RESUMO
Ectodermal dysplasia (ED) is a hereditary disorder characterized by the abnormal development of specific tissues and structures of ectodermal origin. This clinical report describes the multidisciplinary approach to the diagnosis and treatment of a 24-year-old patient with partial expression of ED. The treatment plan used dental implants to support fixed prostheses and ceramic restorations to establish acceptable esthetics and provide function.
Assuntos
Displasia Ectodérmica/reabilitação , Reabilitação Bucal/métodos , Silicatos de Alumínio/química , Anodontia/reabilitação , Coroas , Implantação Dentária Endóssea/instrumentação , Implantação Dentária Endóssea/métodos , Implantes Dentários , Porcelana Dentária/química , Prótese Dentária Fixada por Implante , Facetas Dentárias , Prótese Parcial Fixa , Estética Dentária , Humanos , Arcada Parcialmente Edêntula/reabilitação , Masculino , Planejamento de Assistência ao Paciente , Equipe de Assistência ao Paciente , Compostos de Potássio/química , Dimensão Vertical , Adulto JovemRESUMO
A clinical report is presented that describes the restoration of a severe anterior maxillary ridge defect and pneumatized sinuses with a rotation-path partial removable dental prosthesis and implant-supported abutments. Other treatment options were considered and rejected based on patient preferences and limitations, which included avoiding invasive surgeries. The principles of integrating fixed and removable prosthesis design were applied. However, the clasp design was modified to take into account the direct bone-to-implant contact of the abutments. An esthetic and functional outcome was obtained without any overly invasive surgery.
Assuntos
Dente Suporte , Prótese Dentária Fixada por Implante , Planejamento de Dentadura , Prótese Parcial Removível , Grampos Dentários , Implantação Dentária Endóssea/métodos , Implantes Dentários , Prótese Total Inferior , Estética Dentária , Feminino , Humanos , Mandíbula/cirurgia , Maxila/cirurgia , Pessoa de Meia-IdadeRESUMO
This clinical report describes the 5-year follow-up treatment of an 11-year-old boy with ectodermal dysplasia. The dentition was initially restored with a combination of maxillary anterior-bonded composite restorations and a mandibular complete denture. This individualized approach allowed successful management of the patient.
Assuntos
Restauração Dentária Permanente/métodos , Displasia Ectodérmica Anidrótica Tipo 1/complicações , Anormalidades Dentárias/reabilitação , Anodontia/etiologia , Anodontia/reabilitação , Criança , Resinas Compostas , Prótese Total Inferior , Seguimentos , Humanos , Masculino , Anormalidades Dentárias/etiologia , Dimensão VerticalRESUMO
Severe periodontal disease leading to tooth loss causes multiple challenges when treatment planning replacement of these teeth with implant-supported restorations. Provisionalization and transitioning the patient from natural dentition to implant-supported restorations without use of removable prostheses can be difficult to achieve. A detailed evaluation and comprehensive treatment plan should precede extraction of the affected teeth. Forced eruption as a method of modifying the osseous and gingival topography has been established. This clinical report illustrates the use of nonmaintainable teeth to simultaneously develop the site for future implant placement, as well as support a fixed interim restoration during treatment. Patient was classified as an American College of Prosthodontists Prosthodontic Diagnostic Index (ACP PDI) class IV patient.
