Full Mouth Rehabilitation with Periodontal Prostheses-Combined natural teeth and dental implants in Könus telescopic denture

• Main Authors: Chia-Wei Tai, 戴家維
• Other Authors: Chun-Cheng Hung
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/90148826316557283914

碩士 === 高雄醫學大學 === 牙醫學研究所碩士在職專班 === 98 === Periodontal and restorative dentistry are mutually important of clinical dentistry. Patients with a compromised periodontal condition would encounter great difficulties such as decreased attachment level, pathologic tooth migration and lost of occlusal support. Periodontal and prosthodontic treatment in conjunction with orthodontic intervention is required. Treatment procedure would involve removal of inflammation and occlusal interference . Correction of tooth position or mal-alignment using orthodontic methods can significantly decrease periodontal breakdown. These treatments will improve oral hygiene, modify osseous defects, and cease occlusal trauma. Orthodontic tooth movement can also provide environments for prosthodontic rehabilitation such as paralleling abutment teeth and reestablishing occlusal plane as well as anterior guidance. Realigning crowded or migrated incisors is helpful for improving esthetics. This is so-called “interdisciplinary treatment concept”. The development of dental implants has a great effect on treatment planning. Accurate presurgical assessment requires precise radiographic visualization of anatomic structures and pathologic conditions. Three-dimensional (3D) visualization reveals more anatomic details and potentially includes all radiographic information necessary for maximal surgical safety and implant positioning improvement. Computerized tomography (CT) technology nowadays comprises a broad band of different technologies. Cone-beam (CB) CT imaging cost less and the radiation dose is lower than the others. The option of radiographic method should be choosened by the complexity of the implant case, the availability of technology and expertise, the costs for examination and the device. The radiation exposure which should be as low as possible. This report contains 4 cases arranged cone-beam computerized tomography examinations for presurgical implantation evaluation. Although total charge increase, patients are glad to have further examination for better understanding of the bone quality and quantity. Cases with different treatment modality are present in this report. According to interdisciplinary treatment concepts, we combine periodontology, implantology, orthodontics (forced eruption) and prosthodontics for full mouth reconstruction. Every patient has his own consideration about treatment planning due to different claim, economic ability, social status and ability to cooperate and maintain oral health. It’s our duty to satisfy patient’s need of esthetics, function and articulation. An ounce of prevention is worth a pound of cure. Motivation and periodic maintenance are the key to long-term success.