Modified Neutral Zone Technique for the Partial Mandibulectomy Patient

ABSTRACT Aim Surgical removal of tumors in the mandible leads to discontinuity of bone which requires surgical reconstruction of the defect to provide a suitable tissue foundation for an acceptable prosthesis. At times when reconstructive surgeries are not possible, prosthetic rehabilitation is a successful alternative. In the present article, prosthetic rehabilitation using neutral zone technique has been discussed in the patient of marginal mandibulectomy. Methods The fabrication procedure of the removable partial denture was modified to achieve adequate retention and stability in a 22-year-old female patient with the anterior mandibulectomy. Polished surface contours and tooth positioning were recorded with modified neutral zone technique and mandibular teeth were characterized to provide esthetics. Conclusion The modified neutral zone technique enhanced the stability of the partial denture. A marked improvement in esthetics, function and psychology was noticed. How to cite this article Tripathi S, Singh V, Singh SV, Arya D. Modified Neutral Zone Technique for the Partial Mandibulectomy Patient. Int J Prosthodont Restor Dent 2012;2(4):146-149.

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Tratamento reabilitador com prótese total imediata maxilar e prótese parcial removível mandibular

Prosthesis and Esthetics in Science ◽

10.24077/2020;935:3239 ◽

2020 ◽

Vol 9 (35) ◽

pp. 32-39

Author(s):

Ianca Zany Nunes Corrêa ◽

Erika Akiko Moura Shiota ◽

Ely Moacyr De Souza Portela ◽

Gabriel Garcia Bardales ◽

Francisco Pantoja Braga ◽

...

Keyword(s):

Tooth Extraction ◽

Functional Restoration ◽

Radiographic Examination ◽

Prosthetic Rehabilitation ◽

Oral Rehabilitation ◽

Removable Partial Denture ◽

Partial Denture ◽

Natural Teeth ◽

Oral Examinations ◽

Artificial Teeth

Immediate complete denture (ICD) is a mucosa-supported prosthesis manufactured before the removal of natural teeth and installed soon after their extraction. This paper aims to describe a clinical case of oral rehabilitation with upper ICD and lower removable partial denture (RPD). A 57-year-old female patient sought treatment with dissatisfaction with her aesthetics and mobility of the upper teeth. After anamnesis, intra and extra-oral examinations, radiographic examination and analysis of study models mounted on a semi-adjustable articulator, periodontal pockets were found in the upper teeth and extensive bone loss. So, upper tooth extraction, superior ICD and lower RPD were indicated as treatment. For ICD preparation, anatomical and functional moldings were made, made up of orientation and intermaxillary relationship plans for the assembly of the semi-djustable articulator models. The remaining upper teeth were removed from the model for assembly of the artificial teeth and the ICD was polymerized and polished. The lower RPD was made following the standard steps. After dentures manufacturing, the surgery for upper tooth extraction was performed and prostheses installed immediately after surgery. The results demonstrated that the performed treatment provided aesthetic, phonetic, and functional restoration to the patient avoiding her to undergo a period of edentulism. It was concluded that ICD is a good indication for prosthetic rehabilitation of patients with advanced periodontitis, whose planning is the exodontia of all the teeth of an arch.

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Prosthetic Rehabilitation of Cleft Lip Palate with Andrews Bridge Modified as Obturator Prosthesis: Case Report

Balkan Journal of Dental Medicine ◽

10.2478/bjdm-2020-0010 ◽

2020 ◽

Vol 24 (1) ◽

pp. 57-61

Author(s):

Almina Murić ◽

Demet Cagil Ayvalioglu ◽

Bilge Gokcen Rohlig

Keyword(s):

