This document summarizes a case report about the complete denture rehabilitation of a 65-year-old patient with Parkinson's disease. The patient presented with symptoms of Parkinson's like a mask-like face, tremors, and reduced motor control. Special techniques were used during the impression, jaw relation, and denture fabrication processes to account for the patient's physical challenges. These included using quick-setting materials, positioning the patient at 45 degrees, and employing lingualized teeth. Follow-ups were conducted to monitor the denture fit and make corrections. The successful rehabilitation helped improve the patient's nutrition, speech, and psychological well-being.
This document provides guidance on conducting a thorough diagnostic examination for a partially dentate patient, including: gathering patient medical and dental history; performing a clinical examination with radiographs and diagnostic casts; evaluating the patient's oral health, occlusion, and expectations; and developing a comprehensive treatment plan. Key steps involve establishing rapport, understanding the patient's psychological profile and any medical conditions, examining dental and periodontal health, assessing occlusion, and creating temporary and definitive treatment phases. Factors such as tooth support, oral hygiene, and patient motivation are considered for case selection and prognosis.
The long-term preservation of the dentition is closely associated with the frequency and quality of recall maintenance. The therapist should use risk assessment and educate the patient on the need for periodontal maintenance. Supportive periodontal therapy is a lifetime effort to prevent the disease from recurring. Patients who do not return for supportive periodontal therapy lose more teeth than compliant patients.
This document provides information on the diagnosis and management of displaced teeth. It discusses the types of displacement injuries including concussion, horizontal displacements, and vertical displacements such as intrusion and extrusion. Key points include that displacement injuries damage the pulp vascular bundle and periodontal ligament attachment. Proper management depends on knowledge of the injury characteristics and includes repositioning displaced teeth, splinting, and follow up care to monitor for pulp necrosis and resorption. Management may involve endodontic treatment or orthodontic correction depending on the severity of displacement and stage of root development.
This document discusses the role of prosthodontists in rehabilitating patients after maxillofacial surgery. It notes that rehabilitation requires a multidisciplinary team including prosthodontists. Prosthodontists are involved in pre-surgical treatment planning, fabricating surgical stents, and managing post-surgical rehabilitation through various prostheses. For different types of defects, such as maxillary, mandibular, soft palate, and extraoral defects, different prosthetic options are discussed including obturators, dentures, and facial prostheses. The goal of rehabilitation is to restore functions like speech, swallowing, and aesthetics.
This document discusses the importance of diagnosis and treatment planning for prosthodontic treatment. It outlines the key steps in conducting an examination of a patient, including taking a health history, conducting an oral examination, and evaluating how medical conditions and medications may impact treatment. The goals of prosthodontic treatment are to restore function, eliminate disease, and preserve remaining oral health. A thorough diagnosis is essential to developing an appropriate treatment plan.
This document presents the case of a 12-year-old male patient named Punith who is seeking orthodontic treatment. He has forwardly placed upper and lower front teeth, a family history of malocclusion, and a tongue thrust habit. Clinical examination found spacing in his upper and lower anterior teeth, a class I molar relationship, and 7mm of lip incompetence. Radiographs and cephalometric analysis indicate he has a developing vertical skeletal dysplasia. The treatment plan is to use myofunctional exercises and appliances to correct his tongue thrust, achieve lip competence, improve facial profile, and align his teeth through extraction and the use of sectional wires and a high pull headgear.
Maintenance therapy after active periodontal treatment involves regular recall visits and re-evaluations by the dental team to prevent recurrence of periodontal disease. The goals are to maintain healthy teeth and gums for life through controlling factors like plaque, treating new issues early, and reinforcing proper home care. Regular recall visits every 3 months initially, extending longer as periodontal health improves, allow monitoring and early treatment if disease recurs due to causes like incomplete plaque removal or failure to follow the recall schedule.
This document provides guidance on conducting a thorough diagnostic examination for a partially dentate patient, including: gathering patient medical and dental history; performing a clinical examination with radiographs and diagnostic casts; evaluating the patient's oral health, occlusion, and expectations; and developing a comprehensive treatment plan. Key steps involve establishing rapport, understanding the patient's psychological profile and any medical conditions, examining dental and periodontal health, assessing occlusion, and creating temporary and definitive treatment phases. Factors such as tooth support, oral hygiene, and patient motivation are considered for case selection and prognosis.
The long-term preservation of the dentition is closely associated with the frequency and quality of recall maintenance. The therapist should use risk assessment and educate the patient on the need for periodontal maintenance. Supportive periodontal therapy is a lifetime effort to prevent the disease from recurring. Patients who do not return for supportive periodontal therapy lose more teeth than compliant patients.
This document provides information on the diagnosis and management of displaced teeth. It discusses the types of displacement injuries including concussion, horizontal displacements, and vertical displacements such as intrusion and extrusion. Key points include that displacement injuries damage the pulp vascular bundle and periodontal ligament attachment. Proper management depends on knowledge of the injury characteristics and includes repositioning displaced teeth, splinting, and follow up care to monitor for pulp necrosis and resorption. Management may involve endodontic treatment or orthodontic correction depending on the severity of displacement and stage of root development.
