Residual ridge shape is important for the seating of a prosthesis. The objective of this case report was to illustrate the importance of reduction maneuvers with regard to alveolar bone plates after multiple tooth ext...Residual ridge shape is important for the seating of a prosthesis. The objective of this case report was to illustrate the importance of reduction maneuvers with regard to alveolar bone plates after multiple tooth extractions in patients with prostheses and special needs. In the current patient, there were difficulties during the adaptation and fitting of the upper denture. Bilateral bone resection was indicated in the molar buccal region. Late regularization of the alveolar ridge, which was accomplished in hospital, was necessary for the preparation, adaptation, and use of the denture. The general and systemic health care of the patient should be monitored throughout surgical intervention. Though tooth extractions are common procedures, particular attention is required to ensure adequate alveolar ridge remodeling that is conducive to oral rehabilitation.展开更多
The oral rehabilitation of edentulous patients can be done in different ways depending on the alveolar ridge morphology and patient expectations. The objective of this clinical case was to report prosthetic and functi...The oral rehabilitation of edentulous patients can be done in different ways depending on the alveolar ridge morphology and patient expectations. The objective of this clinical case was to report prosthetic and functional adaptation difficulties when conventional complete denture was changed to a zygomatic implant-supported prosthesis. We report a 52-year-old male singer with an atrophic maxilla who was rehabilitated with zygomatic implant-supported prosthesis using 4 implants. However, the thickness of the prosthesis in the palatal region and the space between the prosthesis and soft tissue caused difficulty in speaking and singing. The palatal region of the prosthesis was trimmed and the anterior region of the prosthesis was relined. These procedures were performed to make room for the tongue and minimize the passage of air during speech. Adaptations in the shape of the prosthesis must be made to enable its use, without compromising its strength.展开更多
文摘Residual ridge shape is important for the seating of a prosthesis. The objective of this case report was to illustrate the importance of reduction maneuvers with regard to alveolar bone plates after multiple tooth extractions in patients with prostheses and special needs. In the current patient, there were difficulties during the adaptation and fitting of the upper denture. Bilateral bone resection was indicated in the molar buccal region. Late regularization of the alveolar ridge, which was accomplished in hospital, was necessary for the preparation, adaptation, and use of the denture. The general and systemic health care of the patient should be monitored throughout surgical intervention. Though tooth extractions are common procedures, particular attention is required to ensure adequate alveolar ridge remodeling that is conducive to oral rehabilitation.
文摘The oral rehabilitation of edentulous patients can be done in different ways depending on the alveolar ridge morphology and patient expectations. The objective of this clinical case was to report prosthetic and functional adaptation difficulties when conventional complete denture was changed to a zygomatic implant-supported prosthesis. We report a 52-year-old male singer with an atrophic maxilla who was rehabilitated with zygomatic implant-supported prosthesis using 4 implants. However, the thickness of the prosthesis in the palatal region and the space between the prosthesis and soft tissue caused difficulty in speaking and singing. The palatal region of the prosthesis was trimmed and the anterior region of the prosthesis was relined. These procedures were performed to make room for the tongue and minimize the passage of air during speech. Adaptations in the shape of the prosthesis must be made to enable its use, without compromising its strength.