Case Report ◽

Cleft Palate ◽

Orthodontic Treatment ◽

Cleft Lip ◽

Radiographic Evaluation ◽

Congenital Defects ◽

Prosthetic Rehabilitation ◽

Removable Partial Denture ◽

Partial Denture ◽

Cleft Lip Palate

SummaryBackground/Aim: Congenital defects such as cleft palate and lips require a long-lasting and multidisciplinary approach. In cases when surgical and orthodontic treatment is not feasible, prosthodontic management of these patients is advocated. Prosthetic rehabilitation of cleft palate in concerning of achieving aesthetic and function (such as swallowing and speech) outcomes is very demanding.Case report: Material and method: After performing the necessary surgical procedures and orthodontic treatment, 24-years-old male patient was sent to the Department for Maxillofacial Prosthetics of Istanbul University. Followed the clinical examination, the necessary periodontal and conservative therapy was performed. After radiographic evaluation and dental cast analysis prosthetic rehabilitation was performed. The prosthetic rehabilitation of cleft palate was accomplish with conventional fixed partial denture whose number of included abutment were defined by biomechanical principles. Additionally removable partial denture were manufactured for closing oro-nasal defects and lip supporting.Conclusions: The prosthetic rehabilitation resulted with functionally and aesthetically content prosthesis. With achieving proper swallowing Quality of Life of the patient was enormously enhanced.

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Prosthodontic Rehabilitation Alternative of Patients with Cleft Lip and Palate (CLP): Two Cases Report

International Journal of Dentistry ◽

10.1155/2009/515790 ◽

2009 ◽

Vol 2009 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Emrah Ayna ◽

Emine Göncü Başaran ◽

Köksal Beydemir

Keyword(s):

Cleft Lip ◽

Cleft Lip And Palate ◽

Infectious Agents ◽

Prosthetic Rehabilitation ◽

Removable Partial Denture ◽

Anterior Maxilla ◽

Partial Denture ◽

Prosthetic Reconstruction ◽

Fixed Partial Denture ◽

Reinforced Composite

Although patients with cleft lip and palate (CLP) are not seen regularly in general dental practice, this is a frequent congenital anomaly; approximately one in every 800 live births results in a CLP. The cause of CLP is unknown, but possible causes are malnutrition and irradiation during pregnancy, psychological stress, teratogenic agents, infectious agents (viruses), and inheritance. Most clefts are likely caused by multiple genetic and nongenetic factors. Prosthetic reconstruction of the anterior maxilla is important for these patients. This paper describes the prosthetic rehabilitation of two patients with CLP, 19-year-old and 21-year-old women, both with surgically treated CLP. In both, an examination revealed a residual palatal defect of mm and missing maxillary lateral incisors. The 19-year-old was treated with a fiber-reinforced composite resin-bonded fixed partial denture. The 21-year-old was treated with a removable partial denture with an extracoronal attachment system. The prosthetic rehabilitation of the two patients with CLP was evaluated clinically. In both, well-planned prosthetic, periodontal, and surgical therapy resulted in satisfactory function and esthetics, alleviating their deformities. With education and appropriate recall, the patients should be able to maintain their oral health.

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Prosthodontic Rehabilitation of Patients with Double Crown and Locator Attachment - Retained Overdentures Supported by a Combination of Natural Tooth and Strategic Implants: Case Series

Serbian Journal of Experimental and Clinical Research ◽

10.2478/sjecr-2019-0038 ◽

2019 ◽

Vol 0 (0) ◽

Author(s):

Marko Milosavljevic ◽

Milica Jovanovic ◽

Dejan Zdravković ◽

Jelena Todic ◽

Jelena Eric

Keyword(s):

Dental Implants ◽

Case Series ◽

Treatment Modalities ◽

Prosthetic Rehabilitation ◽

Removable Partial Denture ◽

Partial Denture ◽

First Case ◽

Dental Office ◽

Food And Drink ◽

Edentulous Patients

Abstract Prosthetic rehabilitation of edentulous patients and patients with one or two own teeth can be established by different treatment modalities. The most commonly used in the treatment of these patients is conventional complete denture or removable partial denture. However, due to increasing problems with this type of therapy, such as insufficient retention, stability, comfort and pain during mastication, it is suggested an overdenture supported by two natural teeth or implants. We will present series of clinical reports. In two clinical cases patients came to the dental office because of the impossibility of wearing lower partial denture, and in one case patient had problems with the upper partial denture. After clinical examination and radigraphic analysis, in all patients, dental implants were implanted. In first case there were implanted two dental implants in the region 41 and 43, in second case it was region 33, and in third case implanatiton is performed in the region of 14, 11, 21. Prosthetic rehabilitation was done after 3-months bone oseointegration period. The treatment consisted in the production of double crowns and overdentures that are retained with locator attachment. This design of the denture significantly improves the quality of patient’s life (the dentures are stable, chewing is improved, the feeling of thermal sensations of food and drink is present, the feeling of taste is complete, and the psychological patient becomes safer).

