Cases reported "Mouth, Edentulous"

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1/11. Treatment of an edentulous patient with a dry mouth.

    Dental health professionals are being asked to care for a growing number and range of medically compromised patients living with chronic health problems. Although tooth loss overall has declined in the united states, millions of persons, particularly those of more advanced age, still require treatment for the edentulous condition. Particular challenges are faced when this oral state is combined with a complex medical history. The primary learning objective for this case is to increase your general knowledge of and skills in the dental management of the complete denture patient with a dry mouth.
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2/11. Prosthodontic treatment of the edentulous adult cleft palate patient.

    Clefts of the upper lip and plate are relatively common, yet dental treatment of these patients is still very poor and many grow up suffering dental neglect. Dental practitioners should become involved in the treatment team as dental needs are present from birth to death. adult cleft patients often need tooth replacement with obturation of any residual clefts. They are best treated with tooth-supported removable appliances including partial and complete overdentures, thus preservation of their natural dentition is desirable. Edentulous cleft palate patients present with restorative difficulties due to their compromised maxillary arches as well as the presence of scar tissue in their palates and lips. An outline of these complications and guidelines for their treatment is illustrated in the form of three case reports from members of one family all presenting with varying cleft lip and palate defects. This article highlights the need for dental students to be exposed to dentally compromised patients so that they will feel confident enough to treat them in private practice.
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3/11. Conservative management of patients with gross morphological changes following complete loss of teeth: case reports.

    This paper reports on the conservative management of five Nigerian edentulous patients who presented with shallow palatal vault, grossly resorbed and uneven alveolar ridges, flabby ridge forms, shallow sulci and loss of vertical face height as a result of tooth loss. There was associated loss of stability, retention and support of their complete dentures.Though the literature is replete with various problems in such patients, conservative treatment was employed in all the five cases, to achieve acceptable outcome.The paper recommends this treatment option and highlights the prosthetic techniques utilised in managing the patients including the factors that contributed to successful conservative treatment. In addition, the problems encountered when embarking on such treatments are enumerated and appropriate solutions proferred.
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4/11. Use of biofunctional prosthetic system following partial maxillary resection: a clinical report.

    This clinical report describes the prosthodontic rehabilitation of an edentulous patient with a maxillary defect using the biofunctional prosthetic system. The Biofunctional Prosthetic System brand denture includes a comprehensive technique for impressions, record taking, tooth placement, fabrication and processing. The advantage of this technique is to provide patients with optimal form, function, and aesthetics in complete dentures. This system is based on a team effort and systematic approach to removable prosthetic treatment.
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5/11. Tooth position in full-mouth implant restorations--a case report.

    Reconstructing the edentulous mouth with opposing, fixed, implant-supported metal-ceramic restorations demands great attention to detail. This article reviews the basic principles of tooth position in dentate patients and in complete denture prosthodontics and relates them to the edentulous patient undergoing implant restoration. Determining gnathologic points and recognizing anatomic landmarks found in the edentulous jaws aid in correct tooth positioning, resulting in proper comfort, function, speech, esthetics, and a prearranged occlusal scheme, all of which are critical factors behind restorative-driven implant dentistry.
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6/11. Posterior maxillary osteotomies: an aid for a difficult prosthodontic problem.

    patients who have supereruption of posterior dentoalveolar segments provide an interesting challenge to the dentisr. The severe problems require a team approach to achieve the best results. Factors influencing the treatment include the periodontal status of the involved teeth as well as the concern of the patient. The posterior maxillary osteotomy provides the chance to maintain the vital functional teeth in an otherwise difficult situation. It must be emphasized that the patient must wear an opposing splint or prosthesis following surgery to prevent relapse. This conservative approach maintains the teeth and their vitality and anatomically repositions the supererupted segment to an improved functional position.
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keywords = eruption
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7/11. Current concepts in the surgical management of the atrophic mandible.

    1. For the severely atrophic mandible surgery cannot be considered as a magical panacea. 2. Retention of teeth or tooth roots is important as we are unable to predict the degree of mandibular bone resorption relating to the innate vascular pattern. 3. More emphasis should be given to mylohyoid reduction as described in this paper. 4. A gain in stability by surgery should not be at the expense of retention. 5. Mucosal grafts are more satisfactory than skin grafts. 6. Bone graft augmentation in the future must be considered with great caution. 7. When removing denture hyperplasia which involves the sulcus, every effort must be made to preserve viable mucosa in order to reconstitute a resilient border seal.
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8/11. Re-establishing natural tooth position in the endentulous environment.

    The routine prosthetic arrangement of teeth set according to arbitrary criteria frequently results in adaptive problems, tissue damage, poor aesthetics, lack of stability and functional disabilities. A phonetic technique, based on the "S" position of the mandible, in the majority of cases provides a useful aid in achieving natural tooth positions and the occlusal vertical dimension. This technique can enhance the quality of prosthodontic service especially for patients having difficulties with full dentures.
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9/11. growth retardation, alopecia, pseudo-anodontia, and optic atrophy--the GAPO syndrome: report of a patient and review of the literature.

    The GAPO syndrome is a rare but distinct autosomal-recessive disorder. The term GAPO is an acronym for the manifestations of growth retardation. alopecia, Pseudo- anodontia (failure of tooth eruption), and progressive optic atrophy. We are aware of five other published patients. All have a strikingly similar appearance. This, along with other distinct manifestations, should allow clear differentiation from other causes of growth retardation. The hypothesis of autosomal-recessive inheritance is based on parental consanguinity and affected sibs in several cases.
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keywords = tooth, eruption
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10/11. Prosthetic rehabilitation of a child with induced anodontia.

    A case of prosthetic rehabilitation of a five and half year old child with induced anodontia is presented. Complete dentures were provided and patient was followed for a period of 20 months. As the permanent teeth erupt into the oral cavity, regular modifications have to be made on the denture base to facilitate their eruption.
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