This document discusses the role of prosthodontists in rehabilitating patients after maxillofacial surgery. It notes that rehabilitation requires a multidisciplinary team including prosthodontists. Prosthodontists are involved in pre-surgical treatment planning, fabricating surgical stents, and managing post-surgical rehabilitation through various prostheses. For different types of defects, such as maxillary, mandibular, soft palate, and extraoral defects, different prosthetic options are discussed including obturators, dentures, and facial prostheses. The goal of rehabilitation is to restore functions like speech, swallowing, and aesthetics.
This document discusses the importance of diagnosis and treatment planning for prosthodontic treatment. It outlines the key steps in conducting an examination of a patient, including taking a health history, conducting an oral examination, and evaluating how medical conditions and medications may impact treatment. The goals of prosthodontic treatment are to restore function, eliminate disease, and preserve remaining oral health. A thorough diagnosis is essential to developing an appropriate treatment plan.
This document presents the case of a 12-year-old male patient named Punith who is seeking orthodontic treatment. He has forwardly placed upper and lower front teeth, a family history of malocclusion, and a tongue thrust habit. Clinical examination found spacing in his upper and lower anterior teeth, a class I molar relationship, and 7mm of lip incompetence. Radiographs and cephalometric analysis indicate he has a developing vertical skeletal dysplasia. The treatment plan is to use myofunctional exercises and appliances to correct his tongue thrust, achieve lip competence, improve facial profile, and align his teeth through extraction and the use of sectional wires and a high pull headgear.
Maintenance therapy after active periodontal treatment involves regular recall visits and re-evaluations by the dental team to prevent recurrence of periodontal disease. The goals are to maintain healthy teeth and gums for life through controlling factors like plaque, treating new issues early, and reinforcing proper home care. Regular recall visits every 3 months initially, extending longer as periodontal health improves, allow monitoring and early treatment if disease recurs due to causes like incomplete plaque removal or failure to follow the recall schedule.
This document discusses supportive periodontal treatment (SPT). It outlines the goals and phases of periodontal treatment, including preliminary, non-surgical, surgical, restorative, and maintenance phases. SPT, also called periodontal maintenance therapy, involves procedures performed at regular intervals to help patients maintain oral health after initial periodontal treatment. The document emphasizes that SPT is important to prevent recurrence of periodontal disease by supporting patients' efforts to control infections through regular professional cleanings and monitoring. Compliance with the SPT recall system and maintaining good oral hygiene are also highlighted as important factors that influence disease progression risk.
Periodontal disease requires ongoing supportive periodontal therapy (SPT) to maintain dental health. SPT involves regular professional cleanings and assessments to monitor risk factors and disease progression. The goals of SPT are to prevent recurrence of periodontal disease, reduce tooth loss, and catch other oral issues early. SPT assessments evaluate patient, tooth, and site-specific risks. Patients deemed high risk based on factors like bleeding, pockets, tooth loss, and smoking require more frequent preventive care. SPT aims to control inflammation through ongoing plaque removal to keep gingivitis and periodontitis at bay.
Partial or complete edentulism has multiple implications in relation to function, esthetics and future rehabilitative treatment. This case report illustrates the management of a patient with extreme consequences of partial edentulism in the maxillary arch and total edentulism in the mandibular arch. The main clinical findings were unopposed remaining teeth, over eruption of the remaining teeth, loss of vertical dimension of occlusion, and significant disfigurement of the occlusal plane. Following the diagnostic procedure, a well-coordinated prosthodontic treatment involving liaison with other dental disciplines was indicated. The management involved an innovative combination of fixed and removable prostheses in conjunction with intentional root canal therapy of the remaining natural teeth. Series of provisional prostheses were applied to facilitate the transition to the final treatment.
Key-words: Edentulism, Vertical dimension, Provisional Restoration, Fixed and Removable prosthesis
This article discusses guidelines for assessing patients who wear complete dentures and their existing dentures. It covers general assessment of the patient, including their soft tissues, hard tissues, medical history and expectations. Assessment of the dentures includes examining retention, stability, occlusion and comfort. The goal is to determine patients' complaints, identify any problems, and establish appropriate treatment options such as relining, rebasing or new dentures. A simple assessment form is suggested to record the initial visit. The guidelines aim to help practitioners thoroughly evaluate patients' needs and develop suitable treatment plans for complete denture wearers.
The document discusses supportive periodontal therapy (SPT), which involves maintenance care after initial periodontal treatment. SPT aims to prevent recurrence of periodontal disease and maintain oral health achieved through active treatment. It includes risk assessment, examination, treatment if needed, and scheduling follow-up appointments. The risk assessment evaluates bleeding, pockets, tooth loss, bone loss, systemic factors, and smoking. Sites are assessed for bleeding, depth, attachment loss, and suppuration. Regular recall appointments including cleaning and exams help preserve periodontal health and reduce further loss of attachment.
The document summarizes a journal club presentation on the efficacy of hydroxyapatite and silica nanoparticles for remineralizing erosive lesions. It provides definitions and classifications of dental erosion, as well as risk factors, clinical appearance, evaluation methods, and current management strategies. The study aimed to compare the mineral gain and penetration of hydroxyapatite and silica nanoparticle infiltrates into artificially-created erosive enamel and dentin lesions. Results showed hydroxyapatite infiltrate resulted in greater remineralization of enamel and similar remineralization of dentin compared to silica nanoparticles.
