Importância da abordagem interdisciplinar na reabilitação de pacientes adultos com ausência de dentes / Interdisciplinary management impartance in rehabilitatian af adults wha lack teeth

O objetivo deste trabalho é relatar a abordagem interdisciplinar entre Ortodontia, Implantodontia e Prótese na reabilitação de dois pacientes adultos com ausência de dentes. Frequentemente, quando há ausência de um ou mais elementos dentários ocorre movimentação dos dentes adjacentes em direção à área da perda, e para que seja feita uma reabilitação eficaz é necessário que haja a redistribuição dos espaços e posicionamento dos dentes de maneira correta na base óssea. É importante para esses casos, que haja um planejamento em conjunto entre o ortodontista e os reabilitadores, decidindo previamente o momento e a localização ideal para a colocação dos implantes. Essa abordagem interdisciplinar é de extrema importância para que os objetivos do tratamento sejam atingidos com resultados estáveis, aliados à recuperação da saúde oral, função e estética.

The aim of this study is to describe the interdisciplinary approach amongst Orthodontics,Implantology and Prosthesis concerning the rehabilitation of two adult patients who lack teeth. Usually, when there is absence of one or more teeth, there is also a moving of the adjacent ones towards the loss area; thus, for an effective rehabilitation, it is necessary to have a correct redistribution of the spaces and element positioning in the bone. During the rehabilitation planning of such cases, it is essential to exist the Orthodontist, Implantodontist and Prosthetist's interaction in order to analyze the implant placing, as well as if it is required any implant before the orthodontics moving, as anchorages during the treatment. This interdisciplinary approach is of extreme importance in order to reach the treatment objectives with stable results, together with the oral, functioniJl and aesthetical health recovery.

Progressive hemifacial atrophy – Case report

No disponible

Progressive Hemifacial Atrophy, also known as Parry-Romberg Syndrome, is an uncommon degenerative and poorly understood condition. It is characterized by a slow and progressive atrophy affecting one side of the face. The incidence and the cause of this alteration is unknown. A cerebral disturbance of fat metabolism has been proposed as a primary cause. This can be the result of a trophic malformation of Cervical Sympathetic Nervous System. Possible factors that are involved in the pathogenesis include trauma, viral infections, heredity, endocrine disturbances and auto-immunity, among others. The most common complications that appear in association to this health disorder are: trigeminal neuritis, facial paresthesia, severe headache and epilepsy, being this last one the most frequent complication of the Central Nervous System. Characteristically, the atrophy progresses slowly for several years and, soon after, it become stable. Now, plastic surgery with graft of autogenous fat can be performed, after stabilization of the disease, to correct the deformity. Orthodontic treatment can help in the correction of any associated malformation. The objective of this work is, through the presentation of a clinical case, to accomplish a literature review concerning general characteristics, etiology, physiopathology, differential diagnosis and treatment of progressive hemifacial atrophy

Progressive Hemifacial Atrophy--case report.

Progressive Hemifacial Atrophy, also known as Parry-Romberg Syndrome, is an uncommon degenerative and poorly understood condition. It is characterized by a slow and progressive atrophy affecting one side of the face. The incidence and the cause of this alteration is unknown. A cerebral disturbance of fat metabolism has been proposed as a primary cause. This can be the result of a trophic malformation of Cervical Sympathetic Nervous System. Possible factors that are involved in the pathogenesis include trauma, viral infections, heredity, endocrine disturbances and auto-immunity, among others. The most common complications that appear in association to this health disorder are: trigeminal neuritis, facial paresthesia, severe headache and epilepsy, being this last one the most frequent complication of the Central Nervous System. Characteristically, the atrophy progresses slowly for several years and, soon after, it become stable. Now, plastic surgery with graft of autogenous fat can be performed, after stabilization of the disease, to correct the deformity. Orthodontic treatment can help in the correction of any associated malformation. The objective of this work is, through the presentation of a clinical case, to accomplish a literature review concerning general characteristics, etiology, physiopathology, differential diagnosis and treatment of progressive hemifacial atrophy.