How to Overcome Bone Resorption in Complete Removable Prosthesis?

2020 ◽  
Vol 7 ◽  
Author(s):  
Anissa Regragui ◽  
Najib Alidrissi ◽  
Amal Sefrioui ◽  
Faiza Benfdil ◽  
Nadia Merzouk
Keyword(s):  
Bone Resorption ◽  
Aging Process ◽  
Pathological Process ◽  
Good Stability ◽  
Removable Prosthesis ◽  
Edentulous Patients ◽  
Good Retention

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.

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
Keyword(s):  
Bone Resorption ◽  
Systemic Diseases ◽  
Bearing Surface ◽  
Edentulous Patient ◽  
Mechanical Pressure ◽  
Individual Variations ◽  
Hyperplastic Tissue ◽  
Removable Prosthesis ◽  
Therapeutic Attitude ◽  
Edentulous Patients

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.

scholarly journals Determination of the Vertical Dimension and the Position of the Occlusal Plane in a Removable Prosthesis Using Cephalometric Analysis and Golden Proportion

2021 ◽  
Vol 11 (15) ◽  
pp. 6948
Author(s):  
Gabriele Cervino ◽  
Sergio Sambataro ◽  
Chiara Stumpo ◽  
Salvatore Bocchieri ◽  
Fausto Murabito ◽  
...  
Keyword(s):  
Vertical Dimension ◽  
Occlusal Plane ◽  
X Rays ◽  
Common Procedure ◽  
Lower Incisor ◽  
Golden Proportion ◽  
The Face ◽  
Removable Prosthesis ◽  
Edentulous Patients

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.

scholarly journals Tooth-implant Connection: A Literature Review

2012 ◽  
Vol 3 (2) ◽  
pp. 213-219 ◽  
Author(s):  
Safoura Ghodsi ◽  
Sasan Rasaeipour
Keyword(s):  
Literature Review ◽  
Treatment Method ◽  
Partial Denture ◽  
Support Mechanism ◽  
Fixed Partial Denture ◽  
Removable Prosthesis ◽  
Long Term Prognosis ◽  
Edentulous Patients ◽  
Available Information

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.

Setting of composite hydroxylapatite/plaster implants with blood for bone reconstruction

1986 ◽  
Vol 44 ◽  
pp. 328-329
Author(s):  
J. S. Hanker ◽  
D. A. Randolph ◽  
B. L. Giammara ◽  
P. E. Yates ◽  
R. G. Lange
Keyword(s):  
Bone Resorption ◽  
Periodontal Disease ◽  
Potassium Sulfate ◽  
Alveolar Ridge ◽  
Bone Reconstruction ◽  
Alveolar Ridge Augmentation ◽  
Ridge Augmentation ◽  
Infrabony Defects ◽  
Edentulous Patients ◽  
Tissue Fluids

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.

scholarly journals Evaluation of masticatory capacity and efficiency in total and partial edentulous patients in Araraquara

2018 ◽  
Vol 5 (2) ◽  
pp. 32
Author(s):  
Patricia Aleixo dos Santos Domingos ◽  
Ana Luísa Botta Martins De Oliveira ◽  
Ariellen Amanda Dos Reis
Keyword(s):  
Tap Water ◽  
Good Efficiency ◽  
Self Evaluation ◽  
Masticatory Efficiency ◽  
Removable Prosthesis ◽  
Efficiency Test ◽  
Edentulous Patients ◽  
Natural Dentition ◽  
The University ◽  
State Examination