This document discusses supportive periodontal therapy (SPT). It begins with an introduction and overview of SPT. It then discusses the rationale and objectives of SPT, which include preventing disease recurrence and progression. Compliance is important for effective SPT. The document outlines the typical parts of an SPT visit, including examination, motivation and instrumentation, treatment of reinfected sites, and determination of recall interval. Research shows that regular SPT every 3-6 months is effective at preventing further attachment and bone loss. The document also discusses classifying post-treatment patients, referring patients to specialists, assessing risk of disease recurrence, and complications of SPT.
The document discusses diagnosis and treatment planning for patients requiring removable partial dentures. It outlines the importance of a thorough patient interview and clinical examination, including diagnostic casts and jaw relation records, to understand the patient's needs and dental condition. A comprehensive analysis of all diagnostic findings is necessary to develop an appropriate treatment plan that meets the objectives of eliminating disease, preserving oral tissues, and restoring function and esthetics. The treatment plan for an edentulous patient is simple, but a complex case requires assembling all diagnostic criteria to ensure success.
1. Supportive periodontal therapy (SPT) involves ongoing monitoring and treatment to prevent recurrence of periodontal disease in patients who have undergone initial treatment.
2. SPT includes examinations, treatment of reinfected sites, oral hygiene reinforcement, and scheduling of follow-up visits. Studies show patients who receive regular SPT have better periodontal health outcomes and are less likely to lose teeth over the long term compared to those who do not receive ongoing maintenance care.
3. While 3-month intervals between SPT visits are commonly recommended, some studies indicate recall intervals can be extended to up to 1 year for compliant patients with a history of limited periodontal disease susceptibility. The appropriate interval depends on the individual patient
Diagnosis and treatment planning of Removable Partial Denture dwijk
This document discusses the process of examining a patient and developing a treatment plan for a removable partial denture. It covers organizing the initial examination, evaluating medical and dental history, performing diagnostic tests and impressions, and analyzing the data to formulate a treatment plan. The goal is to thoroughly understand the patient's condition and needs to develop a successful treatment.
DIAGNOSTIC SETUP FOR REMOVABLE PARTIAL DENTURE /prosthodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Treatment planning for partially edentulous patients /fixed orthodontics coursesIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This document discusses diagnosis and treatment planning for removable partial dentures. It begins by defining key terms like diagnosis, treatment planning, and removable partial denture. It emphasizes the importance of a thorough patient interview and medical/dental history to accurately diagnose issues and develop a treatment plan. The document outlines factors to consider in the patient interview and examining the patient's mouth, teeth and bone. It discusses how various medical conditions and medications can impact treatment and the need to consult physicians in some cases.
This document presents the case of a patient seeking full mouth rehabilitation due to severe deterioration of his oral health from poor hygiene. The patient had previously refused treatment plans involving fixed partial dentures and crowns. Examination found missing teeth #46 and #45 and dental attrition. The treatment plan will take into account factors like tooth eruption after attrition, compensating for lost vertical dimension, and ensuring ferrule effect for shortened clinical crowns. Temporary restorations may be used to achieve satisfactory esthetics and function for the permanent restoration. A multidisciplinary approach involving different dental specialties will be needed for complicated cases.
The document discusses guidelines and best practices for treating children with dental procedures under general anesthesia, including indications such as extreme uncooperativeness, requirements for hospitalization versus outpatient settings, pre-operative assessments, operating room protocols, recommended dental treatments, post-operative care, and the importance of preventative therapies and behavior management for successful outcomes. Proper patient selection, qualified dental staff, and outpatient surgery centers can help achieve the best results when using general anesthesia to deliver necessary dental care to children.
Diagnosis and treatment planning for removable partial denturesKelly Norton
The document discusses the process of diagnosis and treatment planning for removable partial dentures. It involves a thorough patient interview and medical/dental history to understand the patient's needs and concerns. A comprehensive clinical examination including intraoral photos, diagnostic casts, and x-rays is then used to evaluate the oral health, identify treatment needs, and assess teeth for suitability as abutments. The findings are interpreted to formulate a treatment plan addressing disease management and prosthetic reconstruction.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Anterior openbite diagnosis and managment (oral surgery)dentalcare3
1. The document discusses the diagnosis and treatment of anterior open bite malocclusion. It defines anterior open bite and lists its causes such as skeletal, dental, soft tissue, and habits.
2. Treatment depends on the cause and age of the patient, and can include appliances, headgear, fixed appliances, extractions, and sometimes surgery. For growing patients, habit correction and arch expansion may work.
3. In skeletally mature patients, open bite can be corrected orthodontically by extruding incisors, intruding molars, and expanding the maxilla. Stability is a concern and compromise of facial aesthetics is possible.
4. Surgical options are discussed for cases involving
This document discusses supportive periodontal treatment (SPT). It outlines the goals and phases of periodontal treatment, including preliminary, non-surgical, surgical, restorative, and maintenance phases. SPT, also called periodontal maintenance therapy, involves procedures performed at regular intervals to help patients maintain oral health after initial periodontal treatment. The document emphasizes that SPT is important to prevent recurrence of periodontal disease by supporting patients' efforts to control infections through regular professional cleanings and monitoring. Compliance with the SPT recall system and maintaining good oral hygiene are also highlighted as important factors that influence disease progression risk.
