THE PROSTHODONTIC TREATMENT OF THE MANDIBLE EDENTULOUSNESS. CLINICAL CASE

The article presents a clinical case of the prosthodontic treatment of the mandible edentulousness. Edentulousness is a widespread pathology that depends on the social and economic situation in the country, the demographic situation, the level of dental care and prevention organization. The current worldwide trend of population aging leads to an increase in the number of the elderly, and this number is expected to increase in the future. According to the WHO, today about 600 million people are people over 60, and this number will have doubled by 2030 and will constitute 2 billion in 2050 mostly in developed countries. The situation in Ukraine is not better. Functional and aesthetic rehabilitation of patients with edentulousness requires a comprehensive approach to the prosthodontic treatment planning. Complete removable laminar dentures on the mandible have a number of disadvantages. Insufficient fixation, stabilization, diction problems, aesthetic problems, decreased self-esteem of the patient are among the key ones. Modern protocols of the prosthodontic treatment require the manufacture of dental prostheses based on intraosseous dental implants. Complete dentures based on intraosseous dental implants have a number of advantages over the fixed dentures. Compensation for deficient bone support of the facial soft tissues occurs by means of the basis. Patients’ possibility to remove a secondary restoration by themselves lead to proper hygiene of the oral cavity and peri-implant area in particular. The clinical research conducted by S. Wolfart (2016) showed the possibility of fixed/removable dental prosthesis fixation in 14-31 days (early loading) after the surgical stage of implantation provided that 4-6 intraosseous dental implants were installed. The maximum mobilization of the patient to comply with the recommendations and prescriptions is the main task considering the limited postoperative period before the dental prosthesis fixation. Our publication describes the treatment of a patient born in 1967, who was diagnosed with a mandible complete absence of teeth. Diagnosis, examination and treatment were performed on the basis of the Department of Dentistry Postgraduate Education of Ivano-Frankivsk National Medical University. The described prosthodontic treatment plan involves the manufacture of a complete denture with bar system based on four intraosseous dental implants according to the early loading protocol in a patient with primary treatment of mandible edentulousness. The choice of treatment plan was based on the results of past medical history, the patient’s disease, basic and additional methods of examination, analysis of individual indications and contraindications and readiness for the selected treatment plan. This treatment protocol has its advantages over the protocol of manufacturing a fixed prosthesis based on intraosseous dental implants such as a higher level of proprioceptive sensations, increased level of hygiene, lower complexity of clinical and laboratory stages, affordability. The term of clinical and laboratory stages of manufacturing (from the surgical stage of implant treatment to the fixation of the dental prosthesis) constituted 16 days. Additional opportunities for success in clinical and laboratory stages of treatment, the accuracy of manufacture and minimization of complications in the future were created as a result of the combination of digital and analog treatment methods in dental prosthesis manufacturing.

Clinical procedures in stage II implant supported fixed dental prosthesis: A case report

Restoring a partially edentulous jaw with implant-supported prosthesis is a challenge. The clinical outcome will be satisfactory only when both the surgical phase as well as the prosthetic phase are planned in advance and executed while keeping in mind the aesthetic and functional necessities. In this case report we describe the steps in successfully restoring the edentulous space with implant supported FP1 prosthesis. The sequential steps that were followed in the prosthetic phase has been described in detail. From the satisfactory outcome of the case, it can be concluded that proper evaluation, prosthetically driven treatment planning and correct execution of the plan would ensure good predictability of the implant-supported prosthesis.

Lesões orais em idosos que fazem uso de prótese dentária: um protocolo de revisão de escopo

O envelhecimento da população faz surgir a necessidade de cuidados especiais com a saúde. O edentulismo, por exemplo, é uma condição bucal que afeta, principalmente, os idosos, sendo comum o uso de próteses dentárias que muitas vezes geram lesões orais. Este protocolo propõe uma revisão de escopo sobre a prevalência de lesões na mucosa oral em decorrência do uso de prótese dentária na população idosa. Desse modo, o objetivo do referido protocolo é apresentar a metodologia que será adotada, de acordo com as recomendações de estruturação do Joanna Briggs Institute para revisões de escopo, sendo este documento previamente registrado no repositório Open Science Framework. A estratégia de busca será elaborada de modo a identificar as possíveis fontes de evidências publicadas nas seguintes bases de dados: Cochrane, PubMed via MEDLINE, LILACS, Web of Science e Scopus. No que se refere à literatura cinzenta, serão feitas buscas através do Google Scholar. Serão utilizados os seguintes descritores do vocabulário controlado Descritores em Ciências da Saúde/Medical Subject Headings: idoso/aged, prótese dentária/dental prosthesis e manifestações bucais/oral manifestations, seus sinônimos e variações ortográficas. A estratégia PCC (População, Conceito, Contexto) servirá de base para elaboração da pergunta de pesquisa e definição dos critérios de inclusão e exclusão. Os resultados da revisão de escopo proposta deverão mostrar os fatores que influenciam a prevalência de lesões em mucosa oral de pessoas idosas que fazem uso de prótese dentária.

Masticatory Ability and Oral Health Related Quality of Life in Partially Edentulous Patients Involving Posterior Teeth after Rehabilitation with Tooth-Supported Fixed Dental Prosthesis

Background: Loss of teeth affects the masticatory ability and overall health of the patient especially posterior teeth as they contribute more to mastication as compared to anteriors. Loss of teeth can lead to undesirable consequences and early rehabilitation with any type of prosthesis can lead to desirable changes and thus missing teeth should be replaced as soon as possible. Aims and Objectives: To determine the change in masticatory ability and quality of life (QoL) after replacement of missing posterior teeth by fixed dental prosthesis. Methodology: Maximum bite force was recorded before and after treatment. Also a self-perceived questionnaire was filled by the patient to assess the change in QoL. Patients with missing posterior teeth were included. Patients with acute infections or systemic diseases were excluded. Results: Significant change (p=0.0001) in both masticatory ability and QoL of the patient was seen. The co-relation of both was clinically significant while statistically non-significant (p=0.77). Results were significant for both the studied parameters but co-relation between them was no significant. It is because of the patients perceived satisfaction of the overall treatment. Conclusion: Rehabilitation of posterior teeth improves mastication and also overall oral health related QoL.