Aim: This study aims to compare masticatory performance between total prosthesis users and individuals with partial or total natural dentition to evaluate masticatory capacity and efficiency in individuals in Araraquara/SP.Material and Methods: 31 individuals between 55 and 99 years old were evaluated, both genders, frequent users of Dentistry Clinic of the University of Araraquara (Uniara) and residents at Recanto Feliz, in the same town. A cognitive evaluation was carried out through a mini mental state examination in order to define inclusion criteria to individuals of sample. Next, a questionnaire was applied, with pre-coded questions on the masticatory capacity and an efficiency test, through the grinding test, where patients received 5 almonds to be grinded and not swallowed. The fragments were poured in granulometric sieves (2mm, 4mm and 4,75mm) to analyze the food fragmentation under tap water. Participants were divided into 3 groups: G1 (n=13) – superior and inferior total prosthesis user, or total or partial edentulous; G2 (n=4) – Total prosthesis user and/or partial removal prosthesis user (PRP) or partial dentition; and G3 (n=14) – complete or partial dentition or PRP user.Results: Efficiency test results showed the G1 patients presented good efficiency and 8 were considered poor; G2 patients were all classified as poor, and G3 patients were 9 poor, 2 regular and 3 good. Regarding to the questionnaires, most patients from the 3 groups felt impossibility to masticate some food, and need special preparation to chew. On take more time to masticate when compared to other people, all patients from G2 answered affirmatively, while only 46.1% G1 and 50% G3 gave the same answer.Just 15.4% G1 and 28.6% G2 are not satisfied with the tame they take.About avoid in front of other people, most patients from G2 and G3 use to, however, 69.2% G1 answered negatively. Regarding to the masticatory capacity self-evaluation, they answered regular.Conclusions: Masticatory efficiency of people using removable prosthesis did not achieve the ideal of a complete dentition. However, it is still better than in individuals with partial dentition or not rehabilitated.

scholarly journals Residual ridge resorption, the effect on prosthodontics management of edentulous patient: an article review

2019 ◽  
Vol 7 (09) ◽  
Author(s):  
Sarra A Benhamida ◽  
Mohamed A El Maroush ◽  
Ahmed A Elgendy ◽  
Mohamed H Elsaltani
Keyword(s):  
Bone Resorption ◽  
Present Article ◽  
Progressive Disease ◽  
Irreversible Process ◽  
Edentulous Patient ◽  
Etiological Factors ◽  
Different Types ◽  
Chronic Progressive Disease ◽  
Systemic Factors ◽  
Edentulous Patients

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  

scholarly journals Management of suction cup induced palatal bone resorption in xerostomia patient with sunken cheek appearance: A therapeutic and esthetic treatment option- A case report

2021 ◽  
Vol 7 (4) ◽  
pp. 220-225
Author(s):  
Prakash Nidawani ◽  
Arjita Dutta ◽  
Rohit Kumar Singh ◽  
Sidhartha ◽  
Nidhi K. Momaya ◽  
...  
Keyword(s):  
Case Report ◽  
Bone Resorption ◽  
Treatment Option ◽  
Large Volume ◽  
Release Mechanism ◽  
Invasive Approach ◽  
Non Invasive ◽  
Suction Cup ◽  
Edentulous Patients ◽  
Palatal Bone

Salivary reservoir in maxillary denture offers an effective, non-invasive approach in the treatment of edentulous patients afflicted with xerostomia. It is always desirable to have large volume reservoir in order to decrease the inconvenience of repeated refilling, however, increased bulk of palatal reservoir often leads to discomfort in speech, swallowing and acceptance of such prosthesis. In designing of size and shape of reservoir in the present case, large volume was achieved utilizing circular palatal resorption area, and proper shape was ensured by duplication of functional palatal contour. Adequate voluntary wetting of mouth was effected by “swallowing control saliva release” mechanism of the flexible reservoir lid. Sunken cheek appearance was addressed by using an easy, economical, and effective method of detachable cheek plumpers.

scholarly journals Treatment Outcome with Implant-supported Mandibular Overdenture opposing Natural Dentition

2017 ◽  
Vol 1 (1) ◽  
pp. 45-48
Author(s):  
Sushil Kar ◽  
Arvind Tripathi
Keyword(s):  
Treatment Outcome ◽  
Treatment Option ◽  
Standard Treatment ◽  
Complete Denture ◽  
Fabrication Procedure ◽  
Removable Prosthesis ◽  
Edentulous Patients ◽  
Natural Dentition ◽  
Mandibular Overdenture

ABSTRACT Although the conventional complete denture has been a standard treatment option for edentulous patients, it may not thoroughly fulfill the esthetic or functional needs of many denture wearers. This situation is commonly encountered, especially in relation to the mandibular ridge. Over the last decade, implant-supported overdenture has emerged as a successful alternative to the more commonly used removable prosthesis. The article discusses the fabrication procedure of an implant-assisted overdenture. How to cite this article Kar S, Tripathi A. Treatment Outcome with Implant-supported Mandibular Overdenture opposing Natural Dentition. Int J Clin Dent Res 2017;1(1):45-48.

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