Periodontal disease requires ongoing supportive periodontal therapy (SPT) to maintain dental health. SPT involves regular professional cleanings and assessments to monitor risk factors and disease progression. The goals of SPT are to prevent recurrence of periodontal disease, reduce tooth loss, and catch other oral issues early. SPT assessments evaluate patient, tooth, and site-specific risks. Patients deemed high risk based on factors like bleeding, pockets, tooth loss, and smoking require more frequent preventive care. SPT aims to control inflammation through ongoing plaque removal to keep gingivitis and periodontitis at bay.
Partial or complete edentulism has multiple implications in relation to function, esthetics and future rehabilitative treatment. This case report illustrates the management of a patient with extreme consequences of partial edentulism in the maxillary arch and total edentulism in the mandibular arch. The main clinical findings were unopposed remaining teeth, over eruption of the remaining teeth, loss of vertical dimension of occlusion, and significant disfigurement of the occlusal plane. Following the diagnostic procedure, a well-coordinated prosthodontic treatment involving liaison with other dental disciplines was indicated. The management involved an innovative combination of fixed and removable prostheses in conjunction with intentional root canal therapy of the remaining natural teeth. Series of provisional prostheses were applied to facilitate the transition to the final treatment.
Key-words: Edentulism, Vertical dimension, Provisional Restoration, Fixed and Removable prosthesis
This article discusses guidelines for assessing patients who wear complete dentures and their existing dentures. It covers general assessment of the patient, including their soft tissues, hard tissues, medical history and expectations. Assessment of the dentures includes examining retention, stability, occlusion and comfort. The goal is to determine patients' complaints, identify any problems, and establish appropriate treatment options such as relining, rebasing or new dentures. A simple assessment form is suggested to record the initial visit. The guidelines aim to help practitioners thoroughly evaluate patients' needs and develop suitable treatment plans for complete denture wearers.
The document discusses supportive periodontal therapy (SPT), which involves maintenance care after initial periodontal treatment. SPT aims to prevent recurrence of periodontal disease and maintain oral health achieved through active treatment. It includes risk assessment, examination, treatment if needed, and scheduling follow-up appointments. The risk assessment evaluates bleeding, pockets, tooth loss, bone loss, systemic factors, and smoking. Sites are assessed for bleeding, depth, attachment loss, and suppuration. Regular recall appointments including cleaning and exams help preserve periodontal health and reduce further loss of attachment.
The document summarizes a journal club presentation on the efficacy of hydroxyapatite and silica nanoparticles for remineralizing erosive lesions. It provides definitions and classifications of dental erosion, as well as risk factors, clinical appearance, evaluation methods, and current management strategies. The study aimed to compare the mineral gain and penetration of hydroxyapatite and silica nanoparticle infiltrates into artificially-created erosive enamel and dentin lesions. Results showed hydroxyapatite infiltrate resulted in greater remineralization of enamel and similar remineralization of dentin compared to silica nanoparticles.
This document discusses supportive periodontal therapy (SPT). It begins with an introduction and overview of SPT. It then discusses the rationale and objectives of SPT, which include preventing disease recurrence and progression. Compliance is important for effective SPT. The document outlines the typical parts of an SPT visit, including examination, motivation and instrumentation, treatment of reinfected sites, and determination of recall interval. Research shows that regular SPT every 3-6 months is effective at preventing further attachment and bone loss. The document also discusses classifying post-treatment patients, referring patients to specialists, assessing risk of disease recurrence, and complications of SPT.
The document discusses diagnosis and treatment planning for patients requiring removable partial dentures. It outlines the importance of a thorough patient interview and clinical examination, including diagnostic casts and jaw relation records, to understand the patient's needs and dental condition. A comprehensive analysis of all diagnostic findings is necessary to develop an appropriate treatment plan that meets the objectives of eliminating disease, preserving oral tissues, and restoring function and esthetics. The treatment plan for an edentulous patient is simple, but a complex case requires assembling all diagnostic criteria to ensure success.
1. Supportive periodontal therapy (SPT) involves ongoing monitoring and treatment to prevent recurrence of periodontal disease in patients who have undergone initial treatment.
2. SPT includes examinations, treatment of reinfected sites, oral hygiene reinforcement, and scheduling of follow-up visits. Studies show patients who receive regular SPT have better periodontal health outcomes and are less likely to lose teeth over the long term compared to those who do not receive ongoing maintenance care.
3. While 3-month intervals between SPT visits are commonly recommended, some studies indicate recall intervals can be extended to up to 1 year for compliant patients with a history of limited periodontal disease susceptibility. The appropriate interval depends on the individual patient
Diagnosis and treatment planning of Removable Partial Denture dwijk
This document discusses the process of examining a patient and developing a treatment plan for a removable partial denture. It covers organizing the initial examination, evaluating medical and dental history, performing diagnostic tests and impressions, and analyzing the data to formulate a treatment plan. The goal is to thoroughly understand the patient's condition and needs to develop a successful treatment.
DIAGNOSTIC SETUP FOR REMOVABLE PARTIAL DENTURE /prosthodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Treatment planning for partially edentulous patients /fixed orthodontics coursesIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This document discusses diagnosis and treatment planning for removable partial dentures. It begins by defining key terms like diagnosis, treatment planning, and removable partial denture. It emphasizes the importance of a thorough patient interview and medical/dental history to accurately diagnose issues and develop a treatment plan. The document outlines factors to consider in the patient interview and examining the patient's mouth, teeth and bone. It discusses how various medical conditions and medications can impact treatment and the need to consult physicians in some cases.
