RESUMO
El edentulismo es la pérdida total o parcial de dientes de etiología cariogénica, periodontal, traumática.Las enfermedades sistémicas prexistentes deben estar controladas, previo a los tratamientos odontológicos, mejorando el pronóstico.Objetivo: restaurar estética, función, fonética en paciente geriátrico con patologías sistémicas preexistentes controladas aplicando protocolo de rehabilitación oral completa.Presentación del Caso: Mujer de 74 años con hipertensión y diabetes, medicación permanente Glucophage (Metformina) y Losartan (Hidroclorotiazida). Desdentado total superior, desdentado parcial inferior,clase I de Kennedy. Tratamiento en Fases. Fase I planificación en modelos de yeso, modelos virtuales.Fase II quirúrgica instalación de 6 implantes dentales NEODENT. La fase II quirúrgica, se realizó cirugíacampo abierto técnica de colgajo en forma de U, se colocaron 6 implantes dentales diámetro 3,75 mm x11,5 mm. Cono Morse Alvim (13 y 23) ,cuatro implantes de conexión cónica, i.e drive implants (14, 16, 24y 26). Fase III rehabilitación oral mediante filosofía gnatológica. Endodoncias de dientes inferiores, carillasde disilicato de litio, coronas de metal cerámica con ataches ERA, prótesis parcial removible inferior. FaseIV ejecución de prótesis hibrida superior con abutments multiunit de diferente angulación.Conclusión: el enfoque multidisciplinario en el tratamiento de la cavidad oral en pacientes geriátricos conpatologías sistémicas prexistentes, permitieron restaurar función, estética fonética en el paciente
An edentulous state is the total or partial loss of teeth and is mainly caused by caries and periodontal disease. Pre-existing systemic diseases must be under strict control prior to dental appointments for a favorable prognosis after treatment. Objective: To restore esthetics, function, and phonetic function in geriatric patients with pre-existing systemic diseases by applying a complete oral rehabilitation protocol. Case Presentation: A 74-year-old woman with history of hypertension and diabetes was medicated with Glucophage (metformin) and Losartan (hydrochlorothiazide). She presented a superior total edentulous maxilla and a partial edentulous Kennedy class I in the mandible. Treatment was performed in four phases. Phase I corresponded to the proper planning of the clinical case with plaster and virtual models. Phase II corresponded to the surgical phase, in which the U-shaped flap technique was performed and 6 dental implants with a diameter of 3.75 mm x 11.5 mm were placed. (Two conical connection implants (I.e. Morse Alvim) were placed in the anterior regions (13 and 23), and four other conical connection implants (i.e. Drive implants) were used in the posterior regions (14, 16, 24, and 26). Phase III oral rehabilitation the based on gnathological philosophy. Dental endodontics, lithium disilicate veneers, ceramic metal crowns with ERA attachments and removable partial dentures were used. Phase IV corresponded to the execution of an upper hybrid prosthesis with multiunit abutments of different angles. Conclusion: This minimally invasive multidisciplinary approach is considered predictable regarding esthetics and recommended for the restoration of patients appearance and self-esteem..
