Serveur d'exploration sur le patient édenté

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Esthetic and functional rehabilitation of a bilateral cleft palate patient with fixed prosthodontic therapy.

Identifieur interne : 003309 ( Main/Exploration ); précédent : 003308; suivant : 003310

Esthetic and functional rehabilitation of a bilateral cleft palate patient with fixed prosthodontic therapy.

Auteurs : Avinash S. Bidra [États-Unis]

Source :

RBID : pubmed:22863127

Descripteurs français

English descriptors

Abstract

Patients with bilateral cleft lip and palate present with multiple challenges to the prosthodontist. Some of them include mobility of the premaxillary segment, multiple missing and malposed anterior teeth, unfavorable soft tissues, and a tense maxillary lip. This clinical report describes the fixed prosthodontic management of a bilateral cleft lip and palate patient with a surgically corrected lip and a mobile premaxillary segment. The patient presented with an 11-unit metal-ceramic fixed partial denture made of a base metal alloy that was made 25 years ago. He had multiple porcelain fractures over the years that compromised his esthetics and function. Prosthodontic therapy involved sectioning the old prosthesis, followed by careful treatment planning and fabrication of a new fixed dental prosthesis with improved design and superior materials. At a 3-year follow-up, the fixed dental prosthesis remained intact and functional, and no further complications were noted. A discussion of approaches to treatment planning, biomechanical principles involved, and choice of biomaterials in designing a fixed prosthesis for such patients is presented.

DOI: 10.1111/j.1708-8240.2011.00485.x
PubMed: 22863127


Affiliations:


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<term>Adult</term>
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<term>Cleft Palate (pathology)</term>
<term>Cleft Palate (rehabilitation)</term>
<term>Dental Abutments</term>
<term>Dental Alloys</term>
<term>Dental Casting Technique</term>
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<term>Denture, Partial, Fixed</term>
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<term>Maxilla (pathology)</term>
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<term>Alliage dentaire</term>
<term>Bec-de-lièvre ()</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Dentisterie esthétique</term>
<term>Fente palatine ()</term>
<term>Fente palatine (anatomopathologie)</term>
<term>Fente palatine (rééducation et réadaptation)</term>
<term>Humains</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Obturateurs palatins</term>
<term>Occlusion dentaire</term>
<term>Piliers dentaires</term>
<term>Prothèse partielle fixe</term>
<term>Restaurations dentaires permanentes ()</term>
<term>Technique de coulée dentaire</term>
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<term>Cleft Palate</term>
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<term>Humains</term>
<term>Mâle</term>
<term>Obturateurs palatins</term>
<term>Occlusion dentaire</term>
<term>Piliers dentaires</term>
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