Case Of Full Mouth Rehabilitation Research Articles

All-on-4 and complete denture rehabilitation utilizing dual surgical guide for partially edentulous mandible - a case report

Growing numbers of people are using implant-supported fixed prothesis for mandibular resorbed arch, which has created a need for primary care physicians to be more knowledgeable about popular prosthetic attachments and provide access to a wide range of treatment alternatives to assist patient care. The purpose of this study was to report a case of full-mouth rehabilitation on four end osseous implants loaded by the established protocol. In a hypertensive and diabetic patient, the decision was made to place four implants in the mandibular arch and a removable complete denture in the maxillary arch. A good implant-supported fixed prosthesis depends on precise impressions and meticulous attention to detail.

Comparative Evaluation of Flexural Strength and Microhardness of Two Different Ceramic Reinforced 3-D Printed Resins with Cad-cam Milled and Conventional Tooth Coloured Heat Cured Polymethylmethacrylate Resins as Long-term Provisional Restorative Materials” – An in Vitro Study

Background: Long-term provisional restorations play a crucial role in complex clinical scenarios, Implant-supported prostheses, full-mouth rehabilitation cases & Maxillofacial Prosthodontics. Understanding the mechan-ical properties such as flexural strength and microhardness of newer commercially available provision-al restorative materials is necessary to select an optimum material for long-term provisional fixed den-tal prosthesis. This Research study was conducted to evaluate and compare the Flexural Strength and Microhardness of Two Different Ceramic-reinforced 3-D Printed Resins with CAD-CAM Milled and Conventional Tooth Coloured Heat Cured Polymethylmethacrylate Resins as Long-Term Provisional Restorative Materials. Methods: Twenty-one specimens of dimensions 25 mm × 2 mm × 2 mm (ADA-ANSI specification #27) were fabricated each using: Group A (Control group)-Conventional tooth colored heat cured polymethyl-methacrylate resin (DPI Heat cure tooth moulding powder), Group B-CAD-CAM milled resin, Group C- Ceramic reinforced polymer 3-D printed resin (Temporary CB resin) and Group D- Ceramic rein-forced polymer 3-D printed resin (Permanent CB resin). Flexural strength and microhardness were measured and the values obtained were evaluated. Results: The measured mean flexural strength values (Mega Pascals) were 39.41 (Group A), 153 (Group B), 124.91 (Group C), and 136.50 (Group D). The measured mean microhardness values (Knoop hardness number) were 37.9 (Group A), 40.5 (Group B), 34.67 (Group C), and 43.88 (Group D). The difference in flexural strength and microhardness values of the three groups was statistically significant according to the analysis of variance (ANOVA) as well as the intergroup comparison done using Tukey’s honest significant difference (HSD) Post Hoc test (P < 0.05). Conclusions: Flexural strength with higher values in Group B were noted and the Microhardness test showed higher values in Group D.

A case of full-mouth rehabilitation for esthetic dissatisfaction and masticatory disturbance caused by severe attrition

A case of full-mouth rehabilitation for esthetic dissatisfaction and masticatory disturbance caused by severe attrition

A Case of Full-mouth Rehabilitation using a Digital twin Based on Multi-source Data in a Patient with Vertical Dimension Loss due to Multiple Tooth wear and Fractures

A Case of Full-mouth Rehabilitation using a Digital twin Based on Multi-source Data in a Patient with Vertical Dimension Loss due to Multiple Tooth wear and Fractures

Full mouth rehabilitation of the patient with severely mutilated dentition: a case report

Management of the lost tooth structure by restoring the dental occlusion and aesthetics, is a challenging task for a dental clinician in full mouth rehabilitation cases. With the advent of new techniques and tooth-colored materials, it has become easy to meet demands of the patient. Full mouth rehabilitation involves restoring of dental occlusion, dental balance, and functionality with dental esthetics. This can be achieved through accurate clinical and radiographic examination, along with a diagnostic wax-up. Determining OVD is crucial in these cases. This paper describes the full-mouth rehabilitation of a 55-year-old patient with a severely mutilated dentition.

