Prosthetic Rehabilitation of a Complete Bilateral Maxillectomy Patient Using a Simple Magnetically Connected Hollow Obturator: A Case Report

2008 ◽  
Vol 9 (1) ◽  
pp. 70-76 ◽  
Author(s):  
T. Sunil Chandra ◽  
Amar Sholapurkar ◽  
Robin Mathai Joseph ◽  
I.N. Aparna ◽  
Keerthilatha M. Pai
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Mouth Opening ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Facial Contour ◽  
Masticatory Efficiency ◽  
Full Complement ◽  
Obturator Prosthesis

Abstract Aim The purpose of this clinical report is to present a description of the prosthetic rehabilitation of a bilateral complete maxillectomy patient using a two piece magnetically connected prosthesis. Background A complete bilateral maxillectomy defect presents a considerable reconstructive challenge for the prosthodontist. It results in devastating effects on cosmetic, functional, and psychological aspects of the patient. Report A 46-year-old woman reported with a chief complaint of missing teeth in the upper jaw. Her primary concerns were a poor facial appearance, inability to chew food, and regurgitation of the food into the nasal cavity. She was diagnosed with carcinoma of the maxillary sinus, for which a bilateral maxillectomy was done followed by post surgical radiation therapy. The prosthetic treatment objectives were to separate the nasal and oral cavities, restore the mid-facial contour, and improve her masticatory functions by providing a full complement of maxillary teeth using a two-piece connected hollow obturator prosthesis connected by a magnet. Summary Insertion and removal of a large prostheses used for rehabilitation of midfacial defects requires good neuromotor coordination and an adequate mouth opening. Because these factors were problematic for this patient, the treatment plan was to fabricate a two piece magnetically connected prosthesis. After fabrication and insertion of the prosthesis, the fit between two sections was evaluated and instructions for insertion, removal, and maintenance of the obturator were given. The patient's speech, masticatory efficiency, and swallowing dramatically improved after insertion. Citation Chandra TS, Sholapurkar A, Joseph RM, Aparna IN, Pai KM. Prosthetic Rehabilitation of a Complete Bilateral Maxillectomy Patient Using a Simple Magnetically Connected Hollow Obturator: A Case Report. J Contemp Dent Pract 2008 January; (9)1:070-076.

Rehabilitation of a maxillary partial edentulous patient using an implant-supported overdenture retained with two bilateral milled bars

2020 ◽  
Vol 13 (8) ◽  
pp. e235530
Author(s):  
Atif Mohammed Almadani ◽  
Fabian Huettig
Keyword(s):  
Alveolar Bone ◽  
Treatment Plan ◽  
Treatment Options ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Masticatory Efficiency ◽  
Final Treatment ◽  
Natural Teeth ◽  
Edentulous Patients ◽  
Natural Tooth

The use of implants has enabled more treatment options for prosthetic rehabilitation of partially and completely edentulous patients. This clinical report describes a treatment approach for an 80-year-old patient taking advantage of the remaining natural teeth for prosthetic rehabilitation. The final treatment plan included natural tooth-supported and implant-supported crowns combined with a milled bar partial overdenture retained by tilted dental implants. The overdentures supported by the milled bar implants provide the advantages of both fixed and removable restorations. In addition to patient satisfaction, the overdentures also minimise alveolar bone resorption, increase longevity and stability and improve masticatory efficiency.

scholarly journals Rehabilitation after partial mandibulectomy - Clinical Report

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Marisa Zenha ◽  
Raquel Carvalho
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Treatment Plan ◽  
Tumour Resection ◽  
Clinical Report ◽  
Vascularized Bone Graft ◽  
Oral Function ◽  
Masticatory Efficiency ◽  
Segmental Mandibulectomy ◽  
Vascularized Bone

Purposes: The rehabilitation of oral function impairments secondary to acquired defects following segmental mandibulectomy continues to be a major challenge. The success in rehabilitating patients who had undergone tumour resection depends upon the nature and extent of the surgical defect, treatment plan, type of prothesis and patient co-operation. Removable dentures supported by remaining teeth and/or gum are often unstable and rarely satisfactory. However, given the recent advances in maxillofacial prosthetics and reconstructive surgery, it is possible to restore most individuals to nearly normal anatomy and function with immediate vascularized bone graft reconstruction followed by rehabilitation with removable or fixed implant-supported prosthesis. Case report: This case report emphasises the truly multidisciplinary approach, as it describes the prosthodontic rehabilitation of a patient with history of a segmental mandibulectomy that involved the use of a vascularized bone graft, to reconstruct the mandible, and an implant-supported fixed partial denture to restore oral function. ​Conclusions: Prosthetic rehabilitation with dental implants and fixed implant-supported prosthesis is a valid tool advocated by several authors as they provide stability with enhanced masticatory efficiency as well as aesthetics, hence providing the best dental rehabilitation with a stabilized or immobilized prothesis.

