Skip to main content
Top
Published in: Current Oral Health Reports 3/2021

01-09-2021 | Dental Restorative Materials (M Özcan and PF Cesar, Section Editors)

Oral Rehabilitation and Management of the Patient with Terminal Dentition: Clinical and Laboratory Case After 3 Years of Follow-up

Authors: Francisco García Torres, Antonio Corradini, Eric Sánchez

Published in: Current Oral Health Reports | Issue 3/2021

Login to get access

Abstract

Purpose of Review

This article describes the clinical management of a patient who had a severely damaged dentition due to periodontal disease for several years.

Recent Findings

The following clinical case is developed from the integral and global aspect, including surgical conditioning, implant placement and the elaboration of a prosthetic prototype that can give a successful outcome for the definitive restoration. A full series of a diagnostic workup was made, and a treatment plan specific to the needs of the patient was laid out, with an emphasis on the difficulty of the management of these types of patients in which a dental practice is familiar with.

Summary

There are complications on these rehabilitations due to the severe damage of the dentition with extensive osseous atrophies that make a challenging situation in order to provide a comfortable, esthetic and functional rehabilitation. Implant-supported fixed dental prosthesis is a well-accepted treatment option for edentulism. Loss of teeth due to extensive caries or severe periodontitis presents a challenge to the clinicians.
Literature
1.
go back to reference Buser D, Ingimarsson S, Dula K, Lussi A, Hirt HP, Belser UC. Long-term stability of osseointegrated implants in augmented bone: a 5-year prospective study in partially edentulous patients. Int J Periodontics Restorative Dent. 2002;22:109–17.PubMed Buser D, Ingimarsson S, Dula K, Lussi A, Hirt HP, Belser UC. Long-term stability of osseointegrated implants in augmented bone: a 5-year prospective study in partially edentulous patients. Int J Periodontics Restorative Dent. 2002;22:109–17.PubMed
2.
go back to reference Fu JH, Wang HL. Horizontal bone augmentation: the decision tree. Int J Periodontics Restorative Dent. 2011;31:429–36.PubMed Fu JH, Wang HL. Horizontal bone augmentation: the decision tree. Int J Periodontics Restorative Dent. 2011;31:429–36.PubMed
3.
go back to reference Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 2005;32:212–8.CrossRef Araújo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 2005;32:212–8.CrossRef
4.
go back to reference Urban Istvan A, Monje A, Nevins M, Nevins ML, Lozada JL, Wang H-L. Surgical management of significant maxillary anterior vertical ridge defects. Intl J Period Restor Dent. 2016;36(3):328–37 329. Urban Istvan A, Monje A, Nevins M, Nevins ML, Lozada JL, Wang H-L. Surgical management of significant maxillary anterior vertical ridge defects. Intl J Period Restor Dent. 2016;36(3):328–37 329.
5.
go back to reference Windisch P, Martin A, Shahbazi A, Molnár B. Reconstruction of horizontovertical alveolar defects. Presentation of a novel split-thickness flap design for guided bone regeneration: a case report with 5-year follow-up. Quintessence Int (Berlin, Germany : 1985). 2017;48:535–47. https://doi.org/10.3290/j.qi.a38354.CrossRef Windisch P, Martin A, Shahbazi A, Molnár B. Reconstruction of horizontovertical alveolar defects. Presentation of a novel split-thickness flap design for guided bone regeneration: a case report with 5-year follow-up. Quintessence Int (Berlin, Germany : 1985). 2017;48:535–47. https://​doi.​org/​10.​3290/​j.​qi.​a38354.CrossRef
6.
go back to reference Plonka AB, Urban IA, Wang HL. decision tree for vertical ridge augmentation. Int J Periodontics Restorative Dent. 2018 Mar / abr;38(2):269–75.CrossRef Plonka AB, Urban IA, Wang HL. decision tree for vertical ridge augmentation. Int J Periodontics Restorative Dent. 2018 Mar / abr;38(2):269–75.CrossRef
7.
