scholarly journals Preprosthetic Management of “Flabby Ridge” on Edentulous Patient

2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Amani Mizouri ◽  
Oumaima Tayari ◽  
AlaEddine Mahfoudhi ◽  
Adel Bouguezzi ◽  
Jamila Jaouadi

For edentulous patients, the integrity of the osteomucosal-bearing surface is a significant factor for the balance of the future removable prosthesis. The supporting tissues are influenced by several factors. Physiological bone resorption, senescence, and changes caused by systemic diseases and polypharmacy lead to modifications in these tissues. Similarly, trauma caused by an ill-fitted prosthesis influences the degree of bone resorption and the development of hyperplastic tissue. The etiology of bone resorption is multifactorial and complex, with continuous individual variations that are often unexplained. Although, no study has been able to establish the importance of the different factors in relation to each other, it is often reported that chronic excessive mechanical pressure in relation to occlusal constraints is responsible for the appearance of local resorption’s areas. The aim of this work is to present, through three clinical cases, the various factors involved in the alteration of the osteomucous-bearing surface and eventually, possible therapeutic attitude to deal with.

2020 ◽  
Vol 7 ◽  
Author(s):  
Anissa Regragui ◽  
Najib Alidrissi ◽  
Amal Sefrioui ◽  
Faiza Benfdil ◽  
Nadia Merzouk

The existence of alveolar processes and the integrity of the maxillae outside of a specific pathological process are linked to the presence of teeth. The aging process is most often accompanied, at the buccal level, by a narrowing of the prosthetic corridor in relation to the importance of bone resorption and the invasion of peripheral elements. Thus, we are and will be confronted more and more with complete edentulous patients, presenting a very strong resorption of the alveolar processes, even of the osseous bases, which will increase proportionally the difficulties of obtaining a good retention and good stability of the prostheses.Our work aims to review the various means available to us to prevent bone resorption, throughout the stages of prosthetic and post-prosthetic realization.


Author(s):  
Sarra A Benhamida ◽  
Mohamed A El Maroush ◽  
Ahmed A Elgendy ◽  
Mohamed H Elsaltani

Bone resorption is a chronic, progressive disease and irreversible process that occurs in all patients and can be classified into six different types. There are some of etiological factors that may cause resorbed ridge such as anatomical, prosthodontics, metabolic and systemic factors. The present article, were reviewed the literature concerning on possible mechanism, diagnosis, etiological factors and how to manage and prevent of resorbed ridge for edentulous patients  


2020 ◽  
Vol 11 (1) ◽  
pp. 101-108
Author(s):  
Prabal Sharma ◽  
Bhumika Sharma

Removable prosthesis, that is, complete and/or partial dentures cannot function as a substitute for natural dentition, but they have been and will remain the staple treatment for edentulous patients. An edentulous patient is found to be satisfied if prosthodontic rehabilitation restores his/her function with superior esthetics. However, not every case of edentulism, either complete or partial, can be treated with conventional methods of denture fabrication. When a patient is clinically presented with complications such as severely resorbed ridge, microstomia, hyperplastic and/or flabby tissue, xerostomia, osteoma, bruxism, and labially inclined premaxilla, then it becomes difficult for the dentist to fulfill the patient’s desire for both esthetics and function. There is a need for slight modification in the regular clinical procedures by altering the impression technique or the design of the prosthesis so as to achieve best results in compromised cases, commonly known as unconventional approaches. This article intends to highlight the unconventional approaches for the fabrication of complete denture prosthesis that can be kept in mind when such cases are encountered in our daily practice.


2021 ◽  
Vol 11 (15) ◽  
pp. 6948
Author(s):  
Gabriele Cervino ◽  
Sergio Sambataro ◽  
Chiara Stumpo ◽  
Salvatore Bocchieri ◽  
Fausto Murabito ◽  
...  

The aim of this study is to demonstrate the use and the effectiveness of cephalometry and golden proportions analysis of the face in planning prosthetic treatments in totally edentulous patients. In order to apply this method, latero-lateral and posterior-anterior X-rays must be performed in addition to the common procedure. Two main concerns for totally edentulous patients are the establishment of the vertical dimension and the new position of the occlusal plane. The divine proportion analysis was carried out by the use of a golden divider. The prosthetic protocol was divided into three steps and a case was selected for better understanding. Referring to the golden relations, if the distance from the chin to the wing of the nose is 1.0, the distance from the nose to eye is 0.618. This proportion is useful and effective in determining the correct prosthetic vertical dimension. The incisal margin of the lower incisor must be positioned between Point A (A) and protuberance menti (Pm) according to the gold ratio 0.618 of the total height A-Pm. Posteriorly the occlusal plane must be placed 2 mm below the divine occlusal plane (traced from the incisal margin of lower incisors to Xi point). A prosthesis made in accordance with cephalometric parameters and divine proportions of the face helps to improve the patient’s aesthetics, function and social personality.


