ABSTRACT
This technique article describes a quantifiable, repeatable, and reliable method for occlusal device adjustment in centric relation using a leaf gauge. In addition, specific suggestions for occlusal device design are provided to enhance patient comfort with the prosthesis in place.
Subject(s)
Centric Relation , Occlusal Adjustment/instrumentation , Occlusal Splints , Orthodontic Appliance Design , Dental Instruments , Dental Occlusion, Centric , Humans , Jaw Relation Record , Maxilla/physiology , Reproducibility of ResultsABSTRACT
The replacement of a mandibular incisor is a dental treatment warranting special consideration. Some of the challenges associated with the anterior mandible are limited space, challenging surrounding anatomy, and tough esthetic requirements. Proper diagnosis and treatment planning may require a multidisciplinary approach to successfully meet the demands of replacing a missing tooth in this sextant. Several treatment options currently exist for mandibular incisor replacement. These options include (1) resin-bonded fixed dental prostheses (RBFDPs), (2) orthodontic treatment, (3) full-veneer fixed dental prostheses (FDPs), (4) dental implants for single-tooth replacement, (5) possible extraction of one or more incisors and restoration with implant-supported FDPs, (6) possible extraction of one or more teeth and restoration with FDPs from #22 to 27, (7) possible extraction of one or more teeth and restoration with removable dental prostheses (RDPs). This manuscript outlines the various treatment options for the replacement of mandibular incisors and discusses benefits and drawbacks of each.
Subject(s)
Dental Prosthesis/classification , Incisor/pathology , Mandible/pathology , Tooth Loss/rehabilitation , Dental Implants, Single-Tooth , Dental Prosthesis, Implant-Supported , Denture Design , Denture, Partial, Fixed , Denture, Partial, Fixed, Resin-Bonded , Humans , Patient Care Planning , Tooth Movement TechniquesABSTRACT
OBJECTIVES: To fabricate a maxillary obturator prosthesis for an active duty pilot allowing him to return to active flying status. METHODS: A 24-year-old male active duty U.S. Air Force pilot presented with a history of right posterior maxillectomy due to a keratocyst odontogenic tumor. The patient had been wearing an interim obturator prosthesis for 4 months and was removed from active duty flight status. A comprehensive oral evaluation was completed and a definitive obturator prosthesis was fabricated using a cast metal framework. Extraoral 3D stereophotogrammetry and a facial moulage were accomplished. The patient underwent evaluation for return to active flying status. RESULTS: The patient returned to active duty flight status after passing all of the required tests. CONCLUSION: Obturator prostheses may be a suitable treatment option allowing a patient to conduct all of the required functions of an active flyer.
