T-bar clasp-retained removable partial denture as an alternative to implant-based prosthetic treatment.
Identifieur interne : 001A06 ( PubMed/Checkpoint ); précédent : 001A05; suivant : 001A07T-bar clasp-retained removable partial denture as an alternative to implant-based prosthetic treatment.
Auteurs : Osvaldo Luiz Bezzon [Brésil] ; Mariane Gonçalves ; Valéria Oliveira PagnanoSource :
- Brazilian dental journal [ 1806-4760 ] ; 2008.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Conception d'appareil de prothèse dentaire, Couronnes, Crochets dentaires, Extraction dentaire, Femelle, Fractures dentaires (), Humains, Implants dentaires, Mâchoire partiellement édentée (rééducation et réadaptation), Piliers dentaires, Planification des soins du patient, Prothèse dentaire partielle amovible, Prémolaire (traumatismes), Refus de traitement, Rétention d'appareil de prothèse dentaire.
- MESH :
- rééducation et réadaptation : Mâchoire partiellement édentée.
- traumatismes : Prémolaire.
- Adulte d'âge moyen, Conception d'appareil de prothèse dentaire, Couronnes, Crochets dentaires, Extraction dentaire, Femelle, Fractures dentaires, Humains, Implants dentaires, Piliers dentaires, Planification des soins du patient, Prothèse dentaire partielle amovible, Refus de traitement, Rétention d'appareil de prothèse dentaire.
English descriptors
- KwdEn :
- Bicuspid (injuries), Crowns, Dental Abutments, Dental Clasps, Dental Implants, Denture Design, Denture Retention, Denture, Partial, Removable, Female, Humans, Jaw, Edentulous, Partially (rehabilitation), Middle Aged, Patient Care Planning, Tooth Extraction, Tooth Fractures (surgery), Treatment Refusal.
- MESH :
- chemical : Dental Implants.
- injuries : Bicuspid.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Tooth Fractures.
- Crowns, Dental Abutments, Dental Clasps, Denture Design, Denture Retention, Denture, Partial, Removable, Female, Humans, Middle Aged, Patient Care Planning, Tooth Extraction, Treatment Refusal.
Abstract
This article reports the case of a 55-year-old female patient who presented with unsatisfactory temporary crowns in the right mandibular premolars and molars, and a premolar-to-molar fixed partial denture in the left side. The clinical and radiographic examinations revealed a fracture of the left first premolar that was a retainer of the fixed partial denture and required extraction. Initially, the acrylic resin crowns were replaced by new ones, and a provisional RPD was made using acrylic resin and orthodontic wire clasps to resolve the problem arising from the loss of the fixed partial denture. Considering the patient's high esthetic demands, the treatment options for the definitive prosthetic treatment were discussed with her and rehabilitation with implant-supported dentures was proposed because the clinical conditions of the residual alveolar ridge were suitable for implant installation, and the patient's general health was excellent. However, the patient did not agree because she knew of a failed case of implant-retained denture in a diabetic individual and was concerned. The patient was fully informed that implant installation was the best indication for her case, but the arguments were not sufficient to change her decision. The treatment possibilities were presented and the patient opted for a clasp-retained removable partial denture (RPD) associated with the placement of crowns in the pillar teeth. The temporary RPD was replaced by the definitive RPD constructed subsequently. Although RPD was not the first choice, satisfactory esthetic and functional outcomes were achieved, overcoming the patient's expectations. This case report illustrates that the dentist must be prepared to deal with situations where, for reasons that cannot be managed, the patient does not accept the treatment considered as the most indicated for his/her case. Alternatives must be proposed and the functional and esthetic requirements must be fulfilled in the best possible manner.