This document presents the case of a patient seeking full mouth rehabilitation due to severe deterioration of his oral health from poor hygiene. The patient had previously refused treatment plans involving fixed partial dentures and crowns. Examination found missing teeth #46 and #45 and dental attrition. The treatment plan will take into account factors like tooth eruption after attrition, compensating for lost vertical dimension, and ensuring ferrule effect for shortened clinical crowns. Temporary restorations may be used to achieve satisfactory esthetics and function for the permanent restoration. A multidisciplinary approach involving different dental specialties will be needed for complicated cases.
The document discusses guidelines and best practices for treating children with dental procedures under general anesthesia, including indications such as extreme uncooperativeness, requirements for hospitalization versus outpatient settings, pre-operative assessments, operating room protocols, recommended dental treatments, post-operative care, and the importance of preventative therapies and behavior management for successful outcomes. Proper patient selection, qualified dental staff, and outpatient surgery centers can help achieve the best results when using general anesthesia to deliver necessary dental care to children.
Diagnosis and treatment planning for removable partial denturesKelly Norton
The document discusses the process of diagnosis and treatment planning for removable partial dentures. It involves a thorough patient interview and medical/dental history to understand the patient's needs and concerns. A comprehensive clinical examination including intraoral photos, diagnostic casts, and x-rays is then used to evaluate the oral health, identify treatment needs, and assess teeth for suitability as abutments. The findings are interpreted to formulate a treatment plan addressing disease management and prosthetic reconstruction.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Anterior openbite diagnosis and managment (oral surgery)dentalcare3
1. The document discusses the diagnosis and treatment of anterior open bite malocclusion. It defines anterior open bite and lists its causes such as skeletal, dental, soft tissue, and habits.
2. Treatment depends on the cause and age of the patient, and can include appliances, headgear, fixed appliances, extractions, and sometimes surgery. For growing patients, habit correction and arch expansion may work.
3. In skeletally mature patients, open bite can be corrected orthodontically by extruding incisors, intruding molars, and expanding the maxilla. Stability is a concern and compromise of facial aesthetics is possible.
4. Surgical options are discussed for cases involving
Full mouth rehabilitation is a complex and multidisciplinary treatment approach aimed at restoring oral health, function, and esthetics in patients with extensive dental problems. In the present case, a 70- year-old female patient presented with multiple missing teeth and reduced vertical dimension of occlusion and wanted to resolve all her dental problems. After thorough clinical examination involving assessment of the dentition, periodontium, and temporomandibular joint, an individualized treatment plan was formed. The teeth with poor prognosis were extracted followed by correction of vertical dimension of occlusion using a night guard. The missing teeth were replaced with fixed partial dentures and the other teeth which required full coverage crowns were provided with crowns. The patient was satisfied with the results achieved and is presently attending follow-up appointments following the procedure. This article explains the process of full mouth rehabilitation of this patient in detail.
This document describes a case report of replanting four avulsed maxillary anterior teeth in a 12-year-old patient. The teeth were rinsed, gently cleaned of debris, and replanted within an hour of avulsion. They were splinted and the patient was treated with antibiotics and analgesics. After 8 weeks the splint was removed and root canal treatment was performed due to mild pain on percussion. Over a year later, the teeth remained functional with no signs of pain or mobility. The document discusses factors that influence the success of tooth replantation such as storage media, extraoral dry time, and immediate replantation or endodontic treatment.
Replantation of Avulsed Permanent Anterior Teeth: A Case Report.Abu-Hussein Muhamad
Tooth avulsion in the permanent dentition constitutes a dental emergency. Replantation of the avulsed tooth restores aesthetics and occlusal function shortly after the injury. This article describes the management of a 12-year old male with four avulsed anterior maxillary permanent teeth. The avulsed teeth were replanted and root canal treatment carried out after a short fixation. The result obtained was very satisfactory and the teeth remain in good functional status one year after replantation. Early treatment and regular attendance to clinic following replantation is an important factor for good result.
1. A study compared long-term stability of adolescent versus adult surgery for treatment of mandibular deficiency, finding that beyond 1 year post-surgery, younger patients showed significantly greater changes in horizontal and vertical positions of mandibular landmarks and angles.
2. Early mandibular advancement surgery may be less stable long-term than performing the same surgery on older, growth-completed patients.
3. Younger patients undergoing two-jaw surgery experienced even greater long-term changes than those receiving isolated mandibular advancement.
This slide will help you to understand how the computer guided surgery is helpful for fixed denture. It explains implant supported fix denture in detail.
This document discusses the diagnosis process for complete dentures, which involves evaluating the patient's mental attitude, systemic medical status, past dental history, and local oral conditions. A thorough diagnosis is important for developing an appropriate treatment plan. The success of dentures depends on factors like patient preparedness and relationship with the dentist. Patients can be classified into four categories - philosophical, exacting, indifferent, and hysterical - based on their mental attitude. Systemic diseases, past experiences, oral health, and the condition of the mouth and jaws must all be considered.
