Prosthodontic Management Research Articles

Prosthodontic Management of Flabby Ridge with Modified Impression Technique: A Case Report

Prosthodontic Management of Flabby Ridge with Modified Impression Technique: A Case Report

Assessing Dental Students’ Soft Skills in Prosthodontic Management

Assessing Dental Students’ Soft Skills in Prosthodontic Management

Economical Prosthodontic Management of Microstomia Patient with Hinge Denture -

Microstomia is an abnormally reduced oral aperture. In the literature, it is not classified by any particular size criteria, rather defined by its effects on function and esthetics. Prosthodontic management of edentulous patients with microstomia is a challenging task. Use of conventional methods for recording an impression and fabricating prosthesis is not effective in such patients. To fabricate well-fitting prosthesis, accuracy of impression recording important anatomic landmarks is essential. Formation of an exacting custom tray and diagnostic cast is critical for final impression accuracy. Provision of a well-fitting prosthesis in microstomia patient will restore esthetics, comfort, and function with oral and systemic patient wellbeing. This paper presents a case report of managing an edentulous microstomia patient with sectional removable prosthesis.

Endodontic and prosthodontic management of a rhinectomy patient

This case report presents the endodontic and prosthodontic management of a rhinectomy patient who sustained iatrogenic damage to the apices of her anterior maxillary teeth during surgical resection of a nasal tumour. We discuss the issues with surgical and prosthodontic management of oncology patients who have undergone surgery and radiotherapy, in addition to the endodontic techniques employed to ensure success of treatment whilst noting important prognostic indicators. The case highlights the importance of routine radiographic review and post-surgical tooth assessment of patients who sustain trauma or have surgery in the midface, since clinicians may only radiograph anterior teeth when they are symptomatic and/or present with trauma. CPD/Clinical Relevance: Close monitoring of traumatized teeth or teeth in close proximity to surgical sites should be provided.

Occlusal splints and its implications in temporomandibular disorders: A review

Occlusal splints are described as “Any removable artificial occlusal surface affecting the relationship of the mandible to the maxilla used for diagnosis or therapy. Prosthodontic management of Temporomandibular joint disorders (TMDs) has been a controversial topic. The purpose of this article is to make prosthodontists aware about use and significance of splints in dealing with temporomandibular disorders (TMDs) the by usage of easy and less difficult remedy.

Prosthodontic Management of Severe Residual Ridge Resorption using Closed-Mouth Impression Technique: A Case Report

Prosthodontic Management of Severe Residual Ridge Resorption using Closed-Mouth Impression Technique: A Case Report

Innovative Split Cast Post and Core Technique to Restore a Mutilated Mandibular Molar

ABSTRACT Dental caries is an inevitable event in patients with compromised oral hygiene, leading to hard tissue breakdown and causing severe loss of tooth structure. The mutilated tooth is grossly weakened and badly broken down carious tooth due to the least attention given toward oral health. The conservation approach is always given priority to save this type of tooth rather than proceeding with the extraction of the tooth. Prosthodontic management of this kind of tooth becomes essential to restore the proper form and function for masticatory purposes. The only method to restore this complication is by post and core procedure. The following case report focuses on the way to restore a mutilated mandibular 1st molar with divergent roots with a split cast post and core wherein one cast post with split core is restored in the distal canal and another cast post with core seated in one of the mesial canals in step and ladder pattern.

Current status of geriatric dentistry education in selected dental schools in Latin America and the Caribbean.

Latin American and Carribean (LAC) are currently experiencing a rapid aging of their population, coupled with a significant burden of oral diseases. Despites this, there is a scarcity of evidence regarding the manner in wich geriatric dentistry is being taught in dental schools across LAC. So, the objective of this study is to investigate the current status of geriatric dentistry education at undergraduate and postgraduate levels in selected LAC dental schools. An electronic questionnaire was developed and emailed to all 539 dental schools in 19 LAC countries. The questionnaire recorded activity levels, contents and methodology of geriatric dentistry education as part of dental degree programmes. Reminders by email and telephone calls were used to encourage non-responders to complete the questionnaire. In total, 317 schools from 17 countries responded to the questionnaire (response rate: 58.8%). Geriatric dentistry was taught in 54.6% of the schools at the undergraduate level and in 6.9% at the postgraduate level. Thirty two percent of the schools had a programme director trained in geriatric dentistry. Geriatric dentistry was taught as an independent course in 14.5% of the schools. Dry mouth, periodontal disease, denture-related conditions and prosthodontic management, oral mucosal disease and age-related changes of the orofacial complex were the most frequently covered topics. Clinical teaching of geriatric dentistry was reported by 26.5% of the schools, with 38.0% providing clinical training in outreach facilities. Geriatric dentistry education remains incipient in LAC, with only one in every four dental school offering it as a standalone course. There is an urgent need to further develop geriatric dentistry education in the continent, including further research to develop a minimum geriatric dentistry curriculum.

