Prosthetic Rehabilitation Of Patient Research Articles

Using Dental Implants in the Prosthetic Rehabilitation of Patients with Cleft Defect Type II

A dental implant may be used in prosthetic tooth reconstruction in cleft patients. There are three main indications for this approach: substitution of a missing single tooth, an abutment for the framework, and an abutment for a fixed dental prosthesis (we designate these as defect types I, II, and III). A clinical report about prosthetic rehabilitation using dental implants instead of a fixed or removable partial prosthesis is presented. A patient with a unilateral cleft defect was treated at the University Hospital in Prague, Czech Republic. Together with a missing lateral incisor, the defect was associated with agenesis of the two upper canines and three second premolars. The treatment was completed by prosthetic dental reconstruction using the framework with a dental implant as an abutment. This approach allowed minimizing the preparation of adjacent teeth to a single tooth functioning as the second abutment. If classical fixed prosthodontics had been performed, the preparation would have involved a larger group of intact teeth with the risk of their viability loss. The procedure had no complications. The outcome was of high quality and brought satisfaction to the patient.

Surgical management of oral submucous fibrosis in an edentulous patient: A procedural challenge

Prosthetic rehabilitation of patients with oral submucous fibrosis (OSMF) offers a formidable challenge due to restricted mouth opening. Physiotherapy via interocclusal force application is the mainstay for surgical treatment. Herein, we report a case of a man with OSMF requiring construction of dentures. The main objective was to deliver intra-operative and post operative inter occlusal forces without fracturing the mandible and thus providing rehabilitation to the patient prosthetically. An edentulous male patient reported with grade IVA OSMF to our department to improve his mouth opening for denture construction. The patient was managed successfully using surgical sectioning of the fibrous bands. Inter occlusal force application for mouth opening during the operation and post operative physiotherapy were facilitated using custom-made occlusal splints. Satisfactory mouth opening was achieved, with good healing and no event of infection or fracture. Here, we propose an easy method to achieve adequate mouth opening in an edentulous patient of OSMF, with atrophic ridges; without the chances of fracture of either jaw.

Prosthetic rehabilitation of the head and neck: the state of the art

Cancer of the head and neck area is common worldwide. Rehabilitation of cancer patients can be done using a surgical and/or a prosthetic approach. This review presents the current trends in prosthetic rehabilitation of the head and neck area. The literature is abundant with case reports describing prosthetic new techniques to rehabilitate patients with cancer of the head and neck area. However, limited evidence-based research exists on these techniques or on the science of materials used in prosthetic rehabilitation of patients with head and neck cancer. The goals of the prosthetic rehabilitation of patients with head and neck cancer are management of speech and swallowing function, and the restoration of the original esthetics and functions of the bone and soft tissues. These goals remain a challenge. Dental implants are increasingly implemented to help in the prosthetic rehabilitation of patients with head and neck cancer.

Treatment of Epulis Fissuratum with CO2 Laser and Prosthetic Rehabilitation in Patients with Vesiculobullous Disease

The purpose of this article is the clinical presentation of the treatment of epulis fissuratum with CO(2) laser and prosthetic rehabilitation of three patients with vesiculobullous diseases (VBDs). Oral problems such as blister formation with minimal trauma are usually encountered in the VBDs. With repeated cycles of blistering and healing, oral hygiene is usually compromised, which leads to rapid breakdown of the dentition. Prosthetic rehabilitation includes complete, partial, and implant-supported dentures; however, ill-fitting dentures can cause inflammatory fibrous hyperplasia. Clinical application of CO(2) laser has been recommended to treat benign oral lesions such as epulis fissuratum and fibroma. The treatment plan consisted of excision of fibrous tissues, controlling dental plaque, and prosthetic rehabilitation. The excision of fibrous tissue was performed with CO(2) laser, and the wounds formed by laser were left open to secondary epithelization. The dental plaque and calculus deposits were cleaned with ultrasonic scalers and a well-formed acrylic denture for maxilla and mandible were fabricated after a month. There was no recurrent fibrous tissue formation at 1 year follow-up. However, plaque accumulation control was unsatisfactory and the patients were therefore urged to undergo a regular 6-month preventive dental prophylaxis regimen and denture re-evaluation. The CO(2) laser may be a useful instrument in the treatment of soft tissue pathologies in VBDs patients due to minimal damage to surrounding tissue. Use of complete or partial dentures has been considered a practical, economic, and nonsurgical treatment option for patients who have been diagnosed with VBDs.

