Esthetic and functional rehabilitation of a bilateral cleft palate patient with fixed prosthodontic therapy.
Identifieur interne : 003309 ( Main/Exploration ); précédent : 003308; suivant : 003310Esthetic and functional rehabilitation of a bilateral cleft palate patient with fixed prosthodontic therapy.
Auteurs : Avinash S. Bidra [États-Unis]Source :
- Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] [ 1708-8240 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Alliage dentaire, Bec-de-lièvre (), Conception d'appareil de prothèse dentaire, Dentisterie esthétique, Fente palatine (), Fente palatine (anatomopathologie), Fente palatine (rééducation et réadaptation), Humains, Maxillaire (anatomopathologie), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Obturateurs palatins, Occlusion dentaire, Piliers dentaires, Prothèse partielle fixe, Restaurations dentaires permanentes (), Technique de coulée dentaire.
- MESH :
- anatomopathologie : Fente palatine, Maxillaire.
- rééducation et réadaptation : Fente palatine, Mâchoire partiellement édentée.
- Adulte, Alliage dentaire, Bec-de-lièvre, Conception d'appareil de prothèse dentaire, Dentisterie esthétique, Fente palatine, Humains, Mâle, Obturateurs palatins, Occlusion dentaire, Piliers dentaires, Prothèse partielle fixe, Restaurations dentaires permanentes, Technique de coulée dentaire.
English descriptors
- KwdEn :
- Adult, Cleft Lip (complications), Cleft Palate (complications), Cleft Palate (pathology), Cleft Palate (rehabilitation), Dental Abutments, Dental Alloys, Dental Casting Technique, Dental Occlusion, Dental Restoration, Permanent (methods), Denture Design, Denture, Partial, Fixed, Esthetics, Dental, Humans, Jaw, Edentulous, Partially (rehabilitation), Male, Maxilla (pathology), Palatal Obturators.
- MESH :
- chemical : Dental Alloys.
- complications : Cleft Lip, Cleft Palate.
- methods : Dental Restoration, Permanent.
- pathology : Cleft Palate, Maxilla.
- rehabilitation : Cleft Palate, Jaw, Edentulous, Partially.
- Adult, Dental Abutments, Dental Casting Technique, Dental Occlusion, Denture Design, Denture, Partial, Fixed, Esthetics, Dental, Humans, Male, Palatal Obturators.
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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Le document en format XML
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<term>Fente palatine (rééducation et réadaptation)</term>
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<term>Maxillaire (anatomopathologie)</term>
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<term>Obturateurs palatins</term>
<term>Occlusion dentaire</term>
<term>Piliers dentaires</term>
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<term>Maxilla</term>
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<term>Fente palatine</term>
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<term>Mâle</term>
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<term>Occlusion dentaire</term>
<term>Piliers dentaires</term>
<term>Prothèse partielle fixe</term>
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<front><div type="abstract" xml:lang="en">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.</div>
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