scholarly journals SINGLE COMPLETE DENTURE IN MANDIBULAR ARCH OPPOSING NATURAL DENTITION– A CASE REPORT

2013 ◽  
Vol 03 (01) ◽  
pp. 72-75
Author(s):  
Laxman Singh Kaira ◽  
Richa Singh
Keyword(s):  
Case Report ◽  
Methyl Methacrylate ◽  
Complete Denture ◽  
Prosthetic Rehabilitation ◽  
Denture Base ◽  
Mandibular Arch ◽  
Full Complement ◽  
Natural Teeth ◽  
Successful Rehabilitation ◽  
Natural Dentition

AbstractSeveral difficulties are encountered in providing a successful, single complete denture treatment. This case report deals with successful rehabilitation of completely resorbed mandibular ridge opposing a full complement of natural teeth prosthetically incorporating metal denture base in place of the conventional Poly Methyl Methacrylate material to combat the masticatory forces from natural dentition and improve the longevity of the prosthetic rehabilitation, at the same time improving the strength of the mandibular denture base.

Prosthetic rehabilitation for a patient with systemic sclerosis and sjögren's syndrome: a clinical report and review

Dental Update ◽  
2019 ◽  
Vol 46 (5) ◽  
pp. 450-461
Author(s):  
Funmi Oluwajana ◽  
Lucy Ferguson ◽  
Phillip Wragg
Keyword(s):  
Systemic Sclerosis ◽  
Mouth Opening ◽  
Signs And Symptoms ◽  
Clinical Report ◽  
The Novel ◽  
Prosthetic Rehabilitation ◽  
Limited Mouth Opening ◽  
Dental Management ◽  
Management Plans ◽  
The Impact

Systemic sclerosis, although a rare disease, has numerous direct and indirect effects on the oral cavity. This article aims to inform clinicians of the signs and symptoms they may see in patients with the disease and the impact it can have on dental management. The main effect, microstomia, is not just limited to systemic sclerosis, thus the clinical and laboratory techniques described may be helpful when managing other patients with limited mouth opening. CPD/Clinical Relevance: Clinicians should be able to recognize how systemic sclerosis will have an impact on their patient's oral health and implement management plans to prevent deterioration of their dentition. The novel techniques used will provide dentists and dental technicians with alternative techniques that can be employed in a variety of cases when considering prosthetic rehabilitation.

scholarly journals Anterior rehabilitation involving dental bleaching, frenectomy and composite resin: a case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Frederico dos Reis GOYATÁ ◽  
Luis Henrique Garcia MARQUES ◽  
Amália MORENO ◽  
Ivan Doche BARREIROS ◽  
João Batista NOVAES JÚNIOR ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Case Report ◽  
Clinical Examination ◽  
Composite Resin ◽  
Treatment Plan ◽  
Clinical Report ◽  
Functional Evaluation ◽  
Carbamide Peroxide ◽  
Dental Bleaching ◽  
Restorative Treatment

ABSTRACT This clinical report describes the treatment of a patient dissatisfied with the esthetics of the smile due to the presence of narrow teeth, yellow and the presence of diastema between teeth 11 and 21. Clinical examination revealed absence of the disocclusion guides. The treatment plan consisted in obtaining study casts, assembly in a semi-adjustable articulator and diagnostic waxing, to evaluate the possibilities of a restorative treatment. After the approved the viability of the procedure, dental bleaching was started in-office with 38% hydrogen peroxide associated with at-home bleaching with 15% carbamide peroxide, in order to reduce the yellowing of the teeth. Afterwards, the functional evaluation of the restorative procedure was carried out through the prior preparation of the mock-up. After functional approval of the mock-up, lip frenectomy was performed, since the frenulum is the cause of the diastema between the teeth 11 and 21. After 4 weeks was carried out the restorative procedure of teeth 13 to 23, with direct composite resin, improving the aesthetics of the smile and restoring the disocclusion guides.

scholarly journals Esthetic and Functional Rehabilitation of a Patient with Abrasion, Attrition, and Missing Teeth

