Prosthognathic rehabilitation of a patient with underlying skeletal discrepancy- a case report.
Identifieur interne : 000791 ( PubMed/Corpus ); précédent : 000790; suivant : 000792Prosthognathic rehabilitation of a patient with underlying skeletal discrepancy- a case report.
Auteurs : Ashish R. Jain ; James Antony Bhagat M ; Deepak Nallaswamy ; Vinod Narayanan ; Padma ArigaSource :
- Journal of clinical and diagnostic research : JCDR [ 2249-782X ] ; 2014.
Abstract
Vertical and anterioposterior maxillary excesses can be treated with a combination of orthopaedic functional appliances, orthodontics and surgery. Treatment varies according to the age, patient reports for treatment. In patients who are treated with either of the above mentioned treatment modalities, if they require prosthetic replacement on a later date, especially of anterior teeth, prosthetic treatment alone does not give an aesthetic outcome. A partially edentulous, elderly patient with underlying skeletal discrepancy (Class II Skeletal deformity) in relation to 12,11,21,22 was treated with a combination of orthognathic surgery and prosthetic rehabilltation. An orthognathic surgery (leforte I osteotomy) was performed to manage vertical maxillary excess, class II skeletal pattern of maxilla and increased lower third facial height. Dental compensations in the mandibular arch were decompensated surgically with lower subapical osteotomy. Prosthetic restorations of missing anterior teeth were done later, such that facial and dental aesthetics. The records showed that the results were stable 12 months after prosthognathic (prosthodontic and orthognathic) treatment. A team approach enabled the female patient in her fifth decade of life, to receive better function, aesthetics and increased quality of life. Doing prosthetic restorations in patients with underlying skeletal discrepancies may become a challenge , which should be achieved without compromising on final outcome, with a calculated risk benefit ratio.
DOI: 10.7860/JCDR/2014/7570.4183
PubMed: 24783156
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Jain</name><affiliation><nlm:affiliation>Senior Lecturer, Department of Prosthodontics, Tagore Dental College and Hospital , Chennai, India .</nlm:affiliation></affiliation></author><author><name sortKey="M, James Antony Bhagat" sort="M, James Antony Bhagat" uniqKey="M J" first="James Antony Bhagat" last="M">James Antony Bhagat M</name><affiliation><nlm:affiliation>Senior Lecturer, Department of Oral and Maxillofacial Surgery, Ragas Dental College and Hospital , Chennai, India .</nlm:affiliation></affiliation></author><author><name sortKey="Nallaswamy, Deepak" sort="Nallaswamy, Deepak" uniqKey="Nallaswamy D" first="Deepak" last="Nallaswamy">Deepak Nallaswamy</name><affiliation><nlm:affiliation>Reader, Department of Prosthodontics, Saveetha University , Chennai, India .</nlm:affiliation></affiliation></author><author><name sortKey="Narayanan, Vinod" sort="Narayanan, Vinod" uniqKey="Narayanan V" first="Vinod" last="Narayanan">Vinod Narayanan</name><affiliation><nlm:affiliation>Professor and HOD, Department of Oral and Maxillofacial Surgery, Saveetha University , Chennai, India .</nlm:affiliation></affiliation></author><author><name sortKey="Ariga, Padma" sort="Ariga, Padma" uniqKey="Ariga P" first="Padma" last="Ariga">Padma Ariga</name><affiliation><nlm:affiliation>Professor and HOD, Department of Prosthodontics, Saveetha University , Chennai, India .</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24783156</idno><idno type="pmid">24783156</idno><idno type="doi">10.7860/JCDR/2014/7570.4183</idno><idno type="wicri:Area/PubMed/Corpus">000791</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000791</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prosthognathic rehabilitation of a patient with underlying skeletal discrepancy- a case report.</title><author><name sortKey="Jain, Ashish R" sort="Jain, Ashish R" uniqKey="Jain A" first="Ashish R" last="Jain">Ashish R. Jain</name><affiliation><nlm:affiliation>Senior Lecturer, Department of Prosthodontics, Tagore Dental College and Hospital , Chennai, India .</nlm:affiliation></affiliation></author><author><name sortKey="M, James Antony Bhagat" sort="M, James Antony Bhagat" uniqKey="M J" first="James Antony Bhagat" last="M">James Antony Bhagat M</name><affiliation><nlm:affiliation>Senior Lecturer, Department of Oral and Maxillofacial Surgery, Ragas Dental College and Hospital , Chennai, India .