Prosthetic rehabilitation of patients with microstomia

Microstomia is defined as an abnormally small oral orifice which can be due to various factors. Microstomia is a definite prosthodontic hindrance to carry out the different treatment successfully. To rehabilitate a patient with microstomia, successfully, the methods and designs incorporated in the prosthesis have to be modified. In the past, various techniques have been tried, incorporating certain biological and scientific methods to rehabilitate patients with microstomia. This article reviews the previously described treatment modalities in case of patients with microstomia.

Prosthetic rehabilitation of patient with immediate implant placement

The use of immediate postextraction implants presents several advantages in terms of reduction of surgical steps and time required to conclude the therapy. Particularly important is the possibility to minimize bone loss that otherwise would occur in the physiologic healing of the alveolus. Immediate implant placement has helped solve issues with regard to bone quality, quantity and esthetics and also treatment time, as opposed to delayed implant placement. Here, a case report has been presented in which immediate extraction Frialet implant has been placed in mandibular premolar region.

Prosthetic rehabilitation of persons with lower limb amputations due to tumour

The retrospective study was to analyse some characteristics of patients with lower limb amputations due to tumour, as well as the prosthetic rehabilitation. From 2000 to 2004, we observed 46 patients (25 men and 21 women) who were admitted prosthetic rehabilitation after a lower limb amputation due to tumours. We examined their medical documentation and recorded their general clinical status paying a special attention to the local status of the stump. The average age of patients was 51 +/- 17.11 years. Osteosarcoma was the most frequent cause in 26%. The trans-femoral amputation was in 50% and the knee disarticulation was in 8.7%. The average duration of prosthetic rehabilitation was 35 +/- 7.94 days. The average daily use of the prosthesis was 5.5 h. At the time of admission for rehabilitation, 10.9% of patients were using wheelchairs, 8.7% were using walkers and 80.4% were using two crutches to assist their walking abilities, whereas at the time of discharge 89.1% of patients used two crutches and 4.4% used one crutch for assistance, while 6.5% were able to walk unassisted. The adequate prosthetic rehabilitation in patients with lower limb amputations due to tumour is important preconditions for reintegration into the family and community.

Prosthetic Rehabilitation of Patients with Totally Edentulous Mandibles by Implant

Prosthetic Rehabilitation of Patients with Totally Edentulous Mandibles by Implant

Prosthetic rehabilitation of a total rhinectomy patient resulting from squamous cell carcinoma of the nasal septum: A clinical report

The clinical characteristics and prosthetic rehabilitation of a patient with squamous cell carcinoma of the nasal septum after combined radiation therapy and a total rhinectomy is presented. (J Prosthet Dent 2003;89:234-8.)

Quality of life assessment in patients with implant‐supported and resin‐bonded fixed prosthesis for bounded edentulous spaces

Dental implants have become increasingly popular in the prosthetic rehabilitation of patients with bounded edentulous spaces. Oral condition-related quality of life (QOL) levels have rarely been assessed in these patients. Two groups of subjects with bounded edentulous spaces were studied: an implant-supported fixed prosthesis group (11 patients) and a resin-bonded fixed prosthesis group (33 patients). The two groups were well matched in terms of sex, age, missing units and location of missing units. The patients were requested to answer a self-administered QOL questionnaire with two major subscales - oral condition- and general condition-related QOL scores. The test-retest reliability of each question was pre-examined and found acceptable (mean Spearman rank correlation coefficient was 0.55 +/- 0.16). Mean QOL score differences between the two groups were analyzed by the Mann-Whitney U-test. Mean oral condition-related QOL scores of the implant-supported and resin-bonded fixed prosthesis groups were 87.8 +/- 9.5 and 87.1 +/- 12.3% (P = 0.85), and mean general condition-related QOL scores were 73.8 +/- 14.8 and 71.6 +/- 15.2% (P = 0.95), respectively. No significant QOL differences between the two groups were observed in the two subscales. In patients with bounded edentulous spaces, multidimensional QOL levels of patients with an implant-supported fixed prosthesis do not exceed those of patients with a resin-bonded fixed prosthesis in a short follow-up period.

Treatment outcome of bone-anchored craniofacial prostheses after tumor surgery.