go back to reference Urban IA, Jovanovic SA, Lozada JL. Vertical ridge augmentation using guided bone regeneration (GBR) in three clinical scenarios prior to implant placement: a retrospective study of 35 patients 12 to 72 months after loading. Int J Oral Maxillofac Implants. 2009;24(3):502–10.PubMed Urban IA, Jovanovic SA, Lozada JL. Vertical ridge augmentation using guided bone regeneration (GBR) in three clinical scenarios prior to implant placement: a retrospective study of 35 patients 12 to 72 months after loading. Int J Oral Maxillofac Implants. 2009;24(3):502–10.PubMed
8.
go back to reference Urban IA, Monje A, Wang HL. Vertical Ridge augmentation and soft tissue reconstruction of the anterior atrophic maxillae: a case series. Int J Periodontics Restorative Dent. 2015;35(5):613–23.CrossRef Urban IA, Monje A, Wang HL. Vertical Ridge augmentation and soft tissue reconstruction of the anterior atrophic maxillae: a case series. Int J Periodontics Restorative Dent. 2015;35(5):613–23.CrossRef
9.
go back to reference Wang HL, Al-Shammari K. HVC Ridge deficiency classification: a therapeutically oriented classification. Int J Periodontics Restorative Dent. 2002;22(4):335–43.PubMed Wang HL, Al-Shammari K. HVC Ridge deficiency classification: a therapeutically oriented classification. Int J Periodontics Restorative Dent. 2002;22(4):335–43.PubMed
10.
go back to reference Spear FM, Kokich VG, Mathews DP. Interdisciplinary management of ante- rior dental esthetics. J Am Dent Assoc. 2006;137:160–9.CrossRef Spear FM, Kokich VG, Mathews DP. Interdisciplinary management of ante- rior dental esthetics. J Am Dent Assoc. 2006;137:160–9.CrossRef
11.
go back to reference Lombardi RE. The principles of visual per- ception and their clinical application to denture esthetics. J Prosthet Dent. 1973;29:358–82.CrossRef Lombardi RE. The principles of visual per- ception and their clinical application to denture esthetics. J Prosthet Dent. 1973;29:358–82.CrossRef
12.
go back to reference Tjan AH, Miller GD, The JG. Some esthetic factors in a smile. J Prosthet Dent. 1984;51:24–8.CrossRef Tjan AH, Miller GD, The JG. Some esthetic factors in a smile. J Prosthet Dent. 1984;51:24–8.CrossRef
14.
go back to reference Villa G, de Stavola L, Fincato A, Guida A, Magliano A, Merli M, et al. Short, parallel-walled, conical-connection implants for a broad range of indications in the maxilla and mandible: retrospective multicenter study with up to 33 months of follow-up. Quintessence Int (Berlin, Germany : 1985). 2018;49:1–7. https://doi.org/10.3290/j.qi.a40764.CrossRef Villa G, de Stavola L, Fincato A, Guida A, Magliano A, Merli M, et al. Short, parallel-walled, conical-connection implants for a broad range of indications in the maxilla and mandible: retrospective multicenter study with up to 33 months of follow-up. Quintessence Int (Berlin, Germany : 1985). 2018;49:1–7. https://​doi.​org/​10.​3290/​j.​qi.​a40764.CrossRef
15.
go back to reference Van Der Geld P, Oosterveld P, Berge SJ, Kuijpers-Jagtman AM. Tooth display and lip position during spontaneous and posed smiling in adults. Acta Odon- tol Scand. 2008;66:207–13.CrossRef Van Der Geld P, Oosterveld P, Berge SJ, Kuijpers-Jagtman AM. Tooth display and lip position during spontaneous and posed smiling in adults. Acta Odon- tol Scand. 2008;66:207–13.CrossRef
16.•
go back to reference Carlsson GE, Bergman B, Hedegård B. Changes in contour of the maxillary alveolar process under immediate den- tures. A longitudinal clinical and x-ray cephalometric study covering 5 years. Acta Odontol Scand. 1967;25:45–75 Changes in Contour of the Maxillary Alveolar Process Under Immediate Dentures a Longitudinal Clinical and X-Ray Cephalo-Metric Study Covering 5 Years.CrossRef Carlsson GE, Bergman B, Hedegård B. Changes in contour of the maxillary alveolar process under immediate den- tures. A longitudinal clinical and x-ray cephalometric study covering 5 years. Acta Odontol Scand. 1967;25:45–75 Changes in Contour of the Maxillary Alveolar Process Under Immediate Dentures a Longitudinal Clinical and X-Ray Cephalo-Metric Study Covering 5 Years.CrossRef
17.••
go back to reference Tallgren A. The reduction in face height of edentulous and partially edentulous subjects during long-term denture wear. A longitudinal roentgenographic cephalometric study. Acta Odontol Scand. 1966;24:195–239.CrossRef Tallgren A. The reduction in face height of edentulous and partially edentulous subjects during long-term denture wear. A longitudinal roentgenographic cephalometric study. Acta Odontol Scand. 1966;24:195–239.CrossRef
