RESUMO
The recording of the maxillo-mandibular relationship (MMR) is an essential and unavoidable step that occurs at different stages of treatment during a prosthetic rehabilitation. Tissue duality is a major problem in metal partial dentures (MPD), especially in complete and large edentulisms, and is responsible for occlusal inaccuracies resulting in restorations that are not integrated with the patient's manducatory system. In order to perform this step, the practitioner must choose the right material, make the appropriate support, and adopt a reliable and reproducible technique that is adapted to the clinical situation and the prosthetic step. The objective of this work is to suggest a simple and codified approach, which guarantees a reliable recording of the maxillo-mandibular relationship, adapted to the particularities of the supporting structures and taking into consideration the clinical sequence for an optimal occlusal-functional integration of the future metallic partial denture.
Assuntos
Prótese Parcial Removível , Planejamento de DentaduraRESUMO
This case report describes the management of a large-sized Epulis Fissuratum (EF) in a 70-year-old female patient using an original prosthetic technique. It consists of a combination of a tissue conditioning and a resection surgery. The patient´s main concern was a mucogingival tissue growth located on the left mandibular area. The interesting clinical findings deriving from this technique are: tissue conditioning is an important phase prior to the surgical resection of a large EF and occlusal functions can be maintained during the procedures with patient´s corrected dentures. After clinical, radiological and pathological examinations, the diagnosis was of an EF induced by an ill fitted mandibular denture. The intervention carried out was a combination of a 2 weeks tissue conditioning period followed by a cold blade surgical resection. After a 3 months follow-up period, a completely healed vestibular sulcus was observed with no scar tissue. The present technique facilitates the resection surgery by removing the inflammatory component of the EF. It also guides the post-surgical tissue healing, allowing the obtention of a deep vestibular sulcus, thus creating a better bearing surface for subsequent renewed dentures. Not depriving the patient of her dentures during the healing process helped to improve her quality of life and her cooperation.
Assuntos
Doenças da Gengiva , Qualidade de Vida , Idoso , Feminino , Doenças da Gengiva/cirurgia , Humanos , Hiperplasia , Mandíbula/cirurgiaRESUMO
La prothèse amovible complète stabilisée sur implant constitue une option thérapeutique fréquente et reconnue pour son rendu esthétique fonctionnel et psychologique. Elle fait appel à des dispositifs de rétention sous forme d'attachement axiaux ou barre d'ancrage. L'attachement axial Locator® représente l'un des moyens les plus utilisés de part sa simplicité et ses nombreux avantages. Ainsi ce travail se propose de le décrire, de préciser ses particularités et d'exposer au travers d'une illustration clinique le procédé de sa mise en place en bouche
Assuntos
Prótese Total , Carga Imediata em Implante Dentário , Boca EdêntulaRESUMO
Ce cas clinique décrit la prise en charge d'un édentement maxillaire unilatéral de grande étendue par une prothèse composite stabilisée sur implants. Dans cette situation clinique défavorable et lorsque la solution par prothèse fixée sur implants ne peut être retenue pour des raisons locales ou générales, la prothèse amovible partielle métallique (PAPM) reste l'alternative de choix. Elle peut être stabilisée efficacement par des implants. En effet, l'utilisation de ces derniers comme support de moyens de rétention complémentaires est d'un apport considérable. Ainsi, la PAPM stabilisée sur implants permet de modifier l'architecture de l'édentement, d'optimiser l'équilibre prothétique, de rallier exigences esthétiques et fonctionnelles assurant alors une meilleure intégration prothétique
