An innovative prostheses design for rehabilitation of severely mutilated dentition: a case report
Identifieur interne : 002247 ( Pmc/Checkpoint ); précédent : 002246; suivant : 002248An innovative prostheses design for rehabilitation of severely mutilated dentition: a case report
Auteurs : Jaafar Abduo [Australie]Source :
- The Journal of Advanced Prosthodontics [ 2005-7806 ] ; 2011.
Abstract
Partial edentulism has multiple implications in relation to function, esthetics and future rehabilitative treatment. This case report illustrates the management of a patient with extreme consequences of partial edentulism. The main clinical findings were unopposed remaining teeth, overeruption of the remaining teeth, loss of vertical dimension of occlusion, and significant disfigurement of the occlusal plane. Following the diagnostic procedure, a well-coordinated prosthodontic treatment involving liaison with other dental disciplines was indicated. The management involved an innovative combination of fixed and removable prostheses in conjunction with crown lengthening surgery and strategic implant placement. Series of provisional prostheses were applied to facilitate the transition to the final treatment.
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DOI: 10.4047/jap.2011.3.1.37
PubMed: 21503192
PubMed Central: 3076572
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<front><div type="abstract" xml:lang="en"><p>Partial edentulism has multiple implications in relation to function, esthetics and future rehabilitative treatment. This case report illustrates the management of a patient with extreme consequences of partial edentulism. The main clinical findings were unopposed remaining teeth, overeruption of the remaining teeth, loss of vertical dimension of occlusion, and significant disfigurement of the occlusal plane. Following the diagnostic procedure, a well-coordinated prosthodontic treatment involving liaison with other dental disciplines was indicated. The management involved an innovative combination of fixed and removable prostheses in conjunction with crown lengthening surgery and strategic implant placement. Series of provisional prostheses were applied to facilitate the transition to the final treatment.</p>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Adv Prosthodont</journal-id>
<journal-id journal-id-type="publisher-id">JAP</journal-id>
<journal-title-group><journal-title>The Journal of Advanced Prosthodontics</journal-title>
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<issn pub-type="ppub">2005-7806</issn>
<issn pub-type="epub">2005-7814</issn>
<publisher><publisher-name>The Korean Academy of Prosthodontics</publisher-name>
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<article-meta><article-id pub-id-type="pmid">21503192</article-id>
<article-id pub-id-type="pmc">3076572</article-id>
<article-id pub-id-type="doi">10.4047/jap.2011.3.1.37</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
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<title-group><article-title>An innovative prostheses design for rehabilitation of severely mutilated dentition: a case report</article-title>
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<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Abduo</surname>
<given-names>Jaafar</given-names>
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<degrees>BDS</degrees>
<degrees>DClinDent</degrees>
<xref ref-type="aff" rid="A1"></xref>
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<aff id="A1">Prosthodontist, Private Practice, Faculty of Dentistry, University of Western Australia, Australia.</aff>
<author-notes><corresp>Corresponding author: Jaafar Abduo Prosthodontist, Private Practice, Faculty of Dentistry, University of Western Australia, Private Practice, Suite 6, 20 Altona Street, West Perth, Western Australia, 6005. Tel. + 0061 8 9322: <email>jaafar_abduo@hotmail.com</email>
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<pub-date pub-type="ppub"><month>3</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="epub"><day>31</day>
<month>3</month>
<year>2011</year>
</pub-date>
<volume>3</volume>
<issue>1</issue>
<fpage>37</fpage>
<lpage>42</lpage>
<history><date date-type="received"><day>05</day>
<month>1</month>
<year>2011</year>
</date>
<date date-type="rev-recd"><day>24</day>
<month>1</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>27</day>
<month>1</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>© 2011 The Korean Academy of Prosthodontics</copyright-statement>
<copyright-year>2011</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Partial edentulism has multiple implications in relation to function, esthetics and future rehabilitative treatment. This case report illustrates the management of a patient with extreme consequences of partial edentulism. The main clinical findings were unopposed remaining teeth, overeruption of the remaining teeth, loss of vertical dimension of occlusion, and significant disfigurement of the occlusal plane. Following the diagnostic procedure, a well-coordinated prosthodontic treatment involving liaison with other dental disciplines was indicated. The management involved an innovative combination of fixed and removable prostheses in conjunction with crown lengthening surgery and strategic implant placement. Series of provisional prostheses were applied to facilitate the transition to the final treatment.</p>
</abstract>
<kwd-group><kwd>Diagnostic wax-up</kwd>
<kwd>Strategic implant</kwd>
<kwd>Provisional prosthesis</kwd>
<kwd>Telescopic attachment</kwd>
<kwd>Precision prosthesis</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="F1" position="float"><label>Fig. 1</label>
<caption><p>Initial intraoral images. A: Frontal view of the dentition in occlusion, B: Frontal view of the dentition while the mandible is at rest, C: Right lateral view, D: Left lateral view.</p>
</caption>
<graphic xlink:href="jap-3-37-g001"></graphic>
</fig>
<fig id="F2" position="float"><label>Fig. 2</label>
<caption><p>A: Articulated study models in centric relation, B: Diagnostic wax-up after restoring the VDO and simulated crown lengthening surgery.</p>
</caption>
<graphic xlink:href="jap-3-37-g002"></graphic>
</fig>
<fig id="F3" position="float"><label>Fig. 3</label>
<caption><p>Panoramic radiograph demonstrating the location of the maxillary and mandibular implants.</p>
</caption>
<graphic xlink:href="jap-3-37-g003"></graphic>
</fig>
<fig id="F4" position="float"><label>Fig. 4</label>
<caption><p>Frontal view of the first phase of rehabilitation.</p>
</caption>
<graphic xlink:href="jap-3-37-g004"></graphic>
</fig>
<fig id="F5" position="float"><label>Fig. 5</label>
<caption><p>A: The fitting surface of the maxillary cross-arch provisional prosthesis revealing the acrylic resin margins and fitting surfaces, B: Frontal view after fitting the definitive mandibular prosthesis and the provisional maxillary prosthesis.</p>
</caption>
<graphic xlink:href="jap-3-37-g005"></graphic>
</fig>
<fig id="F6" position="float"><label>Fig. 6</label>
<caption><p>Occlusal view of the maxillary definitive fixed prosthesis. The palatal milled surfaces, the extracoronal precision attachment and the telescopic primary copings exhibit a common path of insertion.</p>
</caption>
<graphic xlink:href="jap-3-37-g006"></graphic>
</fig>
<fig id="F7" position="float"><label>Fig. 7</label>
<caption><p>A: The assembly of the telescopic attachment is composed of primary coping, the housing segment of the RPD framework and the electroformed secondary coping in between, B: The completed definitive RPD.</p>
</caption>
<graphic xlink:href="jap-3-37-g007"></graphic>
</fig>
<fig id="F8" position="float"><label>Fig. 8</label>
<caption><p>A: Frontal view of the completed treatment after 2 months of prostheses delivery, B: Right lateral view, C: Left lateral view, D: Occlusal view.</p>
</caption>
<graphic xlink:href="jap-3-37-g008"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations><list><country><li>Australie</li>
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<tree><country name="Australie"><noRegion><name sortKey="Abduo, Jaafar" sort="Abduo, Jaafar" uniqKey="Abduo J" first="Jaafar" last="Abduo">Jaafar Abduo</name>
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