Denture, Partial

义齿,部分
  • 文章类型: Journal Article
    目的:介绍了新开发的非侵入性方法,用于使用树脂复合材料替换缺失的牙齿并关闭后部区域的单齿间隙。
    方法:四种不同的非侵入性方法和技术程序,使用的材料和仪器在案例系列中介绍。这些包括直接口腔内插入复合材料(有和没有单独的成型辅助)和间接修复,传统或数字制造并粘合。
    结果:病例系列显示,所有四种方法均可用于替换后部区域的单颗缺失牙齿,满足当前临床要求。特别注意桥体的设计,连接器区域的尺寸,与相邻牙齿的近端接触牢固,卫生,以及非预备桥(NPB)的出现。详细比较了本案例系列中说明的直接和间接技术的优缺点。
    结论:目前已有几种直接和间接的非侵入性单齿置换方法。虽然证据仍然有限,有可能对NPB进行节俭的牙科干预。进一步的实验和临床研究是必要的,以证明它们可靠地满足质量要求(包括足够的存活率),满足成本效益标准(与治疗替代方案相比),并且人口有需求。
    OBJECTIVE: Newly developed non-invasive methods for replace a missing tooth and closing single-tooth gaps in the poster- ior region using resin composite are presented.
    METHODS: Four different non-invasive methods and the technical procedures, materials and instruments used are presented in a case series. These include the direct intraoral insertion of composite (with and without individual shaping aids) and indirect restorations, which are fabricated conventionally or digitally and bonded.
    RESULTS: The case series showed that all four methods can be used to replace single missing teeth in the posterior region, meeting current clinical requirements. Particular attention was paid to the design of the pontics, the dimension of the connector area, firm proximal contacts to the adjacent teeth, hygiene, and appearance of the non-prep bridges (NPBs). The advantages and disadvantages for both the direct and indirect techniques illustrated in this case series were com- pared in detail.
    CONCLUSIONS: Several direct and indirect non-invasive methods for single-tooth replacement are available today. Although the evidence is still limited, there is a potential for frugal dental interventions with NPBs. Further experimental and clinical studies are necessary to demonstrate that they reliably meet quality requirements (including sufficient survival rates), satisfy the criteria of cost-effectiveness (compared to treatment alternatives) and that there is a demand from the population.
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  • 文章类型: Case Reports
    背景:上颌骨缺损的康复是一项具有挑战性的工作,需要为每位患者定制手术。这些患者的成功治疗需要传统和现代治疗方案的结合。这些缺陷和远端延伸病例的高科技修复治疗选择是将固定和可移动局部义齿与精密/半精密附件相结合。它将增强保留,稳定性,假体的美学和功能能力。
    方法:报告了3例Covid术后毛霉菌病患者在局部清创和上颌部分切除术后进行最终康复治疗。对于上颌部分切除术的患者,DMLS设计了铸造局部义齿以及半精密附件(Preci-vertix和OT策略Rhein对于局部缺损的患者,对DMLS设计的铸造局部义齿进行了规划。对于两名患者,缺损区域均保留为空腔(封闭或开放)。以减轻假体的重量。
    结论:这些患者的口腔修复可以是一种简单而经济的治疗选择,并且可以改善患者的口颌功能和生活质量。康复过程中的主要障碍是保留和稳定性,因为没有基础座椅和硬组织支撑。因此,我们尝试了传统技术和数字技术的结合,以提供具有精确配合和准确性的假体,并减少治疗时间和患者的访问。
    BACKGROUND: The rehabilitation of maxillectomy defects is a challenging endeavour that necessitates customizing the procedure for each patient. The successful treatment for these patients requires a combined conventional and contemporary treatment options. The high-tech prosthodontic treatment option for these defects and distal extension cases are combining fixed and removable partial dentures with precision/semi-precision attachments. It will enhance retention, stability, esthetics and functional ability of the prosthesis.