Prosthetic management of Albers-Schönberg disease with osteomyelitis: A 10-year follow-up case report.

Albers-Schönberg disease is a rare bone syndrome characterized by increased bone density and infectious complications after dental extraction or minor surgery. The prosthodontic management of such edentulous patients with osteomyelitis is very challenging and requires special strategies due to a high risk of failure and worsening of the condition. This clinical report describes the rehabilitation of a 31-year-old edentulous woman presenting with Albers-Schönberg disease and secondary chronic osteomyelitis, maxillary hypoplasia, compromised oral conditions, temporomandibular disorders, and psychologic distress. The treatment included mandibulectomy and removable prostheses. A crucial element for the successful long-term treatment and quality of life improvement observed in this patient was the 1-year transitional phase with interim dentures and frequent follow-up appointments. The complications and management proposed during a 10-year follow-up are presented.

Teeth Rehabilitation and Nutritional Influence on Diabetic Patients: A Review.

Diabetes mellitus (DM) is a globally prevalent endocrine and metabolic disorder characterized by hyperglycemia. Its complications significantly impact both the quality and longevity of the patient's lifewith a substantial burden on the healthcare system. Missing teeth make individuals more susceptible to malnutrition compared to those with functional teeth. This is especially true for people with diabetes, as the condition is closely linked to both oral health and food intake. Natural teeth loss can significantly reduce an individual's ability to chew food, leading to a decrease in the quality and quantity of their nutrition. Prosthodontics is a dental specialty that replaces missing teeth with artificial ones. Replacing missing teeth may prevent the risk of malnutrition due to decreased ability to chew. Good oral health is important for overall health, especially for those with conditions such as diabetes. Artificial teeth replacement may improve nutrition intake by improving chewing ability. Therefore, the ultimate objective of rehabilitating a patient's oral cavity is to replace the shape and function in terms of chewing performance to a degree that is as close to normal as feasible. The purpose of this review is to explore the literature showing the link between natural teeth loss and nutrition in individuals with DM, with a special focus on prosthodontic management. Several oral complications occur in diabetic patients specificallyteeth loss, which in turn affects mastication function. This in turn cause malnutrition and affect glucose level. It is imperative for healthcare providers to take an interdisciplinary approach in order to improve the dental and nutritional status and overall well-being of DM patients.

Alternative prosthetic approach in the management of flabby edentulous anterior maxilla: A case report and literature review

Abstract A flabby ridge is a condition where excessively mobile and resilient tissue affects the maxillary or mandibular alveolar ridges. This study reviews the flabby anterior maxillary ridges and explores their management. It also included a case report of a 67-year-old male diabetic patient with rare manifestations in the anterior maxilla. The selection of this patient in this study was due to the rare flabby tissue manifestations in the anterior maxilla. These manifestations resulted in denture instability and loss of retention but also caused significant symptoms for the patient, including severe pain, prolonged headaches, and a burning sensation. This study aimed to alleviate pressure on the flabby tissues in the anterior maxilla and enhance the complete denture’s retention, support, and stability. In managing the flabby anterior maxilla described in this study, the prosthetic approach involved utilizing a modified window technique for the secondary impression and a low-viscosity impression material. On the following day till the follow-up period (12 months), the patient showed no complaints of pain, headache, or burning sensation, and the complete denture was in good retention, support, and stability. Prosthodontic management is a reliable alternative to surgery for hypermobile flabby tissues. It improves denture quality, reduces pressure, and enhances comfort and functionality during daily activities.

Prosthodontic management for loss of periodontal support in the anterior region with a lower immediate denture

An immediate denture is a denture that could replace the teeth immediately after the teeth are extracted. Therefore patient doesn’t experience an edentulous period. This study aims to assess the ability of lower immediate removable partial dentures as a prosthodontic treatment for cases in which anterior teeth have lost their periodontal support. A 35-year-old male patient complained of difficulty eating because his lower front teeth were loose, and the patient did not want to appear edentulous. Intraoral examination showed grade 3 mobility in the lower anterior teeth region. Case management involves anamnesis, clinical examination, and prosthodontics rehabilitation using lower immediate removable partial dentures. This case report concludes that immediate removable partial dentures can be used in anterior teeth that have lost periodontal support.

Prosthodontic management of a partially edentulous patient with systemic sclerosis: A case report

Systemic sclerosis patients have restricted mouth opening along with narrowing of the oral aperture. This situation makes the clinical procedures associated with prosthodontic rehabilitation cumbersome and challenging. Manual dexterity of the patient is affected which could lead to poor oral hygiene maintenance as well as difficulty in insertion and removal of the removable prosthesis. This case report deliberates the difficulties in rehabilitating the partial edentulous state of an early diagnosed patient with systemic sclerosis.

