Procedure ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Crown Lengthening

Severe caries, attrition  and developemental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion. To gain the space for esthetic rehabilitation in these cases is challenging task. The required space can be achieved by crown lengthening and increasing the vertical dimension of occlusion within physiologic limits. We hereby have presented a case report showing the treatment procedure of a patient with severly worn dentition in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics, that also remains in harmony with the entire gnathostomatic system.

scholarly journals A multidisciplinary approach to restoration of severely worn dentition: a case report

2016 ◽  
Vol 4 (2) ◽  
pp. 63
Author(s):  
A V Sreekumar ◽  
Mohammed Sajeer P C ◽  
Levin Chengappa
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Treatment Procedure ◽  
Posterior Teeth ◽  
Developmental Anomalies ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Crown Lengthening

Severe caries, attrition  and developmental anomalies  of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension of  occlusion . To gain the space for esthetic rehabilitation in these cases is challenging  task. The required space can be achieved by crown lengthening and increasing the  vertical dimension of occlusion within physiologic limits..We, hereby have presented a case report showing the treatment procedure of a patient with severely worn dentition  in a simple and systematic multidisciplinary approach to improve the function as well as aesthetics , that also remains in harmony with the entire gnathostomatic system.

Tratamento de mordida aberta com a técnica ortodôntica fixa sem bráquetes, com tecnologia tridimensional 3DBOT (bracketless orthodontics treatment)

2021 ◽  
Vol 14 (54) ◽  
pp. 26-31
Author(s):  
Nivaldo Antônio Bernardo de Oliveira ◽  
Ney Tavares Lima Neto ◽  
Guaracy Lyra da Fonseca Junior ◽  
Gurgiane Rodrigues Gurgel Cavalcante ◽  
Luiz Felipe Azevedo ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Treatment Plan ◽  
Open Bite ◽  
Class Iii ◽  
Viable Option ◽  
Anterior Open Bite ◽  
3D Technology ◽  
Anterior Teeth ◽  
Dental Crowding

Anterior open bite is a type of malocclusion in which there is the presence of a negative vertical overlap between the incisal edges of the upper and lower anterior teeth. It is considered a complex anomaly with distinct characteristics and difficult to treat with prevalence of 25% to 38% of patients orthodontically treated. The aim of this article is to report a clinical case of Class III right subdivision and open bite using 3DBOT technique, a fixed, comfortable, predictable, imperceptible technique with 3D technology and with extreme clinically proven satisfaction. Case report: Patient V.B.V.S., 23 years and 1 month old, leukoderma, male, mild dholico, straight profile, symmetrical, Class ¼ of Class III of molar and canine right subdivision, anterior open bite, inverted smile, mild upper and anterior dental crowding. Treatment plan: The use of 3DBOT was planned along with the use of intermaxillary elastics and refinement with the aid of MyAligner® aligners. Conclusion: The 3DBOT technique showed to be a viable option for treating anterior open bite

scholarly journals Functional and Esthetic Rehabilitation with In-Ceram Alumina and Zirconia System: A Multidisciplinary Approach

2011 ◽  
Vol 12 (1) ◽  
pp. 68-72 ◽  
Author(s):  
Adriana Cristina Zavanelli ◽  
José Vitor Quinelli Mazaro ◽  
Sandra Rahal Mestrener ◽  
Recardo Alexandre Zavanelli
Keyword(s):  
Multidisciplinary Approach ◽  
Color Change ◽  
Gingival Tissue ◽  
System A ◽  
Dental Esthetics ◽  
Anterior Teeth ◽  
All Ceramic ◽  
Natural Dentition ◽  
Periodontal Plastic Surgery ◽  
Single Crowns

ABSTRACT The development of all-ceramic systems following metalceramics restorations allowed simulation of natural dentition due to favorable esthetics and resistance. In-Ceram is an alternative when esthetics is primordial as well as resistance required in rehabilitation. However, an ideal smile is associated to not only shape, color, texture and translucency but also harmony with gingival tissue. So, the aim of this study is to report a clinical case based on periodontal and fixed partial dentures principles to perform periodontal plastic surgery followed by esthetic rehabilitation. A female patient, 40-year-old, presented complaint about dental esthetics. After clinical and radiographic exams, metal-ceramics crowns (teeth 11, 12, 13, 21, 22 and 23) were considered unsatisfactory due to marginal leakage, color change in gingival tissue associated to metallic margin, and gummy smile. So, a crown lengthening surgery of anterior teeth was performed followed by rehabilitation of superior teeth with In- Ceram single crowns. Clinical significance The interaction between periodontics and fixed prosthodontic area is the key of an adequated treatment planning which involves gingival smile to provide function and an esthetic condition in association with an esthetic, resistant and predictable material. How to cite this article Zavanelli AC, Mazaro JVQ, Mestrener SR, Zavanelli RA. Functional and Esthetic Rehabilitation with In-Ceram Alumina and Zirconia System: A Multidisciplinary Approach. J Contemp Dent Pract 2011;12(1):68-72.

scholarly journals Occlusal Rehabilitation of Severely Mutilated Dentition

2015 ◽  
Vol 5 (1) ◽  
pp. 48-52
Author(s):  
Tulika S Khanna ◽  
Sandeep Vivek Gurav
Keyword(s):  
Multidisciplinary Approach ◽  
Vertical Dimension ◽  
Masticatory Muscle ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Careful Treatment ◽  
Anterior Guidance ◽  
Occlusal Vertical Dimension ◽  
Mutilated Dentition ◽  
Crown Lengthening

ABSTRACT Severe caries, attrition, abrasion, erosions of anterior teeth lead to loss of anterior guidance. This in turn causes attrition of posterior teeth and loss of occlusal vertical dimension. To gain the space for esthetic rehabilitation in these cases is challenging task. The required space can be achieved by crown lengthening and increasing the occlusal vertical dimension within physiologic limits. Unmethodical alteration of vertical dimension may lead to temporomandibular joint (TMJ) and masticatory muscle problems. Careful treatment planning and stable occlusion are key point of successful treatment. This case report describes the methodical multidisciplinary approach used to treat severely mutilated dentition. How to cite this article Gurav SV, Ram SM, Khanna TS. Occlusal Rehabilitation of Severely Mutilated Dentition. J Contemp Dent 2015;5(1):48-52.

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