</nlm:affiliation></affiliation></author><author><name sortKey="Nallaswamy, Deepak" sort="Nallaswamy, Deepak" uniqKey="Nallaswamy D" first="Deepak" last="Nallaswamy">Deepak Nallaswamy</name><affiliation><nlm:affiliation>Reader, Department of Prosthodontics, Saveetha University , Chennai, India .</nlm:affiliation></affiliation></author><author><name sortKey="Narayanan, Vinod" sort="Narayanan, Vinod" uniqKey="Narayanan V" first="Vinod" last="Narayanan">Vinod Narayanan</name><affiliation><nlm:affiliation>Professor and HOD, Department of Oral and Maxillofacial Surgery, Saveetha University , Chennai, India .</nlm:affiliation></affiliation></author><author><name sortKey="Ariga, Padma" sort="Ariga, Padma" uniqKey="Ariga P" first="Padma" last="Ariga">Padma Ariga</name><affiliation><nlm:affiliation>Professor and HOD, Department of Prosthodontics, Saveetha University , Chennai, India .</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of clinical and diagnostic research : JCDR</title><idno type="ISSN">2249-782X</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vertical and anterioposterior maxillary excesses can be treated with a combination of orthopaedic functional appliances, orthodontics and surgery. Treatment varies according to the age, patient reports for treatment. In patients who are treated with either of the above mentioned treatment modalities, if they require prosthetic replacement on a later date, especially of anterior teeth, prosthetic treatment alone does not give an aesthetic outcome. A partially edentulous, elderly patient with underlying skeletal discrepancy (Class II Skeletal deformity) in relation to 12,11,21,22 was treated with a combination of orthognathic surgery and prosthetic rehabilltation. An orthognathic surgery (leforte I osteotomy) was performed to manage vertical maxillary excess, class II skeletal pattern of maxilla and increased lower third facial height. Dental compensations in the mandibular arch were decompensated surgically with lower subapical osteotomy. Prosthetic restorations of missing anterior teeth were done later, such that facial and dental aesthetics. The records showed that the results were stable 12 months after prosthognathic (prosthodontic and orthognathic) treatment. A team approach enabled the female patient in her fifth decade of life, to receive better function, aesthetics and increased quality of life. Doing prosthetic restorations in patients with underlying skeletal discrepancies may become a challenge , which should be achieved without compromising on final outcome, with a calculated risk benefit ratio.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">24783156</PMID><DateCompleted><Year>2014</Year><Month>04</Month><Day>30</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2249-782X</ISSN><JournalIssue CitedMedium="Print"><Volume>8</Volume><Issue>3</Issue><PubDate><Year>2014</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Journal of clinical and diagnostic research : JCDR</Title><ISOAbbreviation>J Clin Diagn Res</ISOAbbreviation></Journal><ArticleTitle>Prosthognathic rehabilitation of a patient with underlying skeletal discrepancy- a case report.</ArticleTitle><Pagination><MedlinePgn>269-71</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.7860/JCDR/2014/7570.4183</ELocationID><Abstract><AbstractText>Vertical and anterioposterior maxillary excesses can be treated with a combination of orthopaedic functional appliances, orthodontics and surgery. Treatment varies according to the age, patient reports for treatment. In patients who are treated with either of the above mentioned treatment modalities, if they require prosthetic replacement on a later date, especially of anterior teeth, prosthetic treatment alone does not give an aesthetic outcome. A partially edentulous, elderly patient with underlying skeletal discrepancy (Class II Skeletal deformity) in relation to 12,11,21,22 was treated with a combination of orthognathic surgery and prosthetic rehabilltation. An orthognathic surgery (leforte I osteotomy) was performed to manage vertical maxillary excess, class II skeletal pattern of maxilla and increased lower third facial height. Dental compensations in the mandibular arch were decompensated surgically with lower subapical osteotomy. Prosthetic restorations of missing anterior teeth were done later, such that facial and dental aesthetics. The records showed that the results were stable 12 months after prosthognathic (prosthodontic and orthognathic) treatment. A team approach enabled the female patient in her fifth decade of life, to receive better function, aesthetics and increased quality of life. Doing prosthetic restorations in patients with underlying skeletal discrepancies may become a challenge , which should be achieved without compromising on final outcome, with a calculated risk benefit ratio.