PubMed: 18949301
Affiliations:
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sort="Goncalves, Mariane" uniqKey="Goncalves M" first="Mariane" last="Gonçalves">Mariane Gonçalves</name></author><author><name sortKey="Pagnano, Valeria Oliveira" sort="Pagnano, Valeria Oliveira" uniqKey="Pagnano V" first="Valéria Oliveira" last="Pagnano">Valéria Oliveira Pagnano</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="RBID">pubmed:18949301</idno><idno type="pmid">18949301</idno><idno type="wicri:Area/PubMed/Corpus">002225</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002225</idno><idno type="wicri:Area/PubMed/Curation">002225</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002225</idno><idno type="wicri:Area/PubMed/Checkpoint">002225</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002225</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">T-bar clasp-retained removable partial denture as an alternative to implant-based prosthetic treatment.</title><author><name sortKey="Bezzon, Osvaldo Luiz" sort="Bezzon, Osvaldo Luiz" uniqKey="Bezzon O" first="Osvaldo Luiz" last="Bezzon">Osvaldo Luiz Bezzon</name><affiliation wicri:level="4"><nlm:affiliation>Department of Dental Materials and Prosthodontics, Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil. olbezzon@forp.usp.br</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Department of Dental Materials and Prosthodontics, Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region><settlement type="city">São Paulo</settlement></placeName><orgName type="university">Université de São Paulo</orgName></affiliation></author><author><name sortKey="Goncalves, Mariane" sort="Goncalves, Mariane" uniqKey="Goncalves M" first="Mariane" last="Gonçalves">Mariane 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xml:lang="fr"><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Tooth Fractures</term></keywords><keywords scheme="MESH" qualifier="traumatismes" xml:lang="fr"><term>Prémolaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Crowns</term><term>Dental Abutments</term><term>Dental Clasps</term><term>Denture Design</term><term>Denture Retention</term><term>Denture, Partial, Removable</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Patient Care Planning</term><term>Tooth Extraction</term><term>Treatment Refusal</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Conception d'appareil de prothèse dentaire</term><term>Couronnes</term><term>Crochets dentaires</term><term>Extraction dentaire</term><term>Femelle</term><term>Fractures dentaires</term><term>Humains</term><term>Implants dentaires</term><term>Piliers dentaires</term><term>Planification 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The clinical and radiographic examinations revealed a fracture of the left first premolar that was a retainer of the fixed partial denture and required extraction. Initially, the acrylic resin crowns were replaced by new ones, and a provisional RPD was made using acrylic resin and orthodontic wire clasps to resolve the problem arising from the loss of the fixed partial denture. Considering the patient's high esthetic demands, the treatment options for the definitive prosthetic treatment were discussed with her and rehabilitation with implant-supported dentures was proposed because the clinical conditions of the residual alveolar ridge were suitable for implant installation, and the patient's general health was excellent. However, the patient did not agree because she knew of a failed case of implant-retained denture in a diabetic individual and was concerned. The patient was fully informed that implant installation was the best indication for her case, but the arguments were not sufficient to change her decision. The treatment possibilities were presented and the patient opted for a clasp-retained removable partial denture (RPD) associated with the placement of crowns in the pillar teeth. The temporary RPD was replaced by the definitive RPD constructed subsequently. Although RPD was not the first choice, satisfactory esthetic and functional outcomes were achieved, overcoming the patient's expectations. This case report illustrates that the dentist must be prepared to deal with situations where, for reasons that cannot be managed, the patient does not accept the treatment considered as the most indicated for his/her case. Alternatives must be proposed and the functional and esthetic requirements must be fulfilled in the best possible manner.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18949301</PMID><DateCompleted><Year>2009</Year><Month>03</Month><Day>16</Day></DateCompleted><DateRevised><Year>2008</Year><Month>10</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1806-4760</ISSN><JournalIssue CitedMedium="Internet"><Volume>19</Volume><Issue>3</Issue><PubDate><Year>2008</Year></PubDate></JournalIssue><Title>Brazilian dental journal</Title><ISOAbbreviation>Braz Dent J</ISOAbbreviation></Journal><ArticleTitle>T-bar clasp-retained removable partial denture as an alternative to implant-based prosthetic treatment.