A Case of Full Mouth Rehabilitation with Immediate Placement and Bilateral Sinus Graft in a Patient with End-stage Renal Disease and Diabetes

A Case of Full Mouth Rehabilitation with Immediate Placement and Bilateral Sinus Graft in a Patient with End-stage Renal Disease and Diabetes

Lessons Learned from the COVID-19 Pandemic in Implant Dentistry Settings

In 2019, Wuhan city of China announced the epidemic of COVID-19 as a public health disaster which has been recognized as an uncommon type of single stranded RNA virus belonging to Coronaviridae family and then quickly spread all over the world. Clinically symptomatic patients are identified as the primary source of COVID-19 transmission. Most of dental procedures require the use of high-speed handpieces which leads to aerosol generation. Implant dentistry is the field of dentistry which deals with prosthetic rehabilitation with minimal aerosol generation ensuring an aseptic surgical environment. There are several decisive recommendations regarding COVID-19 precautions that should be appreciated in implant dentistry. Sharp drills in slow speed drilling machines are preferred during surgery. Regular irrigation with high volume suction is greatly encouraged. Osteotomes are encouraged over ultrasonic devices to minimize the generation of aerosols during surgical procedures. Immediate implants placement is more preferred as the number of visits to the dentists is reduced. Impression techniques should be shifted to the digital approach instead of conventional methods. Full mouth rehabilitation cases requiring complex procedures should be accomplished restrictedly.

English

‘ No thi ng Ch an ge s i f No t hi ng Ch an ge s’ Treating a case of full mouth rehabilitation has remained a challenge till date. Dentistry has witnessed many advancements in terms of material science, technology and treatment procedures. What has not evolved is the thought process of application of these newer methods and technology. Any treatment procedure performed on a patient is not a straightforward mathematical calculation which can be implemented in a specified manner. Clinical processes, especially a case of full mouth rehabilitation requires comprehensive knowledge and understanding of the stomatognathic system. The word rehabilitation in itself conveys responsibility. A lot is involved at both the ends - the receiver (patient) and the donor (the rehabilitation specialist). The oxford dictionary defines rehabilitation as ‘The action of restoring someone to health or normal life through training and therapy after imprisonment, addiction, or illness.’ 1 It is a great responsibility on restoring dentist to bring the abnormal and compromised oral functions back on track. The multidisciplinary dimension of the treatment cannot be ignored. Although the culmination of an elaborate treatment is by a restoring specialist which happens to be prosthodontist most of the time, other specialists such as endodontist, periodontist, oral surgeon, orthodontist and an oral radiologist play a significant role throughout the planning and execution. It is advisable to seek expert opinion and include specialty procedures whenever deemed necessary.

Integral Steps for Planning a Case of Full Mouth Rehabilitation with Implants: A Prosthesis Driven Approach.

Integral Steps for Planning a Case of Full Mouth Rehabilitation with Implants: A Prosthesis Driven Approach.

Correlation of Patient Satisfaction with Treatment Duration in Tooth Supported Full Mouth Rehabilitation Cases: A Retrospective Study

Full mouth rehabilitation is a comprehensive treatment and hence requires a longer duration along with patient co-operation and operator skill. Data of 86000 patients between June 2019 and March 2020 was reviewed from the patient's records and analysed that was documented in Saveetha Dental College and Hospital, Chennai, India. 152 patients who underwent tooth supported full mouth rehabilitation were included in this retrospective study. The data regarding the duration of the entire treatment, patient satisfaction, type of temporary teeth and change in vertical dimension was collected from Dental Information Archiving Software (DIAS). The data censored was collected by recalling the patient and reviewing. Statistical analysis was performed using pearson's correlation and chi square test to assess the association between patient satisfaction and increase in the vertical dimension, type of temporisation and duration of the treatment. The associations between patient satisfaction and increase in vertical dimension (Chi-square value : 8.809, df: 6, p value : 0.185), type of temporisation (Chi-square value : 8.809, df: 6, p value : 0.185) and duration of the treatment (Chi-square value : 303.548, df: 306, p value : 0.529) were statistically insignificant (p>0.05). From the available data it was observed the duration of the treatment plays a secondary role in relation to patient satisfaction in the treatment of full mouth rehabilitation cases. The quality of treatment and decisiveness in providing definitive care with respect to treatment needs gives better patient satisfaction.