The document describes a modified neutral zone technique for improving the stability of mandibular complete dentures. The technique involves making an acrylic resin base with posterior occlusal rims, applying a thermoplastic denture adhesive, and having patients wear it for 2 days to record the neutral zone. The base is then used to make an acrylic resin complete denture. Most patients reported improved denture stability and reduced pressure sores. However, the technique is complex and not recommended for routine use.
Introduction to pediatric dentistry 2009(new)drferas2
1. Pediatric dentistry is concerned with dental care and treatment of children, with objectives including relieving pain, restoring function, preventing disease, and modifying child behavior.
2. Common dental diseases in children include baby bottle caries, thumb sucking, trauma, and malocclusion. Treatment involves restorative procedures like fillings, stainless steel crowns, pulpotomy, and extractions when teeth are non-restorable.
3. Elements of comprehensive pediatric dental care include patient records, behavior management, guidance of developing occlusion, and preventive methods like fluoride, sealants, and dietary counseling.
Supportive periodontal therapy (SPT) involves regular maintenance visits after initial treatment for periodontal disease to prevent recurrence. The goals of SPT are to prevent further loss of attachment and tooth loss through monitoring the dentition. Key parts of SPT include examining the patient, providing re-instruction on oral hygiene, instrumenting reinfected sites, and polishing teeth while applying fluoride. Regular visits every 3-6 months are typically recommended, with more frequent visits for higher-risk patients. Failure to comply with SPT risks recurrence of periodontal disease due to a buildup of plaque and bacteria.
This document provides information on diagnosing and treatment planning for partially edentulous patients. It discusses the importance of proper diagnosis in developing an effective treatment plan. Key diagnostic procedures include patient interviews and history, clinical examination of intraoral and extraoral structures, radiographic examination, and evaluation of diagnostic casts. The document outlines factors to consider for each diagnostic procedure to thoroughly evaluate the patient's condition and needs to determine the most appropriate treatment.
Full mouth fixed implant rehabilitation in a patientUE
This case report describes the full mouth rehabilitation of a 37-year old female patient who had lost most of her teeth due to generalized aggressive periodontitis. After extracting all remaining teeth, the patient received 12 dental implants, with 6 placed in each jaw. Fixed detachable prostheses were fabricated connecting all 12 implants. The patient was satisfied with the final result and remained stable at the 10 month follow up, though continuous maintenance care is critical for long term success given the risk of peri-implantitis in patients with periodontal disease.
The document provides information on orthodontic diagnosis and clinical examination. It discusses examining the patient's age, medical history, dental history, chief complaint, and habits which help in diagnosis and treatment planning. The clinical examination evaluates the skeletal, facial, and occlusal characteristics to determine the cause of malocclusion which can be skeletal, dental, soft tissue, or a combination. This includes assessing the anteroposterior, vertical, and transverse jaw relationships to classify the skeletal pattern and guide orthodontic treatment.
principles of Orthodontic management of cleft lip and palatejonathan kiprop
pathophysiology of clefting....embryological basis
management of cleft lip and cleft palate- orthodontic consideration
timing and sequencing of treatment
primary verses secondary alveolar grafting
Fabrication of functional complete dentures for edentulous patients who have undergone hemimandibulectomy is a very arduous and demanding endeavor.
The most challenging situation encountered during this procedure is the deviation of the mandible to the resected side. The deviation of the mandible to the resected side is directly proportional to the loss of tissues in the area hemi-mandibulectomy has been performed.
In cases with Cantor and Curtis classes II, III, IV, and V, guide flange prosthesis would be a treatment modality. For guide flange prosthesis to be effective, the sufficient number of posterior teeth that are periodontally sound should be present in the opposite arch.
In patients where reconstruction is not done after resection of the mandible, scar tissue formation occurs over a period of time that stiffens the tissues and worsens prosthetic rehabilitation, leading to compromised treatment planning.
complete denture after a stroke ( Prosthodontics)DHANANJAYSHETH1
This document summarizes a journal club presentation about using orofacial myofunctional therapy and a modified denture to improve oral function for an edentulous patient after a stroke. Key points:
- A 70-year-old man had difficulty with tongue movement, mastication after a stroke 2 years prior
- A denture was fabricated with a wire and pearl in the palate to guide the mandible and encourage tongue exercises
- After 3 months of exercises and wearing the denture, the patient's tongue movement, mastication, and swallowing improved and the effects were maintained.
This document provides guidance on the dental management of handicapped children. It discusses the first dental visit, radiographic examination, preventive dentistry including home dental care, diet and nutrition, fluoride exposure, and professional supervision. It also covers management during treatment such as immobilization techniques, nitrous oxide analgesia, and general anesthesia. Finally, it discusses dental treatment considerations for specific conditions including mental disabilities, respiratory diseases, hearing loss, visual impairment, and heart disease.
Similar to Clinical strategies for complete denture rehabilitation in a patient with parkinson disease and reduced neuromuscular control (20)
What Could Be Behind Your Mercedes Sprinter's Power Loss on Uphill RoadsSprinter Gurus
Unlock the secrets behind your Mercedes Sprinter's uphill power loss with our comprehensive presentation. From fuel filter blockages to turbocharger troubles, we uncover the culprits and empower you to reclaim your vehicle's peak performance. Conquer every ascent with confidence and ensure a thrilling journey every time.
