Abstract

MENDOZA RIVERA, Susana; RIOS SZALAY, Enrique; TREVINO SANTOS, Alejandro  and  OLIVARES TAPIA, Selene. Multi-disciplinary prosthetic rehabilitation: Clinical case report. Rev. Odont. Mex [online]. 2012, vol.16, n.2, pp.112-122. ISSN 1870-199X.

In present days, evolution in Dentistry and changes in prosthetic techniques and materials have rendered patients more demanding in matters concerning aesthetics, function, and comfort. Issues involving face and teeth require interaction of several dental disciplines, with the aim of attaining prevention, function and aesthetics, which can be attained through well organized communication. Multidisciplinary prosthetic rehabilitation meets that goal. A multidisciplinary treatment is based upon diagnosis, planning and therapeutic procedures.^1,2 Treatment planning can initiate with a visualization of the final result. If several disciplines were not to be involved in the comprehensive treatment, results could result compromised.³ Objective: Step by step description of clinical phases, in a multidisciplinary treatment based upon diagnosis and planning. Different specialties are involved: Surgery, Implantology, Periodontics, Endodontics, Oral Prosthetics and Occlusion. The inclusion of all these disciplines will achieve stability in the periodontal tissues as well as tissues surrounding future implants, recovery of periodontal architecture and masticatory function, as well as attaining acceptable aesthetic results and gaining the patients aesthetic and functional satisfaction. Clinical case presentation: 47 year old female patient, in general good health, some missing teeth, inappropriate prosthetic work, loss of periodontal support as well as aesthetic and functional alterations. Treatment plan was decided upon, and divided into four phases: the first phase consisted on tooth extraction and implant placement. The second phase involved canal treatment and re-treatment with stump reconstruction, which involved the making of a guide for partial coronary conformation. The third prosthetic phase involved treatment of soft tissues, impressions, implant rehabilitation, characterization, cementing with the CAD-CAM Procera ^® system and occlusal splint. The fourth phase involved periodontal and prosthetic control. Conclusion: Treatment success was based upon the following factors: 1) Maintenance of periodontal and tissues surrounding the implant, 2) Periodontal architecture recovery, 3) Masticatory function recovery, 4) Obtaining acceptable aesthetic results, 5) Patient's satisfaction with respect to aesthetics and function.

Keywords : Prosthetic rehabilitation; multidisciplinary diagnosis; planning and communication; multidisciplinary treatment; state-of-the-art prosthetic materials and techniques (dental implants CAD/CAM system); fiber-reinforced posts.

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