2020 ◽  
Vol 7 ◽  
Author(s):  
Afafe Taouili ◽  
Yasmina Cheikh ◽  
Samira Bellemkhannate

The mandibular complete denture is a challenge for the dentist. Unfavorable anatomical and physiological conditions such low bearing surface and a significant bone resorption, often compromise the prosthetic retention.The exploitation of root stumps is a reliable alternative that leads to a better prosthetic integration by increasing the retention, if the total prosthesis is connected to these root stumps via axial ball or bar attachments.In addition, this prosthetic alternative considerably improves the patient's comfort and masticatory coefficient and favors the preservation of the bone capital, provided that the requirements of root preservation as well as clinical and laboratory techniques are respected.We would like to illustrate this by presenting a clinical case in which we used the connecting bar in the mandibular arch.


2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Sahani Anupama ◽  
Pilana Vithanage Kalani Shihanika Hettiarachchi

Background. Fractures of the mandible are common in elderly patients, and among them, condylar fractures are the most frequent type. A change in occlusion is the most common physical finding in patients with fractures of the mandible. Therefore, it is challenging to identify mandibular fractures in posterior edentulous patients due to the lack of posterior occlusal contacts. It is crucial to do radiological investigations in such patients to exclude fractures. Case Presentation. This article describes a case of delayed diagnosis of a unilateral mandibular condylar fracture for a week’s duration and treating the condition as temporomandibular pathology in a posterior edentulous, 52-year-old patient. Conclusion. This clinical case highlights the importance of radiological investigations and occlusal analysis for early diagnosis of condylar fractures, particularly in posterior edentulous patients, lacking posterior occlusal contacts.


2012 ◽  
Vol 3 (2) ◽  
pp. 213-219 ◽  
Author(s):  
Safoura Ghodsi ◽  
Sasan Rasaeipour

ABSTRACT Aim The aim of this review is to summarize and discuss the available information concerning the connection between the tooth and implant in a fixed partial denture. Background Although implant-supported prosthesis (ISP) has substantial biological and biomechanical advantages, due to the extensive use of implant in partially edentulous patients, encounter to cases of obligatory connection between the tooth and implant is not rare. However, because of their differences, especially in support mechanism, long-term prognosis of this treatment method is a special debate in dental literature. Materials and methods The literature published over the past 25 years was searched through PubMed, Medline, Google and indexed journals (search terms: tooth implant connection, tooth implant-supported fixed partial denture, tooth implant splinting, implant and tooth). The most valuable and relevant articles were selected and analyzed. Results and discussion The existing studies reveal that there are certain conditions in which this method is applicable. The main advantage of the method based on literature reviewed is reducing the need to the removable prosthesis in patients that otherwise require it. The disadvantages of this connection, mainly due to different movement range of components under loading, reportedly will be minimized if some guidelines are followed. Clinical significance According to available studies, this literature review supports tooth-implant connection technique where indicated, with complete attention to prudent guidelines. Further researches preferably concentrating on new methods and also long-term longitudinal studies are certainly needed before this approach can be widely used. How to cite this article Ghodsi S, Rasaeipour S. Tooth-implant Connection: A Literature Review. World J Dent 2012;3(2):213-219.


2020 ◽  
Vol 58 (2) ◽  
pp. 130
Author(s):  
Hyun-Ah Kim ◽  
Kwi-Dug Yun ◽  
Yu-Jin Jo ◽  
Hongso Yang ◽  
Sang-Won Park ◽  
...  

2019 ◽  
Vol 2 (2) ◽  
pp. 229-234
Author(s):  
Valentin Melchner ◽  
Edwin Sever Bechir ◽  
Florentin Daniel Berneanu

AbstractIntroduction. Complete edentulism is escorted by various comorbidities, which affect an individual. The management of edentulous patients was approached since the early days of dentistry.The aim of this case report was to present the implanto-prosthetic rehabilitation of a bimaxillary complete edentulous patient with implant-supported overdentures, by using Straumann dental implants.Case presentation. This case report presents the applied treatment to a bimaxillary complete edentulous patient, where the predictable osseointegration and implant stability after the placement of implants was possible, with the purpose to support the overdentures.Conclusions. The oral rehabilitation of complete bimaxillary edentulism through implant-supported overdentures is a procedure with a predictive treatment that presents beneficial aspects in the quality of life of the patients.


Author(s):  
J. S. Hanker ◽  
D. A. Randolph ◽  
B. L. Giammara ◽  
P. E. Yates ◽  
R. G. Lange

Nonresorbable sintered hydroxylapatite (HA) particles are widely used for alveolar ridge augmentation in edentulous patients to support dentures or for filling infrabony defects due to bone resorption in progressive periodontal disease. these particles tend to scatter when implanted with water or saline as the vehicle. studies in our laboratory of different binders to prevent particle scatter during implantation suggested the utility of plaster of paris for this purpose. In most operative procedures the ha/plaster mixtures moistened with water or saline set and harden adequately, especially when a small amount of potassium sulfate has been added to the plaster component to accelerate setting. when the implantation site is bloody or has an excess of tissue fluids, setting of the mixture is considerably slowed if, indeed, the plaster is not actually washed away.


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