RESUMO
This article describes the use of a laser-level paralleling device for the fabrication of a unilateral auricular prosthesis. Traditional methods require use of calipers to obtain orientation of contralateral auricular anatomy, which in turn can be difficult to replicate on the patient. The purpose of this clinical report is to describe a simple means to record unilateral auricular anatomy.
Assuntos
Orelha Externa , Lasers , Próteses e Implantes , Desenho de Prótese/instrumentação , Idoso , Pontos de Referência Anatômicos/anatomia & histologia , Carcinoma Basocelular/cirurgia , Neoplasias da Orelha/cirurgia , Orelha Externa/cirurgia , Humanos , Imãs , Masculino , Retenção da Prótese/instrumentaçãoRESUMO
Traumatic facial defects negatively impact speech, mastication, deglutition, dental hygiene, and psychosocial well-being. Reconstruction must address restoration of function and aesthetics to provide quality of life. This report describes soft-tissue reconstruction using a novel magnet-retained facial prosthesis without osseointegrated abutments, performed in a patient after traumatic loss of the entire left lower part of the face, including lips, commissure, and mentum. This reconstructive technique successfully addressed the cosmetic defect while also restoring function with respect to speech and oral nutrition. For this reason, magnet-retained facial prosthesis should be added to free tissue transfer and regional flaps as a reasonable option in the reconstructive algorithm for complex soft-tissue defects of the lower face.
Assuntos
Prótese Dentária Fixada por Implante , Traumatismos Faciais/cirurgia , Imãs , Traumatismos Mandibulares/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Adulto , Implantação Dentária Endóssea , Humanos , Masculino , Traumatismo Múltiplo , Retalhos CirúrgicosRESUMO
The replacement of a mandibular incisor is a dental treatment warranting special consideration. Some of the challenges associated with the anterior mandible are limited space, challenging surrounding anatomy, and tough esthetic requirements. Proper diagnosis and treatment planning may require a multidisciplinary approach to successfully meet the demands of replacing a missing tooth in this sextant. Several treatment options currently exist for mandibular incisor replacement. These options include (1) resin-bonded fixed dental prostheses (RBFDPs), (2) orthodontic treatment, (3) full-veneer fixed dental prostheses (FDPs), (4) dental implants for single-tooth replacement, (5) possible extraction of one or more incisors and restoration with implant-supported FDPs, (6) possible extraction of one or more teeth and restoration with FDPs from #22 to 27, (7) possible extraction of one or more teeth and restoration with removable dental prostheses (RDPs). This manuscript outlines the various treatment options for the replacement of mandibular incisors and discusses benefits and drawbacks of each.