Ever been troubled by the blinking sign and didn’t know what to do?
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The Octavia range embodies the design trend of the Škoda brand: a fusion of
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Fleet management these days is next to impossible without connected vehicle solutions. Why? Well, fleet trackers and accompanying connected vehicle management solutions tend to offer quite a few hard-to-ignore benefits to fleet managers and businesses alike. Let’s check them out!
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2. contributes to the eating and social integration [5]. The successful complete denture
rehabilitation largely depends on the ability of the patient to control the denture with
oral musculature. The denture retention and control in PD patients is further
compromised due to thick ropey saliva, xerostomia, and rigid muscles. The
psychological component like depression, cognitive problems, and apathy further
jeopardise the successful fabrication and utilisation of complete denture. The
anticholinergic drugs, sometimes used for tremor or for bladder overactivity, produce
dry mouth, which needs to be considered in designing any oral intervention. The
treatment plan strategy should consider both physical and psychological challenges
associated with the disease. The patient management should be compassionate and
caring, and it should include effective time management [6]. This case report describes
the complete denture rehabilitation strategy and procedure involved in a patient with
Parkinson’s disease.
2. Case Report
A 65-year-oldcompletely edentulous male patient with Parkinson’s disease was referred
to prosthodontic clinic for complete denture rehabilitation (Figure 1). He was diagnosed
with PD at 61 years of age; since then he was under Levodopa medication. Patient
presented the history of surgical enucleation for dentigerous cyst at right side mandible
ten years ago. After surgery, the patient complained of slight paraesthesia of lip on the
operated side. The patient presented with festinated gait and forward flexion ofthe body.
He required the assistance to walk and get in/out of the dental chair indicating a lower
level of muscle coordination. The speech of the patient was soft, hurried, and
monotonous. The extraoral examination showed the lack of facial expression and
reduced blinking of eyes. The mandibular movement showed the slight trembling and
limited movement of the lips during conversation. The patient was depressive and
showed cognitive dysfunction. The intraoral examination revealed the reduced salivary
flow, with postsurgical depression (0.5 cm × 0.5 cm diameter) in the region of lower
right third molar (Figure 2). Both maxillary and mandibular residual ridges were high
and well-rounded, with deep palatal vault and Type III soft-hard palate junction. The
slight difficulty in swallowing was noticed in the patient due to the initial stage of
bradykinesia. Temporomandibular joint examination showed no significant pathological
deviation. The OPG radiograph was made to rule out the recurrence of dentigerous cyst.
The patients consulting neurophysician opinion was sought regarding the fitness and
required precaution during dental treatment. The treatment objective was the complete
denture rehabilitation of the patient to improve his nutrition status through improved
masticatory efficiency. The objective also included the improvement in speech and
enhancing his psychological status. The treatment options were discussed with the
patient and his wife. The advantage of an implant retained prosthesis was explained; due
to socioeconomic constraints of the patient the conventional completed denture
treatment plan was finalized. The treatment plan was explained to the patient, and
informed consent was obtained for the treatment plan.
Figure 1: Completely edentulous Parkinson patient with mask-like face and fixed gaze.
Figure 2: Postsurgical depression due to dentigerous cyst enucleation at third molar
region.
3. The patient was advised to consume the PD medicine (Levodopa) one hour prior to
treatment. The appointments were fixed in the morning time for the short duration of 45
minutes. The patient was requested to empty his urinary bladder before treatment
initiation to avoid urinary urgency and incontinence. A special emphasis was made to
treat the patient in compassionate, caring environment to alleviate anxiety and
frustration behaviour. The patient’s wife was made to sit next to the patient to reduce
the anxiety and to help in interpreting the patient’s speech. The sympathetic approach
was followed to allow slow response rate of patient during communication.
The dental chair was inclined at 45 degrees to facilitate the swallowing except during
jaw relation procedure. Since the patient was unable to open the mouth for a long time
the primary impression was made from impression compound (Figure 3). It provided
the dual advantage of quick setting and subsequent correction. The special tray was
fabricated from autopolymerizing acrylic for selective pressure impression method. The
border moulding was done again in an incremental step from modelling plastic
impression compound. Light body additional silicone impression material was used for
final secondary impression (Figure 4). The vertical height of occlusion was set slightly
less than the normal. The jaw movement exercises were explained and demonstrated to
the patient and his wife. The patient was requested to practice the mandible movement
at home prior to jaw relation appointment. The maxilla mandibular horizontal jaw
relation was established by bilateral manipulation technique. The Alu-wax was used for
recording jaw relation. Another set of similar record blocks was made from modelling
plastic impressioncompound torecordneutral zone. The softenedcompound was placed
inside the patient’s mouth, and he was requested to perform physiological muscle
functions like sucking, swallowing, and phonetics. The procedure was repeated by
softening compound due to poor muscular activity of the patient. The split putty index
was made from the contoured impressioncompound to guide the technician in arranging
the teeth in the neutral zone. The denture teeth were arranged in lingualized occlusion.
The aesthetic try-in and jaw relation verification was done on a trial denture. The
selective grinding procedure was performed on the articulator and inside the patient
mouth. The occlusal correctionwas performed over two appointments to eliminate the
occlusal interferences (Figure 5). The denture was fabricated by high impact denture
base resin (Figure 6). The soft liner relining was done at corresponding surgical defect
area. The patient was advised to frequently sip water. After consultation with his
neurophysician, the carboxymethylcellulose artificial salivary substitute was advised.