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jain</LastName><ForeName>Ashish R</ForeName><Initials>AR</Initials><AffiliationInfo><Affiliation>Senior Lecturer, Department of Prosthodontics, Tagore Dental College and Hospital , Chennai, India .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>M</LastName><ForeName>James Antony Bhagat</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Senior Lecturer, Department of Oral and Maxillofacial Surgery, Ragas Dental College and Hospital , Chennai, India .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nallaswamy</LastName><ForeName>Deepak</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Reader, Department of Prosthodontics, Saveetha University , Chennai, India .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Narayanan</LastName><ForeName>Vinod</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Professor and HOD, Department of Oral and Maxillofacial Surgery, Saveetha University , Chennai, India .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ariga</LastName><ForeName>Padma</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Professor and HOD, Department of Prosthodontics, Saveetha University , Chennai, India .</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>03</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>J Clin Diagn Res</MedlineTA><NlmUniqueID>101488993</NlmUniqueID><ISSNLinking>0973-709X</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Craniofac Surg. 2004 Nov;15(6):971-7; discussion 978-9</RefSource><PMID Version="1">15547385</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Maxillofac Surg. 2008 Mar;66(3):486-91</RefSource><PMID Version="1">18280381</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Surg. 1975 Apr;33(4):253-60</RefSource><PMID Version="1">1054396</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Maxillofac Surg. 2001 Jan;59(1):2-7; discussion 7-8</RefSource><PMID Version="1">11152186</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br J Oral Maxillofac Surg. 2011 Dec;49(8):623-6</RefSource><PMID Version="1">21489664</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Stomatologiia (Mosk). 1989 Sep-Oct;68(5):56-8</RefSource><PMID Version="1">2588282</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Rev Stomatol Chir Maxillofac. 2012 Apr;113(2):76-80</RefSource><PMID Version="1">22078895</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Surg. 1969 Apr;27(4):249-55</RefSource><PMID Version="1">4975397</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br J Oral Maxillofac Surg. 2011 Mar;49(2):127-30</RefSource><PMID Version="1">20304541</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Rev Stomatol Chir Maxillofac. 2010 Nov-Dec;111(5-6):270-5</RefSource><PMID Version="1">21112600</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Phys Anthropol. 1973 Mar;38(2):279-89</RefSource><PMID Version="1">4632077</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Scand J Dent Res. 1985 Feb;93(1):56-60</RefSource><PMID Version="1">3856928</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Oral Surg. 1975 Jun;33(6):412-26</RefSource><PMID Version="1">1055202</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Kobe J Med Sci. 2006;52(3-4):37-47</RefSource><PMID Version="1">16849871</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">PMC4003664</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Fixed prosthesis</Keyword><Keyword MajorTopicYN="N">Orthognathic surgery</Keyword><Keyword MajorTopicYN="N">Prosthognathic</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>09</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>01</Month><Day>17</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>5</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>5</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>5</Month><Day>2</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24783156</ArticleId><ArticleId IdType="doi">10.7860/JCDR/2014/7570.4183</ArticleId><ArticleId IdType="pmc">PMC4003664</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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