Recuperación de la autoestima en una adulta mayor rehabilitada con prótesis dental / Recovery of self-esteem in a female elderly rehabilitated with dentures

Se describe el caso clínico de una paciente de 67 años de edad, asistida en la Clínica Estomatológica del Policlínico Docente Camilo Torres Restrepo de Santiago de Cuba, quien había portado, por más de 10 años, prótesis superior acrílica desajustada, y además refería haber disminuido de peso corporal por la presencia de importantes dificultades masticatorias y dolor ocasional en las articulaciones temporomandibulares; asimismo, la afectada mostraba inconformidad con su estética facial. Todo lo anterior había dañado su autoestima y, consecuentemente, le producía limitaciones sociales en los planos laboral y personal. La paciente fue rehabilitada con prótesis total superior acrílica y parcial inferior acrílica, con lo cual mejoraron su estética y la función masticatoria. Fue remitida a consulta de Fisioterapia para completar el tratamiento del trastorno articular(AU)

The case report of a 67 years patient is described, attended in the Stomatological Clinic from Camilo Torres Restrepo Teaching Polyclinic in Santiago de Cuba who had wore maladjusted acrylic upper denture for more than 10 years, and besides she referred to have lost of body weight due to important masticatory difficulties and occasional pain in the temporomandibular joints; likewise, the patient showed disagreement with her facial aesthetics. All the above-mentioned facts had damaged her self-esteem and, consequently, she showed social limitations in the working and personal fields. The patient was rehabilitated with upper total acrylic and partial lower acrylic prosthesis, with which her aesthetics and the masticatory function improved. She was referred to the Physiotherapy department to complete the treatment of the joint dysfunction(AU)

Patient satisfaction with maxillofacial prosthesis. Literature review.

SUMMARY: Obturators and facial prostheses are important not only in rehabilitation and aesthetics, but also in patient re-socialisation. The level of reintegration is directly related to the degree of satisfaction with rehabilitation. So, the maxillofacial prosthetics must provide patient satisfaction during treatment. This study aimed to search information in database and conduct a literature review on patient satisfaction with maxillofacial prosthesis. The problems experienced by these patients may decrease when specialists keep the patient on regular inspection. Rehabilitation through alloplasty or prosthetic restoration provides satisfactory conditions in aesthetics and well-being and reinstates individuals in familial and social environment.

Rehabilitation of severely resorbed maxillae with zygomatic implants: an evaluation of implant stability, tissue conditions, and patients' opinion before and after treatment.

PURPOSE: The aim of the present study was to describe experiences of 11 consecutively treated patients who received zygomatic implants. Patient results were assessed through clinical and radiographic evaluations of tissue conditions, including resonance frequency analysis (RFA). MATERIALS AND METHODS: Eleven patients were treated with implant-retained fixed prostheses. A total of 64 implants were placed, 22 of which were placed in the zygoma. Fixed prostheses were removed to allow clinical and radiographic evaluations at a follow-up visit 18 to 46 months following implant placement. RFA was performed on all implants. A visual analog scale was used to assess patient satisfaction before and after treatment. RESULTS: All patients received implant-supported prostheses. All zygomatic implants demonstrated clinical signs of osseointegration. One anterior implant was lost during follow-up. Mean ISQ values for the zygomatic and anterior implants were 65.9 (range, 42 to 100) and 61.5 (range, 48 to 71), respectively. Twenty-four implants showed moderate inflammation, with 3 exhibiting severe inflammation. Most anterior implants (75.6%) showed a marginal bone recession of 1 thread or less. Four zygomatic implants showed bone loss of 4 to 5 threads, and 5 zygomatic implants exhibited no marginal bone support. Patients described significant improvement in chewing ability and esthetics but did not describe changes in speech. DISCUSSION: The use of zygomatic implants can help the clinician avoid the need for bone grafting and reduce morbidity. In addition, it can shorten the treatment time considerably. CONCLUSION: This preliminary report demonstrates that zygomatic implants can provide posterior support to fixed prostheses in patients who lack bone volume to place conventional implants without encroaching upon the maxillary sinus.