2014 ◽  
Vol 4 (2) ◽  
pp. 52-55
Author(s):  
Rahul S Kulkarni
Keyword(s):  
Patient Satisfaction ◽  
Case Report ◽  
Missing Teeth ◽  
Functional Rehabilitation ◽  
Oral Rehabilitation ◽  
Full Coverage ◽  
Masticatory Efficiency ◽  
Anterior Guidance

ABSTRACT The loss of tooth substance due to attrition and abrasion may lead to sensitivity to hot and cold, compromised esthetics, loss of anterior guidance and decreased masticatory efficiency. This case report describes the oral rehabilitation of a patient with abrasion, attrition and missing teeth. Treatment consisted of endodontic treatments of multiple teeth followed by their full coverage restorations, and fixed partial dentures for replacement of missing teeth. Esthetic and functional rehabilitation resulted in patient satisfaction, and no complications were noted related to the treatment after 1 year. How to cite this article Kulkarni RS. Esthetic and Functional Rehabilitation of a Patient with Abrasion, Attrition, and Missing Teeth. Int J Prosthodont Restor Dent 2014;4(2):52-55.

scholarly journals Rehabilitation of ectodermal dysplasia patient with a telescopic denture in the maxilla and mandibular implant assisted over-denture: a case report

2021 ◽  
Author(s):  
Heba Alajami ◽  
Jamal Saker
Keyword(s):  
Case Report ◽  
Ectodermal Dysplasia ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Hypohidrotic Ectodermal Dysplasia

Hypohidrotic ectodermal dysplasia is a heritable disease, characterized by hypodontia, hypotrichosis, and anhidrosis. This clinical report demonstrates prosthetic rehabilitation of a patient complaining of impaired mastication and the odd appearance of her jaws. Maxillary telescopic-overdenture and implant-supported mandibular prostheses were fabricated to improve mastication, speech, and aesthetics of the patient.

scholarly journals Prosthodontic Rehabilitation with Onlay Removable Partial Denture: a Case Report

2017 ◽  
Vol 1 ◽  
Author(s):  
Chang Wei Zhi ◽  
Ho Ting Khee
Keyword(s):  
Case Report ◽  
Occlusal Surface ◽  
Occlusal Plane ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Removable Prosthesis ◽  
Occlusal Vertical Dimension ◽  
Abutment Teeth

<p class="AbstractContent">Restoring occlusal plane and occlusal vertical dimension (OVD) in patient with existing indirect restorations who must wear removable prostheses may be a challenge to the dental operator. Onlay removable partial dentures (RPD) are used to re-establish the occlusion in conjunction to replace missing teeth without having to remove the existing indirect restoration. This case report described prosthetic rehabilitation with onlay RPD in patients who were partially edentulous and has reduced OVD. The treatment involved a set of provisional RPD to re-establish the OVD, as well as to evaluate the function, esthetic and speech of the patient, followed by definitive onlay RPD. The mandibular onlay RPD was used to provide stable occlusion and to correct the uneven occlusal surface on the abutment teeth. This treatment able to improve patient’s chewing function through a simple removable prosthesis and conservative on the existing restorations.</p>

scholarly journals Prosthetic Rehabilitation of Patient with Anterior Segmental Mandibulectomy Using Cast Partial Removable Denture: A Clinical Report

2019 ◽  
Vol 2 (1) ◽  
pp. 42-46
Author(s):  
Anil Maharjan ◽  
SP Joshi ◽  
P. Shrestha
Keyword(s):  
Surgical Resection ◽  
Soft Tissues ◽  
Clinical Report ◽  
Prosthetic Rehabilitation ◽  
Missing Teeth ◽  
Removable Denture ◽  
Mandibular Body ◽  
Segmental Mandibulectomy ◽  
Extent Of Surgical Resection ◽  
Marginal Mandibulectomy

Marginal mandibulectomy involves resection of mandibular body with overlying soft tissues while maintaining inferior cortex of mandible and its continuity. It may lead to numerous problems associated with mastication, speech and deglutition and esthetics. Problems associated with such defect depend upon location and extent of surgical resection. Prosthodontic rehabilitation of such patient poses challenges because of obliterated vestibular depth, inadequate denture bearing areas for support, lesser number of remaining teeth. This article describes rehabilitation of patient who underwent anterior segmental mandibulectomy with cast partial removable denture to replace the missing teeth and maintain esthetics.

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