ABSTRACT
Introduction: There is always a great anxiety in many patients when aesthetic impairment is involved after the removal of teeth, and this anxiety tends to be more significant. Immediate dentures for many years were considered to be a resorption-increasing factor. Well-fitting immediate dentures act as a bandage isolating the healing tissues from thermal and chemical damage and preventing food from entering the sockets. Case Report: A female patient of age 43 years treated with immediate partial denture with extracted lower incisors as a replacement with self cure acrylic denture base. Discussion: Within the past decade, as aesthetics have received more emphasis with treatment planning, resorption of the alveolar ridge following tooth extraction, especially in the anterior region has become a significant problem. There is a huge advantage of using the extracted teeth as a replacement as one of the strong indication for immediate is aesthetics. Conclusion: Immediate removable partial denture not only increases the aesthetic value, but also therapeutic purposes. For anterior region, where aesthetics is major concern, extracted teeth itself can be much helpful, which can provide excellent aesthetics.
ABSTRACT
OBJETIVO: o objetivo deste trabalho foi relatar um caso clínico de periodontite crônica localizada, no qual foi indicada exodontia dos elementos comprometidas e os mesmos foram aproveitados para confecção de uma prótese provisória imediata. DESCRIÇÃO DO CASO: Paciente E.A.S.N, gênero masculino, atendido na clínica da FacDelta - UNIME Salvador, foi diagnóstico com periodontite crônica severa localizada e planejado exodontia das unidades comprometidas e reabilitação com prótese provisória imediata, utilizando os próprios dentes recém-extraídos. Após secção na altura do terço médio da raiz e remoção da polpa, os elementos foram selados com resina composta fotopolimerizada, seguindo o protocolo de restauração adesiva. Posteriormente, um fragmento de foi ortodôntico pré-curvado foi fixado nos dentes pilares assim como os dentes extraídos foram fixados ao foi utilizando resina composta. Oclusão foi ajustada para não haver contatos cêntricos e excêntricos, realizado acabamento e polimento e instrução de higiene oral e sobre a cuidados com a mastigação na região. CONCLUSÃO: Prótese provisória imediata utilizando os próprios dentes do paciente recém-extraídos configurou uma opção reabilitadora viável para este caso devido às restrições de tempo e financeira do paciente, por ser uma técnica conservadora e na obtenção da sua satisfação
OBJECTIVE: The objective of this study was to report a case of localized chronic periodontitis, and the extraction of committed elements was indicated and they were utilized in the immediate provisional prosthesis. CASE DESCRIPTION: Patient E.A.S.N, male, attended in the FacDelta - UNIME Salvador clinic, he was diagnosed with located severe chronic periodontitis and planned extraction of the aï¬ected units and rehabilitation with immediate provisional prosthesis using their own extracted teeth. After had been sectioned in the middle third of the height of the root and removed the pulp, the elements were sealed with light-cured composite resin, following the adhesive restoration protocol. Subsequently, a fragment of pre-curved orthodontic wire was fixed in abutment teeth and extracted teeth were fxed to wire using composite resin. Occlusion was adjusted in order to avoid contacts, it was done the fnishing and polishing and the patient was instructed about oral hygiene and the avoidance with chewing in the region. CONCLUSION: immediate provisional prosthesis using their own extracted patient's teeth was a viable rehabilitative option for this case due to patient's time and fnancial constraints; it was a conservative technique and got his satisfaction