Percutaneous endosseous implants have acquired an important place in the prosthetic rehabilitation of patients with craniofacial defects. The objective of this study was to evaluate the clinical outcome of the use of endosseous implants in the orbital and auricular region as well as to assess the satisfaction of patients with implant-retained craniofacial prostheses after tumor surgery. The clinical outcome and patient satisfaction of implant-retained prostheses in the auricular and orbital region were evaluated in a group of 26 patients with facial defects after tumor surgery by using standardized questionnaires and a clinical assessment. Twelve patients (n = 31 implants) received the implants during ablative tumor surgery, from which 7 patients (n = 20 implants) were treated with radiation therapy after surgery (mean, 65 grays [Gy]). Fourteen patients (n = 44 implants) received the implants after the tumor surgery, from which 5 patients (n = 21 implants) were irradiated after ablative surgery (mean, 54.4 Gy), but before implant placement. No implants were lost in patients who had not undergone irradiation (100%), whereas 5 implants were lost in the irradiated group (87.8%). The overall implant survival rate was 93.3%. The peri-implant tissues had a healthy appearance, and no cases of osteoradionecrosis occurred. When compared with patients treated with conventional adhesive retained facial prostheses, satisfaction was higher in patients treated with implant-retained facial prostheses. From this study, it is concluded that implant-retained facial prostheses are better tolerated than adhesive retained prostheses and offer an improvement in the quality of life. Radiotherapy is not a contraindication for the use of osseointegrated implants in the maxillofacial region, but the loss of implants is higher than in nonirradiated sites.

Prosthetic rehabilitation of patients with advanced nonmelanoma skin cancer: Lemon JC, Chambers MS, Martin JW. Clin Plast Surg 24:797, 1997

Prosthetic rehabilitation of patients with advanced nonmelanoma skin cancer: Lemon JC, Chambers MS, Martin JW. Clin Plast Surg 24:797, 1997

Prosthetic Rehabilitation of Patients with Advanced Nonmelanoma Skin Cancer

Attention to detail at all stages of treatment can ensure a successful prosthetic rehabilitation. This detail must be considered a priority at presurgery, surgery, and at every stage in fabricating the prosthesis. Teamwork between the surgeon and maxillofacial prosthodontist will ensure an optimal surgical preparation and definitive prosthesis. Evidence of interaction among team members most certainly can be encouraging to the patient. It is important that during the prosthetic phase of treatment, attention be made in terms of tissue assessment, impression making, sculpting, mold fabrication, familiarity with materials, appreciation of color, delivery of instructions, and patient education, which will ensure a satisfactory outcome. With the desire, determination, and encouragement from the restorative team to make the most of this artificial replacement, a patient can have a higher quality of life and a more normalized lifestyle.

Prosthetic rehabilitation in patients with temporomandibular disorders

Decision-making in prosthetic dentistry and in the management of patients suffering from temporomandibular disorders is strongly influenced by the clinical and educational background of the dentist. The prosthetic rehabilitation of patients affected by one of the various subsets of temporomandibular disorders is a particularly challenging task, and the literature about this topic is limited. This article reviews the current situation and gives suggestions on how the dentist should proceed in the prosthetic treatment of these patients.

Biological and clinical evaluation of the transmandibular implant.

The transmandibular implant has been shown to be a successful clinical solution to prosthetic rehabilitation of patients with gross mandibular atrophy. Aspects of the biocompatibility of the implant material including the component metals in the alloy have been tested in an animal model utilizing sheep. The initial Adelaide results in the clinical multicentre trial are presented. These were generally excellent and the reasons for the few failures are presented.

Evaluation of mandibular movements in the horizontal plane made by partial mandibulectomy patients —A pilot study

The purpose of this pilot study of the partial mandibulectomy patient was to make tracings of their mandibular movement in a horizontal plane of orientation in the hope that the results would provide information regarding the prosthetic rehabilitation of these patients. The anterior part of a pantograph recording unit was used in making the tracings. The results of the study indicate that tracings on partial mandibulectomy patients are diagnostic in nature regardless of the range and extent of movement seen. As has been stated by other authors who have studied this type of patient, more clinical research should be undertaken before a full understanding of the ramifications of prosthetic rehabilitation of the partial mandibulectomy patient can be realized.

Considerations on the design of occlusion in prosthetic rehabilitation of patients with advanced periodontal disease

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