18.•
go back to reference Tallgren A. The effect of denture wear- ing on facial morphology. A 7-year longitudinal study. Acta Odontol Scand. 1967;25:563–92 The Effect of Denture Wearing on Facial Morphology: A 7-Year Longitudinal Study.CrossRef Tallgren A. The effect of denture wear- ing on facial morphology. A 7-year longitudinal study. Acta Odontol Scand. 1967;25:563–92 The Effect of Denture Wearing on Facial Morphology: A 7-Year Longitudinal Study.CrossRef
19.
go back to reference Aimplee S, Torosian A, Arias SR, Blasi A, Im SB, Chiche G, Esthetic rehabilitation of a patient with severely worn and compromised Dentition. Quintessence Dent Technol. 2016 Aimplee S, Torosian A, Arias SR, Blasi A, Im SB, Chiche G, Esthetic rehabilitation of a patient with severely worn and compromised Dentition. Quintessence Dent Technol. 2016
21.••
go back to reference Edelhoff D, et al. Interdisciplinary full-mouth rehabilitation for redefining esthetics, function, and orofacial harmony. J EsthetRestor Dent. 2019;31(3):179–89 [s. l.] In complex cases, digital technology today offers outstanding improvements and simplifications in craniomaxillofacial surgery and prosthetic treatments, leading to a wide range of planning and pretreatment options. Computer-aided design/computer-aided manufacturing technology enables the fabrication of tooth-colored flexible polycarbonate splints that offer a noninvasive, removable, functional, and esthetic solution. In intricate cases involving craniomaxillofacial anomalies, often together with necessary orofacial surgeries or prosthetic treatments due to moderate to severe tooth wear, such digital preprosthetic treatment and planning options represent an important enhancement with more predictable results. Edelhoff D, et al. Interdisciplinary full-mouth rehabilitation for redefining esthetics, function, and orofacial harmony. J EsthetRestor Dent. 2019;31(3):179–89 [s. l.] In complex cases, digital technology today offers outstanding improvements and simplifications in craniomaxillofacial surgery and prosthetic treatments, leading to a wide range of planning and pretreatment options. Computer-aided design/computer-aided manufacturing technology enables the fabrication of tooth-colored flexible polycarbonate splints that offer a noninvasive, removable, functional, and esthetic solution. In intricate cases involving craniomaxillofacial anomalies, often together with necessary orofacial surgeries or prosthetic treatments due to moderate to severe tooth wear, such digital preprosthetic treatment and planning options represent an important enhancement with more predictable results.
22.•
go back to reference Saratti CM, Merheb C, Franchini L, Rocca GT, Krejci I. Full-mouth rehabilitation of a severe tooth wear case: a digital, esthetic and functional approach. Int Jf Esthet Dent. 2020;15(3):242–262. Accessed 2021.The availability of digital resources allows clinicians to increase the predictability of enhanced esthetics and good functional results. There is an increasing number of patients today who are affected by excessive tooth wear and may benefit from these kinds of treatments. Saratti CM, Merheb C, Franchini L, Rocca GT, Krejci I. Full-mouth rehabilitation of a severe tooth wear case: a digital, esthetic and functional approach. Int Jf Esthet Dent. 2020;15(3):242–262. Accessed 2021.The availability of digital resources allows clinicians to increase the predictability of enhanced esthetics and good functional results. There is an increasing number of patients today who are affected by excessive tooth wear and may benefit from these kinds of treatments.
Metadata
Title
Oral Rehabilitation and Management of the Patient with Terminal Dentition: Clinical and Laboratory Case After 3 Years of Follow-up
Authors
Francisco García Torres
Antonio Corradini
Eric Sánchez
Publication date
01-09-2021
Publisher
Springer International Publishing
Published in
Current Oral Health Reports / Issue 3/2021
Electronic ISSN: 2196-3002
DOI
https://doi.org/10.1007/s40496-021-00294-6