Esthetic and functional rehabilitation in a case of amelogenesis imperfecta

Amelogenesis imperfecta (AI) is a group of hereditary conditions that affects the quality and quantity of dental enamel that is occasionally associated with other general conditions.1 Patients with AI manifests increased dental sensitivity resulting in poor oral hygiene and compromised masticatory functions. Correct diagnosis and management is highly needed to restore the quality of oral health. We presented here a case of full mouth rehabilitation in a 7 year child with Amelogenesis Imperfecta. Keywords: Amelogenesis Imperfecta, Enamel hypoplasia, Enamel hypomaturation.

A case of full mouth rehabilitation with vertical dimension gaining in patient with severely worn dentition and loss of vertical dimension due to loss of posterior support

A case of full mouth rehabilitation with vertical dimension gaining in patient with severely worn dentition and loss of vertical dimension due to loss of posterior support

A case of full mouth rehabilitation of patient who lost occlusal support using attachment

患者は15 年ほど，歯科医院を受診しておらず，奥歯のかみ合わせがないことを主訴に，全顎的な歯科治療を希望して来院した．口腔内所見では，臼歯部は残根状態で咬合支持が喪失しており，閉口時に反対咬合所見を呈していた．医療面接，口腔内診察・検査，エックス線検査，摂取可能食品質問表から，仮性反対咬合と咬合支持の喪失による咀嚼および審美障害と診断した．治療方針として，診察・検査，診断後，不良な口腔状態を改善し，治療用義歯を装着して下顎位の安定化を図ってから，最終補綴装置の製作に移行する治療計画を立案した．患者の了承を得た後，歯冠修復処置，磁性アタッチメントと歯冠外アタッチメントを用いてフルマウスリハビリテーションを行った．咬合支持を喪失した患者にフルマウスリハビリテーションを行った結果，仮性反対咬合の改善が認められ，審美的回復が得られた．初診時の咀嚼スコアは48.2 であったが，最終補綴装置装着後の咀嚼スコアは94.6 となり，咀嚼機能および発音機能の回復が確認でき，患者のクオリティ・オブ・ライフの向上に寄与できた．【顎咬合誌 39 （1･2）:35-44，2019】

Esthetic rehabilitation of a partially edentulous patient with implants and tooth-supported fixed prosthesis

Functional limitation, compromised esthetics, and poor quality of life are few of the consequences of missing teeth. Partial edentulism can be treated by either fixed or removable prosthesis. In compromised abutment situations, tooth-supported fixed dental prostheses are not indicated and patient satisfaction is low with a removable prosthesis. In such cases, implant-supported fixed dental prostheses help in restoring both the function and esthetic demands of the patient. The present case report describes a case of full-mouth rehabilitation in a partially edentulous situation with implant and tooth-supported restoration.

A case of full mouth rehabilitation with orthodontic treatment in patient with extensive tooth erosion and wear using monolithic zirconia prostheses

A case of full mouth rehabilitation with orthodontic treatment in patient with extensive tooth erosion and wear using monolithic zirconia prostheses

A case of full mouth rehabilitation in patient with loss of vertical dimension and deep bite due to tooth wear

A case of full mouth rehabilitation in patient with loss of vertical dimension and deep bite due to tooth wear

Interdisciplinary approach towards full mouth rehabilitation-A case report

Full mouth rehabilitation entails the performance of all the procedures necessary to produce a healthy, esthetic, well-functioning, self-maintaining masticatory mechanism. Full mouth rehabilitation cases are one of the most difficult cases to manage in dental practice. It is basically a set of procedures that are aimed at correcting an improper bite position as well as restoring chipped or worn out teeth. This case report describes a patient with worn-out dention in lower anterior region, bilateral missing of lower posterior teeth and in maxillary arch missing 22, 24.Occlusal rehabilitation done with Pankey Mann Schyuler philosophy. This case reports that a satisfactory clinical result was achieved by restoring the vertical dimension with an improvement in esthetics and function. Keywords: Aesthetic, Masticatory. Tooth Wear; Vertical Dimension, Occlusal Rehabilitation, Face-Bow, Restoration, Worn out Teeth, Function, Philosophy