Surgical and Prosthodontic Management of Denture Induced Hyperplastic Lesion in Maxillary Arch – A Case Series

Denture irritation hyperplasia is a hyper plastic lesion of the oral mucosa which results from chronic irritation as a result of wearing poorly adapted dentures. It is most commonly seen in maxillary arch with female patients being mostly effected. The lesion varies in size from only a few millimeters to extending to involve the entire quadrant. The clinical management of denture induced hyperplasia depends upon the size of lesion and involves the elimination of causative factors, excision of excess fibrous tissue accompanied by an appropriate prosthetic rehabilitation. This case series presents the management of denture induced hyperplastic lesion of varying sizes present in maxillary arch by providing appropriate tissue rest and tissue conditioning as well as by surgical excision followed by new denture fabrication to achieve acceptable function for patients. KEYWORDS: Denture hyperplasia, Epulis fissuratum, Tissue conditioning, Prosthesis

Early prosthetic management of mandible using interim guidance appliances in hemimandibulectomy patients

Mandible is the most common site for intraoral tumors which often requires resection of large portions of the mandible depending upon the location and extent of the tumor leading to various complications such as deviation of the mandible toward the resected side and facial disfigurement. Early prosthodontic intervention during the healing period helps in training the muscles and establish an acceptable occlusal relation using guide flange prosthesis (GFP). This article aims to describe the case reports of early prosthodontic management of two patients who underwent partial resection of the mandible due to squamous cell carcinoma using two different GFP: palatal ramp prosthesis and mandibular buccal GFP using an innovative approach. Prosthodontic intervention by guidance therapy serves the purpose of reducing mandibular deviation, preventing extrusion of maxillary teeth, and improving masticatory efficiency. Guidance appliances are the simplest and most commonly used treatment modality in restoring the form and function of the mandible.

Prosthodontic management of completely edentulous young ectodermal dysplasia patient: A case report

Ectodermal Dysplasia is a hereditary disorder commonly associated with trichodysplasia (abnormal hair), onchodysplasia (abnormal nails), dyshidrosis (abnormal or missing sweat glands) and abnormal dentition. Due to ectodermal dysplasia, for missing, abnormally shaped, and mal-positioned teeth, a wide range of prosthetic options are available for oral rehabilitation. This case report represents prosthodontic rehabilitation of completely edentulous young Ectodermal Dysplasia patient using a characterized complete denture.

Prosthodontic Management of Ectodermal Dysplasia Case using Unconventional Impression Techniques and Fabricating Hollow Denture: A Case Report

Prosthodontic Management of Ectodermal Dysplasia Case using Unconventional Impression Techniques and Fabricating Hollow Denture: A Case Report

Prosthodontic management in provisionalization of implants in esthetic zone

Prosthodontic management in provisionalization of implants in esthetic zone

Hollowing of Obturators for Post-Mucormycosis Maxillary Defects: Technique Based Case Series

Post COVID-19 extensive use of steroids led to mucormycosis induced invasive sinusitis in many patients. Location and extent of the fungal infection decides the amount of maxillectomy to be performed. Post surgical rehabilitation with an obturator is required to restore function of mastication deglutition and speech. Large size of the defect and missing teeth on defect side compromise the retention of obturator and at the same time make them heavy and uncomfortable. This case series describes prosthodontic management of four casestwo partially and two completely edentulous patients operated for mucormycosis with healed palatal defects unilaterally with chief complains of inability to speak and eat. All the defects were treated with a hollow maxillary obturator prosthesis fabricated using different designs and hollowing techniques. All the patients were treated with single piece definitive hollow obturator prosthesis using different fabrication techniques aimed at reducing the weight and thus enhancing patient comfort and function. A single-piece obturator prostheses reduce the chances of plaque or bacterial accumulation to a minimal amount. This helps in maintenance of better hygiene by the patient as compared to a two-piece obturator prosthesis.

Prosthodontic management of subtotal maxillectomy with minimally invasive interim obturator: a case report

The interim obturator serves as a pathway between the immediate or surgical obturator and the final prosthesis, offering functional and aesthetic benefits until the delivery of the definitive prosthesis. Furthermore, it acts as a guide during the fabrication of the definitive prosthesis, influencing aspects such as prosthesis extension, teeth arrangement, and the positioning of retentive aids. These aids may encompass orthodontic wiring, surgical suturing, and other non-invasive techniques. This case reportdetails a conservative and less invasive method for retaining an interim obturator in maxillectomy patients, providing an alternative approach in prosthodontic care