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1.
J Prosthet Dent ; 2024 Mar 30.
Article in English | MEDLINE | ID: mdl-38556404

ABSTRACT

Patients who have received bariatric surgery have specific and complex dental needs. After surgery, nutrient deficiencies, osteoporosis, gastroesophageal reflux, and changes to the oral cavity may be seen, and erosion, caries, wear, xerostomia, hypersensitivity, and changes to the salivary buffering capacity may occur. In addition, patients are advised to ingest smaller, more frequent, meals throughout the day, and the oral condition may decline rapidly after surgery. Without oversight, this accelerated decline may even necessitate complete mouth rehabilitation postoperatively. Dental providers should be an integral part of the multidisciplinary management team of these patients. This clinical report describes a patient with a terminal dentition following bariatric surgery who underwent prosthodontic rehabilitation with a facially driven fully digital workflow.

2.
Heliyon ; 10(1): e23939, 2024 Jan 15.
Article in English | MEDLINE | ID: mdl-38192821

ABSTRACT

Amelogenesis imperfecta is a rare genetic disorder that interferes with normal enamel formation. Of the 4 main types of amelogenesis imperfecta, hypoplastic (type 1) is the most prevalent, characterized by a quantitative alteration in enamel. The pitting or reduced thickness of the enamel results in generalized hypersensitivity, increased susceptibility to caries and infection, attrition, and a loss in vertical dimension of occlusion. Prosthodontic management of these patients can be challenging not only functionally and restoratively, but also from an emotional and psychosocial standpoint. This clinical report describes the prosthodontic management and rehabilitation of two young adult siblings with hypoplastic (type 1) amelogenesis imperfecta.

3.
J Prosthet Dent ; 130(1): 2-7, 2023 Jul.
Article in English | MEDLINE | ID: mdl-34696906

ABSTRACT

This clinical report describes the fixed prosthodontic treatment of an adult patient with ectodermal dysplasia by using a completely digital workflow, from the initial consultation appointment to the fabrication of the definitive implant-supported prostheses.


Subject(s)
Dental Implants , Ectodermal Dysplasia , Humans , Adult , Workflow , Dental Prosthesis, Implant-Supported , Ectodermal Dysplasia/complications
4.
J Prosthet Dent ; 2022 Dec 26.
Article in English | MEDLINE | ID: mdl-36577569

ABSTRACT

Ectodermal dysplasia is a rare genetic disorder characterized by congenital abnormalities of tissues and structures of ectodermal origin, such as the hair, nails, skin, sweat glands, and teeth. Common dental characteristics include retained primary teeth, conical shaped incisors and canines, and hypodontia or oligodontia. Early prosthodontic intervention of young patients diagnosed with ectodermal dysplasia is essential as symptoms can have substantial esthetic, functional, and psychosocial impacts. This clinical report describes the fixed prosthodontic treatment of an adolescent patient with ectodermal dysplasia by using a fully digital workflow. Digital workflows streamlined the treatment process and allowed for esthetic, functional, and psychological improvements in an efficient manner.

5.
J Prosthet Dent ; 2022 Apr 23.
Article in English | MEDLINE | ID: mdl-35473905

ABSTRACT

Amelogenesis imperfecta is a hereditary disorder that affects the enamel formation of the primary and permanent dentition and has significant consequences because hypersensitivity causes difficulty with oral hygiene, function, self-esteem, and quality of life. Patients diagnosed with amelogenesis imperfecta often require extensive treatment, often at an early age. Prosthodontic intervention of adolescent patients with amelogenesis imperfecta presents specific clinical challenges. This clinical report describes the fixed prosthodontic rehabilitation of a teenage patient with amelogenesis imperfecta by using a fully digital workflow throughout the treatment process, which facilitated functional, biomechanical, esthetic, and sociopsychological improvements.

6.
J Prosthet Dent ; 128(6): 1165-1170, 2022 Dec.
Article in English | MEDLINE | ID: mdl-33795160

ABSTRACT

The use of zygomatic implants to rehabilitate the severely atrophic maxilla has been well documented since first being introduced by Brånemark. Placement of zygomatic implants is technically complex, with catastrophic complications and numerous prosthetic challenges resulting from imprecise placement. The purpose of this report was to demonstrate a technique that allows transfer of the preoperatively planned sinus slot position to the surgical field by using cone beam computed tomography (CBCT) and an implant planning software program to fabricate a combined bone- and mucosa-supported 3D-printed surgical guide. This facilitates optimal zygomatic implant positioning and promotes favorable biomechanics with a predictable prosthetic outcome.


Subject(s)
Dental Implants , Jaw, Edentulous , Surgery, Computer-Assisted , Humans , Dental Implantation, Endosseous/methods , Surgery, Computer-Assisted/methods , Maxilla/diagnostic imaging , Maxilla/surgery , Printing, Three-Dimensional , Mucous Membrane/surgery , Zygoma/diagnostic imaging , Zygoma/surgery , Dental Prosthesis, Implant-Supported , Jaw, Edentulous/diagnostic imaging , Jaw, Edentulous/surgery
7.
J Prosthodont ; 29(2): 179-184, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31889369

ABSTRACT

Zygomatic implants have become a predictable treatment modality for the rehabilitation of the severely atrophic maxilla. Due to differing anatomic variations, proximity to vital anatomic structures and limited intraoperative visibility, the placement of zygomatic implants can be a difficult task; compromised implant positioning may ultimately lead to postoperative surgical and prosthetic complications. The purpose of this report is to demonstrate a technique that allows for the transfer of the sinus slot position. Ultimately, this optimizes zygomatic implant axis trajectory from preoperative prosthetic planning by using cone beam computed tomography (CBCT) and 3-dimensional (3D) planning software to fabricate a stereolithographic 3D-printed surgical guide.


Subject(s)
Dental Implants , Zygoma , Cone-Beam Computed Tomography , Dental Implantation, Endosseous , Maxilla , Printing, Three-Dimensional
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