Though the denture was adequately retentive, the water based denture adhesive
(Fixodent) was prescribed to enhance the patient’s denture confidence. The denture
cleansing tablets were also prescribed to improve the denture hygiene. The importance
of prosthesis hygiene and removal of the prosthesis during sleep was emphasized to the
patient. The follow-up recall visits were programmed for continuous evaluation and
required correction of denture.
Figure 3: Primary impression in impression compound.
Figure 4: Secondary impression with border moulding.
Figure 5: Posterior teeth at occlusion.
Figure 6: Patient after complete denture rehabilitation.
4. 3. Discussion
Geriatric health care is a critical part of health care systems around the world due to the
rapidly increasing elderly population. Dentist plays an important role in geriatric health
care and can contribute significantly in restoring the quality of life in elderly patients
[7]. Several diseases of the aged population are neurological disorders. The Parkinson
disease (PD) is a progressive neurological disorder that affects numerous motor and
nonmotor functions. The motor symptoms of PD include resting tremors, involuntary
movements, facial and limb rigidity, bradykinesia, and akathisia. The major nonmotor
symptoms include drooling, swallowing difficulties, xerostomia, bladder dysfunction,
depression, anxiety, cognitive impairment, and orthostatic hypotension [4, 8, 9]. These
symptoms complicate the dental treatment plans, execution, and outcome. These
disabilities must be taken into consideration during treatment for the favourable
prognosis.
The compassionate, caring approach with PD patient is important to overcome the
anxiety and better treatment compliance from the patient. Cognitive impairment,
dementia, and difficulty in verbal communication should be handled sympathetically.
Hence, it is advised for the dentist to introduce himself every appointment. The stress is
known to exacerbate the tremor and uncontrolled movement during treatment. The
smiling, direct eye contact, and gentle touch are known to alleviate the anxiety [9]. The
caregiver’s presence beside the patient is also helpful for patient confidence and for
interpreting the patient’s speech. The short, mid-morning appointments are ideal for the
patient. The tremors are less in morning and drug is most effective 60–90 minutes after
its intake [2, 10]. The communication with the patient is improved by using closed-
ended questions and allowing adequate time for the patient to respond. Effective
communication is important to motivate the patient for treatment rigors and future
effective utilisation of denture. The slow raising of the dental chair for upright position
is recommended to prevent the orthostatic hypotension [11].
The success of the complete denture is predominantly dependent on the neuromuscular
controlof the oral musculature. The mandibular movement is moderated by the feedback
from the periodontal ligament, temporomandibular joint, and musculature receptors.
The edentulous PD patients seriously compromised in this feedback; hence implant or
tooth-supported over dentures are advantageous for better proprioception and controlled
jaw movement [12, 13]. The involuntary muscle movement, xerostomia, and rigid
musculature in PD patients compromise the denture retention and control. It is
advantageous to use the quick setting impression material in severe form of PD. The
low fusing impression compound was used for border moulding due to its incremental
procedure. It provides a chance for subsequent correction and helping the patient to
concentrate on one muscular movement at a time. The semireclined 45-degree position
during impression procedure is advantageous for avoiding excessive saliva pooling and
avoiding the risk of choking [11]. Since the patient was unable to perform the functional
mandibular movement, we were unable to apply the Gothic arch tracing method to
recordthe horizontal relation. Instead, the bilateral manipulation technique was utilized
to guide the mandible to centric relation [14]. The neutral zone teeth arrangement was
observed to enhance the denture stability and retention. The researchers observe that the
teethat neutral zone do not interfere with involuntary muscular movement in PD patient
5. [15]. The cusp-less teeth are indicated for the patients with poor muscular control to
accommodate irregular mandibular movement. The lingualized occlusion scheme was
utilized in the patient due to its combined advantage of better masticatory efficiency
[16,17], less distortion, and limited lateral movement of denture [18, 19]. The
researchers have also reported that lingualized occlusion is suitable for the patient with
involuntary teeth grinding [20]. The relatively flat lower teeth are hypothesized to
increase the feedback from masseter muscle and mucosa, hence helping the patient in
improved proprioception and smooth mandibular movement. The burning mouth
syndrome is common in PD patient due to xerostomia; it is more aggravated by denture
wearing [21]. Frequent water sipping and artificial saliva substitute are helpful in these
patients. Water based denture adhesive and denture cleansers will also help in improving
the denture wearing confidence and denture hygiene. Posttreatment follow-up is critical
for successful rehabilitation. It is helpful for continuous monitoring, evaluation, and
correctionof denture. The effective complete denture rehabilitation will help PD patient
in alleviating both psychological and physical debilities to significant extent [22].
4. Conclusion
The significant number of PD patients in society requires the complete denture for the
functional, aesthetic, and psychological rehabilitation. Along with caring, sympathetic
approach, treatment plan should include a strategy to overcome the physical disabilities
of the patient. Patient motivation, education, and posttreatment follow-up are critical for
the successful treatment outcome with complete denture.
Conflict of Interests
The author declares that there is no conflict of interests regarding the publication of this
paper.
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