Replacement of Missing Anterior Teeth in a Patient with Temporomandibular Disorder
Identifieur interne : 001243 ( Pmc/Checkpoint ); précédent : 001242; suivant : 001244Replacement of Missing Anterior Teeth in a Patient with Temporomandibular Disorder
Auteurs : Satheesh B. Haralur [Arabie saoudite] ; Omar Saeed Al-Shahrani [Arabie saoudite]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2014.
Abstract
The loss of anterior teeth leads to extreme psychological trauma, along with functional and esthetic debilitations. Healthy anterior teeth play an important role of protecting the posterior teeth during excursive mandibular movement. Loss of anterior teeth induces posterior interference with extended disocclusion time. Posterior disocclusion is critical to remove the harmful force on the teeth temporomandibular joint and eliminate muscle hypertonicity. Occlusal interference is considered as contributing factor to temporomandibular disorder (TMD) symptoms. Prosthesis design should eliminate deleterious tooth contacts. Establishing optimum anterior guidance is a key to establishing harmonious functional occlusion in addition to the correction of the esthetic and phonetic disabilities. This case report explains the steps involved in the rehabilitation of the TMD patient with loss of maxillary anterior teeth.
Url:
DOI: 10.1155/2014/393627
PubMed: 24715993
PubMed Central: 3970072
Affiliations:
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<author><name sortKey="Haralur, Satheesh B" sort="Haralur, Satheesh B" uniqKey="Haralur S" first="Satheesh B." last="Haralur">Satheesh B. Haralur</name>
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<author><name sortKey="Saeed Al Shahrani, Omar" sort="Saeed Al Shahrani, Omar" uniqKey="Saeed Al Shahrani O" first="Omar" last="Saeed Al-Shahrani">Omar Saeed Al-Shahrani</name>
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<front><div type="abstract" xml:lang="en"><p>The loss of anterior teeth leads to extreme psychological trauma, along with functional and esthetic debilitations. Healthy anterior teeth play an important role of protecting the posterior teeth during excursive mandibular movement. Loss of anterior teeth induces posterior interference with extended disocclusion time. Posterior disocclusion is critical to remove the harmful force on the teeth temporomandibular joint and eliminate muscle hypertonicity. Occlusal interference is considered as contributing factor to temporomandibular disorder (TMD) symptoms. Prosthesis design should eliminate deleterious tooth contacts. Establishing optimum anterior guidance is a key to establishing harmonious functional occlusion in addition to the correction of the esthetic and phonetic disabilities. This case report explains the steps involved in the rehabilitation of the TMD patient with loss of maxillary anterior teeth.</p>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id>
<journal-id journal-id-type="publisher-id">CRID</journal-id>
<journal-title-group><journal-title>Case Reports in Dentistry</journal-title>
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<issn pub-type="epub">2090-6455</issn>
<publisher><publisher-name>Hindawi Publishing Corporation</publisher-name>
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<article-id pub-id-type="pmc">3970072</article-id>
<article-id pub-id-type="doi">10.1155/2014/393627</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Replacement of Missing Anterior Teeth in a Patient with Temporomandibular Disorder</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Haralur</surname>
<given-names>Satheesh B.</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Saeed Al-Shahrani</surname>
<given-names>Omar</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Department of Prosthodontics, College of Dentistry, King Khalid University, Abha 61417, Saudi Arabia</aff>
<aff id="I2"><sup>2</sup>
College Of Dentistry, King Khalid University, Saudi Arabia</aff>
<author-notes><corresp id="cor1">*Satheesh B. Haralur: <email>hb_satheesh@yahoo.com</email>
</corresp>
<fn fn-type="other"><p>Academic Editors: A. Milosevic and E. F. Wright</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>4</day>
<month>3</month>
<year>2014</year>
</pub-date>
<volume>2014</volume>
<elocation-id>393627</elocation-id>
<history><date date-type="received"><day>24</day>
<month>11</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>22</day>
<month>1</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2014 S. B. Haralur and O. Saeed Al-Shahrani.</copyright-statement>
<copyright-year>2014</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>The loss of anterior teeth leads to extreme psychological trauma, along with functional and esthetic debilitations. Healthy anterior teeth play an important role of protecting the posterior teeth during excursive mandibular movement. Loss of anterior teeth induces posterior interference with extended disocclusion time. Posterior disocclusion is critical to remove the harmful force on the teeth temporomandibular joint and eliminate muscle hypertonicity. Occlusal interference is considered as contributing factor to temporomandibular disorder (TMD) symptoms. Prosthesis design should eliminate deleterious tooth contacts. Establishing optimum anterior guidance is a key to establishing harmonious functional occlusion in addition to the correction of the esthetic and phonetic disabilities. This case report explains the steps involved in the rehabilitation of the TMD patient with loss of maxillary anterior teeth.</p>
</abstract>
</article-meta>
</front>
<floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label>
<caption><p>Photograph showing the missing teeth.</p>
</caption>
<graphic xlink:href="CRID2014-393627.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label>
<caption><p>Posterior occlusal interference on mandibular lateral movement.</p>
</caption>
<graphic xlink:href="CRID2014-393627.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label>
<caption><p>Diagnostic wax-up for the missing teeth.</p>
</caption>
<graphic xlink:href="CRID2014-393627.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label>
<caption><p>Photograph exhibiting prepared abutment teeth.</p>
</caption>
<graphic xlink:href="CRID2014-393627.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label>
<caption><p>Provisional fixed partial denture in patient mouth.</p>
</caption>
<graphic xlink:href="CRID2014-393627.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label>
<caption><p>Customised incisal table made according to provisional restorations.</p>
</caption>
<graphic xlink:href="CRID2014-393627.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label>
<caption><p>Final definitive porcelain fused with metal prosthesis in patient mouth.</p>
</caption>
<graphic xlink:href="CRID2014-393627.007"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations><list><country><li>Arabie saoudite</li>
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<tree><country name="Arabie saoudite"><noRegion><name sortKey="Haralur, Satheesh B" sort="Haralur, Satheesh B" uniqKey="Haralur S" first="Satheesh B." last="Haralur">Satheesh B. Haralur</name>
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<name sortKey="Saeed Al Shahrani, Omar" sort="Saeed Al Shahrani, Omar" uniqKey="Saeed Al Shahrani O" first="Omar" last="Saeed Al-Shahrani">Omar Saeed Al-Shahrani</name>
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