RESUMO
The aim of this two-part treatment series is on the one hand to emphasize the difficulties and dilemmas a dentist is confronted with when planning complex cases, and on the other hand to reveal the rationale supporting the final treatment plan selection. Challenging cases are considered, including, among others, periodontal compromised rest dentitions requiring prosthodontic rehabilitation. For these patients the decision-making process deals with the indications and limitations of both the fields of fixed and removable prosthodontics. The first part of this study deals with the various prosthodontic treatment options together with the advantages and disadvantages related to each one. The second part of the article presents the final treatment-plan, the decision-making process and the sequence of the treatment steps.
Assuntos
Periodontite Crônica/reabilitação , Coroas , Adulto , Tomada de Decisões , Prótese Parcial Fixa , Prótese Parcial Removível , Feminino , Defeitos da Furca/reabilitação , Humanos , Perda da Inserção Periodontal/reabilitaçãoRESUMO
The aim of this two-part treatment series is on the one hand to emphasize the difficulties a clinician is confronted with when planning complex cases, and on the other hand to reveal the rationale supporting the final treatment plan selection. Among the challenging cases to be considered are periodontal compromised rest dentitions requiring prosthodontic rehabilitation. For these patients the decision-making process deals with the indications and limitations of both the fields of fixed and removable prosthodontics. The first part of this article deals with the various prosthodontic treatment options, together with the advantages and disadvantages related to each one. This second part of the article presents the final treatment plan, the decision-making process, and the sequence of the treatment steps.
Assuntos
Periodontite Crônica/reabilitação , Coroas , Prótese Parcial Fixa , Adulto , Cimentação , Feminino , Defeitos da Furca/reabilitação , Humanos , Perda da Inserção Periodontal/reabilitaçãoRESUMO
Periodontal attachment loss in the maxillary anterior region can often lead to esthetic and functional clinical problems including disproportional and elongated clinical crowns, visible interdental embrasures, and altered linguoalveolar-labiodental consonant production. Assuming fixed prosthetic reconstructions will be chosen to treat these areas, it becomes a hygienic compromise to fill these areas in with porcelain. In the presence of these problems, an acrylic resin gingival veneer is an easily constructed, inexpensive, and practical device to optimize the esthetic and functional outcome in these special situations while permitting cleansibility of the prosthesis and supporting tissues. This article presents a step-by-step technique for the fabrication of a gingival veneer.