</ArticleTitle><Pagination><MedlinePgn>257-62</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0103-64402008000300015</ELocationID><Abstract><AbstractText>This article reports the case of a 55-year-old female patient who presented with unsatisfactory temporary crowns in the right mandibular premolars and molars, and a premolar-to-molar fixed partial denture in the left side. The clinical and radiographic examinations revealed a fracture of the left first premolar that was a retainer of the fixed partial denture and required extraction. Initially, the acrylic resin crowns were replaced by new ones, and a provisional RPD was made using acrylic resin and orthodontic wire clasps to resolve the problem arising from the loss of the fixed partial denture. Considering the patient's high esthetic demands, the treatment options for the definitive prosthetic treatment were discussed with her and rehabilitation with implant-supported dentures was proposed because the clinical conditions of the residual alveolar ridge were suitable for implant installation, and the patient's general health was excellent. However, the patient did not agree because she knew of a failed case of implant-retained denture in a diabetic individual and was concerned. The patient was fully informed that implant installation was the best indication for her case, but the arguments were not sufficient to change her decision. The treatment possibilities were presented and the patient opted for a clasp-retained removable partial denture (RPD) associated with the placement of crowns in the pillar teeth. The temporary RPD was replaced by the definitive RPD constructed subsequently. Although RPD was not the first choice, satisfactory esthetic and functional outcomes were achieved, overcoming the patient's expectations. This case report illustrates that the dentist must be prepared to deal with situations where, for reasons that cannot be managed, the patient does not accept the treatment considered as the most indicated for his/her case. Alternatives must be proposed and the functional and esthetic requirements must be fulfilled in the best possible manner.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bezzon</LastName><ForeName>Osvaldo Luiz</ForeName><Initials>OL</Initials><AffiliationInfo><Affiliation>Department of Dental Materials and Prosthodontics, Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil. olbezzon@forp.usp.br</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gonçalves</LastName><ForeName>Mariane</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Pagnano</LastName><ForeName>Valéria Oliveira</ForeName><Initials>VO</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Brazil</Country><MedlineTA>Braz Dent J</MedlineTA><NlmUniqueID>9214652</NlmUniqueID><ISSNLinking>0103-6440</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001641" MajorTopicYN="N">Bicuspid</DescriptorName><QualifierName UI="Q000293" MajorTopicYN="N">injuries</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003442" MajorTopicYN="N">Crowns</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000044" MajorTopicYN="N">Dental Abutments</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016734" MajorTopicYN="Y">Dental Clasps</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015921" MajorTopicYN="N">Dental Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003779" MajorTopicYN="Y">Denture Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003781" MajorTopicYN="Y">Denture Retention</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003832" MajorTopicYN="Y">Denture, Partial, Removable</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007576" MajorTopicYN="N">Jaw, Edentulous, Partially</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010347" MajorTopicYN="N">Patient Care Planning</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014081" MajorTopicYN="N">Tooth Extraction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014082" MajorTopicYN="N">Tooth Fractures</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016312" MajorTopicYN="N">Treatment Refusal</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>10</Month><Day>25</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>3</Month><Day>17</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>10</Month><Day>25</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">18949301</ArticleId><ArticleId IdType="pii">S0103-64402008000300015</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Brésil</li></country><region><li>État de São Paulo</li></region><settlement><li>São Paulo</li></settlement><orgName><li>Université de São Paulo</li></orgName></list><tree><noCountry><name sortKey="Goncalves, Mariane" sort="Goncalves, Mariane" uniqKey="Goncalves M" first="Mariane" last="Gonçalves">Mariane Gonçalves</name><name sortKey="Pagnano, Valeria Oliveira" sort="Pagnano, Valeria Oliveira" uniqKey="Pagnano V" first="Valéria Oliveira" last="Pagnano">Valéria Oliveira Pagnano</name></noCountry><country name="Brésil"><region name="État de São Paulo"><name sortKey="Bezzon, Osvaldo Luiz" sort="Bezzon, Osvaldo Luiz" uniqKey="Bezzon O" first="Osvaldo Luiz" last="Bezzon">Osvaldo Luiz Bezzon</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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