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Preventive and conservative prosthodontic treatment using overdenture and Richmond crown

Journal of Dentomaxillofacial Science ◽

10.15562/jdmfs.v1i3.316 ◽

2016 ◽

Vol 1 (3) ◽

pp. 193

Author(s):

Jevin S. Cialy ◽

Bahruddin Thalib ◽

Mohammad Dharmautama ◽

Wahipa Wiro ◽

Ervina Ervina

Keyword(s):

Root Canal ◽

Early Stage ◽

Tooth Decay ◽

Removable Partial Denture ◽

Partial Denture ◽

Treatment And Prevention ◽

Tooth Roots ◽

Removable Denture ◽

The Stability ◽

Crown Gear

Prosthodontic treatment aims to restore the chewing function (rehabilitation) and to prevent tooth decay and bone resorption (preventive and conservative). As an example, treatment by overdenture and Richmond crown. Overdenture is a partial or complete removable denture covered and supported by one or more teeth, the tooth roots and/or dental implants. Richmond crown is fixed denture by post and crown system, in which the post part goes into the root canal and its crown covers the entire of original tooth crown surface. By retaining the original teeth and/or roots, it could improve the stability and retention of the denture, and defend proprioseptic of teeth and vertical dimensions. To provide information about preventive prosthodontic treatment and prevention by using overdenture and Richmond crown. Case Report: A 50 year old woman only has 44 teeth on the mandible which is indicated for the overdenture construction and loss teeth 13, 14, 17 and 27 on the maxilla with deep caries in teeth 22 which is indicated for a removable partial denture (RPDs) construction by Richmond crown gear 22. On an early stage study, printing models is done. Then treatment of the root canal on teeth 22 and 44, followed by root canal preparation, core construction (cast post) and Richmond crown on tooth 22 and bareroot preparation on tooth 44 for overdenture construction. The procedure followed by printing, recording bite to insertion. Choosing treatment either overdenture or Richmond crown is very important because it could mantain remain original teeth, thus it can help to improve the retention and stabilization.

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Prosthodontic Rehabilitation with Onlay Removable Partial Denture: a Case Report

UI Proceedings on Health and Medicine ◽

10.7454/uiphm.v1i0.38 ◽

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>

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A comparison of various removable partial denture clasp materials and fabrication procedure for placing clasps on canine and premolar teeth

Journal of Prosthetic Dentistry ◽

10.1016/0022-3913(93)90016-h ◽

1993 ◽

Vol 70 (2) ◽

pp. 180-188 ◽

Cited By ~ 14

Author(s):

John P. VandenBrink ◽

John F. Wolfaardt ◽

M. Gary Faulkner

Keyword(s):

Removable Partial Denture ◽

Partial Denture ◽

Fabrication Procedure

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Oral Rehabilitation with Removable Partial Denture of a Patient with Cleidocranial Dysplasia

Case Reports in Dentistry ◽

10.1155/2020/8625842 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

Ali Jamali Ghomi ◽

Reza Sayyad Soufdoost ◽

Mohammad Saeed Barzegar ◽

Mohammad Ali Hemmati

Keyword(s):

Cleidocranial Dysplasia ◽

Oral Rehabilitation ◽

Removable Partial Denture ◽

Partial Denture ◽

Masticatory Function ◽

Comprehensive Information ◽

History Of ◽

Soft Liner ◽

Mandibular Teeth ◽

Relationship Of

This case report describes the oral rehabilitation of a patient with cleidocranial dysplasia who received a removable partial denture along with silicone-based permanent soft liner to improve esthetic and masticatory function. This patient was the candidate of neither implant nor orthodontic treatment due to medical conditions, history of mandible fracture, age, and risk of fracture after mandibular teeth extractions. Cone-beam computed tomography has made it possible to obtain comprehensive information regarding the morphology and positional relationship of impacted supernumerary teeth. Also, proper collaboration between surgeon and prosthodontist helped to achieve significant improvements in patient’s self-esteem, masticatory function, and esthetic.

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