Full mouth occlusal rehabilitation; by Pankey Mann Schuyler philosophy

Most of the cases with severe attrition of teeth need full mouth occlusal rehabilitation. There are many philosophies to follow for an occlusal rehabilitation, most important among them is Hobo's philosophy and Pankey Mann Schuyler philosophy. Pankey Mann Schuyler philosophy is a simple, organized procedure to follow for the full mouth rehabilitation cases. This article describes a case of full mouth occlusal rehabilitation of a 59 years old male patient who reported with pain over left TMJ region and oral examination revealed severe attrition on lower anterior teeth. The treatment followed Pankey Mann Schuyler philosophy and the occlusal analysis done using Broadrick flag. Keywords: Full Mouth Occlusal Rehabilitation, Anterior Guidance, Broadrick Flag, Pankey Mann Schuyler Philosophy

An In-vivo Comparison of Vertical and Horizontal Distance between Incisive Papilla and Incisal Edge of Maxillary Central Incisors in Dentates with Different Arch Forms.

The incisive papilla is one of the most stable landmarks for assessing the original position of certain key teeth. To place anterior artificial teeth back in its original position such as in denture construction and full mouth rehabilitation cases vertical and horizontal distance from incisive papilla in different arch forms, imparts a significant role. The average distance will be helpful for arrangement of teeth in its original position which not only provides a pleasing appearance and normal function but also will save the dentists' chair side effort. To determine the average vertical and horizontal distance of the maxillary central incisors from the incisive papilla in dentate individuals with different arch forms. Primary impressions and casts were made for 72 dentate patients, sorted into different arch forms and mid point of the incisive papilla was established. The vertical and horizontal distances were measured with the digital vernier caliper. The mean and standard deviation were subjected to Students t-test. The range of horizontal distance was 4-7 mm, 6-8 mm, 5-8 mm and vertical distance was 4-6 mm in ovoid, square and tapered arch forms respectively. Horizontal distance of the maxillary central incisors from the incisive papilla varies in different arch forms whereas, vertical distance is almost same in all the arch forms.

Evaluation of Flexural Strength of Thermocycled Interim Resin Materials Used in Prosthetic Rehabilitation- An In-vitro Study.

Provisional restoration is an analytical component of fixed prosthodontics serving as a ground plan for the design of fixed dental prosthesis. Flexural strength is critical in case of long standing fixed dental prosthesis, to appreciate success of full mouth rehabilitation cases and temporomandibular joint dysfunction therapies. The present study was to evaluate the flexural strength of different provisional restorative resins used for prosthetic rehabilitation. Forty identical samples (n=10 for each material) measuring 25mm×2mm×2mm according to ADA/ANSI specification no. 27 were fabricated using autopolymerizing Poly Methyl Methacrylate (PMMA) (Group A); heat activated PMMA (Group B); autopolymerizing Bis-GMA composite resin (Group C) and light activated Urethane Dimethacrylate Resin (UDMA) (Group D). For 14 days all these samples were stored in artificial saliva. Ten samples from each material were subjected to thermal cycling for 2500 cycles (5°C to 55°C). Later, a standard three point bending test was conducted on all the specimens with a universal testing machine at a crosshead speed of 0.75mm/min. Statistical analysis used included Kruskal-Wallis and Mann-Whitney U test. The mean flexural strength of specimens confirmed higher flexural strength for Group C (102.98 Mpa) followed by Group B (91.86 Mpa), Group A (79.13 Mpa) and Group D (60.01 Mpa). There were significant differences between any two materials tested (p <0.05). Comparison between mean flexural strength values between four groups revealed significant difference between the interim materials (p <0.05). The greatest flexural strength was observed for Bis-GMA composite resins followed by heat cure methacrylate resins, autopolymerizing methacrylate resins and was least for light cure resins. While fabricating provisional restorations, these greater values should be considered for better outcome of the treatment.