    METHODS: Three post-Covid Mucormycosis patients reported after localised debridement and partial maxillectomy for definitive rehabilitation. For partial Maxillectomy patients, DMLS designed cast partial denture along with semi-precision attachments (Preci-vertix and OT strategy Rhein For patient with localized defect, DMLS designed cast partial denture was planned. For both patients the defect area was kept as hollow cavity (Closed or Open), in order to reduce the weight of the prosthesis.
    CONCLUSIONS: The prosthodontic rehabilitation of these patient can be a simple and economical treatment options and it improves the stomatognathic functions and quality of life of the patient. The major hurdles during rehabilitation are retention and stability as there is no basal seat and hard tissue support. Hence, we tried a combined conventional and digital techniques in order to provide prosthesis with precise fit and accuracy as well as reducing the treatment time and visits of the patients.
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    文章类型: Case Reports
    恢复过度磨损的牙列是具有挑战性的治疗程序。它需要有效的诊断和治疗计划。Hobo的技术和PankeyMannSchuyler的哲学被广泛用于全口康复。我们报道了一例56岁的男性患者,其牙列严重磨损,咀嚼困难。为了修复这种情况,已经采用了Hobo的双阶段技术,因为它是基于科学数据和数学分析的,用于分离和前路引导,从而减少了椅子的时间。关键词:磨耗;流浪汉;咬合;康复。
    Restoration of excessively worn dentition is a challenging treatment procedures. It requires efficient diagnosis and treatment plan. Hobo\'s techniques and Pankey Mann Schuyler\'s philosophy are widely used and documented for full mouth rehabilitation. We have reported the case of a 56-year- old male patient who presented with the severely worn dentition and had difficulty in chewing. To rehabilitate this case Hobo\'s twin stage technique had been adopted as it is based on scientific data and mathematical analysis for both disocclusion and anterior guidance thus reducing chair side time. Keywords: attrited; hobo; occlusion; rehabilitation.
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    文章类型: Journal Article
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  • 文章类型: Case Reports
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    文章类型: Case Reports
    The choice for rehabilitation of an edentulous mandible by an implant supported overdenture is now the recommended minimally accepted option. This prosthesis has many advantages over conventional dentures and root or tooth supported overdentuers. We present a case of a failed conventional long span bridge which was treated satisfactorily using a four implant supported over denture and discuss our treatment option along with its advantages. This is a new and developing treatment option in our country.
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    文章类型: Case Reports
    Extensive mandibular resection commonly leads to a deviation of the mandible, facial disfigurement, and difficulty with speech and mastication. The rehabilitation of these patients is a prosthodontic challenge. This article presents the case of a 60-year-old man who sought prosthetic rehabilitation after a right segmental mandibulectomy. The prosthetic rehabilitation was planned in 2 phases. A palatal ramp was constructed, followed by a mandibular guiding flange. After 4 months, the patient\'s chewing ability, tongue movement, and facial esthetics were improved.
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    文章类型: Case Reports
    Gingival overgrowth is, among other things, a side effect of the administration of dihydropyridine antihypertensives, generally associated with irritant factors of marginal periodontium. This case refers to a patient, female, who developed a large gingival enlargement that has a combined etiology: the systemic medication with lercanidipina and the presence of dental bridges, which are incorrectly adjusted to the dental cervix. The treatment for this case, involved a complex local treatment (antimicrobial, surgical, endodontic and prosthetic) and the collaboration with a specialist cardiologist. Maintaining the normal gingival parameters in time depends on the possibility of changing the antihypertensive medication, the accuracy of the new dental bridges and the periodic monitoring of the patient.
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    文章类型: Case Reports
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  • 文章类型: Case Reports
    The aim of this report is to present and discuss the clinical procedure of an implant-supported removable partial denture for a partially edentulous patient who exhibited a severely resorbed ridge and a collapsed vertical stop. The 67-year-old partially edentulous patient presented with a lack of vertical stop and an advanced transverse arch discrepancy. For the maxilla, an implant-supported removable partial denture was fabricated on bilateral distal implant abutments. The mandibular arch was restored with an implant-supported fixed partial denture, since it was expected to function more properly than a removable partial denture. This clinical report demonstrates a successful treatment approach to restore oral function and appearance for the patient.
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