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Oral Rehabilitation and Management of the Patient with Terminal Dentition: Clinical and Laboratory Case After 3 Years of Follow-up

  • Dental Restorative Materials (M Özcan and PF Cesar, Section Editors)
  • Published:
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Abstract

Purpose of Review

This article describes the clinical management of a patient who had a severely damaged dentition due to periodontal disease for several years.

Recent Findings

The following clinical case is developed from the integral and global aspect, including surgical conditioning, implant placement and the elaboration of a prosthetic prototype that can give a successful outcome for the definitive restoration. A full series of a diagnostic workup was made, and a treatment plan specific to the needs of the patient was laid out, with an emphasis on the difficulty of the management of these types of patients in which a dental practice is familiar with.

Summary

There are complications on these rehabilitations due to the severe damage of the dentition with extensive osseous atrophies that make a challenging situation in order to provide a comfortable, esthetic and functional rehabilitation. Implant-supported fixed dental prosthesis is a well-accepted treatment option for edentulism. Loss of teeth due to extensive caries or severe periodontitis presents a challenge to the clinicians.

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Further Reading

  1. Edelhoff D, et al. Interdisciplinary full-mouth rehabilitation for redefining esthetics, function, and orofacial harmony. J EsthetRestor Dent. 2019;31(3):179–89 [s. l.] In complex cases, digital technology today offers outstanding improvements and simplifications in craniomaxillofacial surgery and prosthetic treatments, leading to a wide range of planning and pretreatment options. Computer-aided design/computer-aided manufacturing technology enables the fabrication of tooth-colored flexible polycarbonate splints that offer a noninvasive, removable, functional, and esthetic solution. In intricate cases involving craniomaxillofacial anomalies, often together with necessary orofacial surgeries or prosthetic treatments due to moderate to severe tooth wear, such digital preprosthetic treatment and planning options represent an important enhancement with more predictable results.

  2. Saratti CM, Merheb C, Franchini L, Rocca GT, Krejci I. Full-mouth rehabilitation of a severe tooth wear case: a digital, esthetic and functional approach. Int Jf Esthet Dent. 2020;15(3):242–262. Accessed 2021.The availability of digital resources allows clinicians to increase the predictability of enhanced esthetics and good functional results. There is an increasing number of patients today who are affected by excessive tooth wear and may benefit from these kinds of treatments.

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Acknowledgements

Thanks to Araceli Steger and Enrico Steger for supporting my projects and being a great support in my career, to my graduate professors Dr. Luis Lomas Symonds and Alberto Domínguez from la Salle Bajío University for contributing in this case with their recommendations and valuable guidance as clinical advisers, and to Dr. Daniel Guzmán Donlucas and Daniela Velasco for their support and always push me to improve in my projects.

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Authors and Affiliations

  1. Department of Prosthodontics and Implantology, Universidad de La Salle Bajío, Faculty of dentistry, Private Practice in León Gto, Guanajuato, Mexico

    Francisco García Torres

  2. Zirkozahn Collaborator, Brunico, Italy

    Antonio Corradini

  3. Department of Prosthodontics and Implantology, Faculty of Dentistry, Universidad de La Salle Bajío, Aguascalientes, Mexico

    Eric Sánchez

Authors
  1. Francisco García Torres
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  2. Antonio Corradini
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  3. Eric Sánchez
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Corresponding author

Correspondence to Francisco García Torres.

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The authors declare no competing interests.

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Torres, F.G., Corradini, A. & Sánchez, E. Oral Rehabilitation and Management of the Patient with Terminal Dentition: Clinical and Laboratory Case After 3 Years of Follow-up. Curr Oral Health Rep 8, 29–47 (2021). https://doi.org/10.1007/s40496-021-00294-6

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  • DOI: https://doi.org/10.1007/s40496-021-00294-6

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