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Basutkar, Narendra
- Orthodontic Management of Early and Congenitally Missing Anterior Teeth-Case Reports
Authors
1 Assistant Professor, Department of Preventive Dentistry, Ibn Sina National College, Jeddah - 22421, SA
2 Assistant Professor, Department of Oral & Maxillofacial Rehabilitation, Ibn Sina National College, Jeddah - 22421, SA
3 Lecturer, Department of Oral & Maxillofacial Rehabilitation, Ibn Sina National College, Jeddah - 22421, SA
Source
Asian Journal of Pharmaceutical Research and Health Care, Vol 12, No 1 (2020), Pagination: 35-44Abstract
Early loss or congenitally missing anterior teeth pose unique challenges for orthodontists. Maxillary arch restricted development may lead to narrow upper arch, drifting of adjacent teeth and creates midline shift to the opposite side. There are many treatment options available to manage the missing anterior teeth which includes canine substitution by closing the space and reshaping the adjacent teeth, create a space for missing teeth and replace with a tooth supported restoration, or a single tooth dental implant. Auto-transplantation and removable partial dentures are other less common options. The paramount consideration of treatment plan should be conservation. This article discusses orthodontic management of different missing anterior teeth cases. Two case reports describe the substitution of adjacent tooth for missing anterior. Another case is about creating space for prosthetic restoration of missing anterior tooth. The factors which play important role while planning the treatment are discussed. Orthodontists frequently encounter patients with congenitally missing teeth. Generally, the treatment of choice should be the least invasive option that satisfies the expected esthetics and functional objectives.Keywords
Congenitally Missing Teeth, Dental Substitution, Interdisciplinary Approach, Orthodontics.References
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- Full Mouth Rehabilitation of a Patient with Restorative Space Issues-A Case Report
Authors
1 Assistant Professor, Prosthodontics Division, Department of Oral and Maxillofacial Rehabilitation, Ibn Sina National College for Medical Studies, Jeddah − 22421,, SA
2 Dental Intern, Dentistry Program, Ibn Sina National College for Medical Studies, Jeddah − 22421, SA
Source
Asian Journal of Pharmaceutical Research and Health Care, Vol 12, No 2 (2020), Pagination: 85-90Abstract
Restorative space refers to the amount of space needed vertically and horizontally between the occluding surface of the teeth and between the crest of the residual ridge so that the prosthesis (fixed and/or removable) can be fabricated without compromising their strength and esthetics. Inadequate restorative space can result in prosthetic rehabilitation with poor esthetics, inadequate contours, and decreased stability. Therefore the amount of available restorative space must be carefully assessed prior to initiating prosthetic treatment. Optimal restoration of a patient with restorative space issues depends on several interdependent factors such as the amount of restorative space available, amount of restorative space required for the proposed dental restorations and prosthesis, quality, and quantity of remaining dentition and residual alveolar ridge and esthetic and functional patient demands. Accurate clinical and radiographic examinations, careful determination of VDO and systematic treatment planning using a diagnostic wax-up is key to predictable and successful treatment for patients with restorative space issues. This case report presented here to discuss the challenges and management of a patient with inadequate restorative space.
Keywords
Full Mouth Rehabilitation, Restorative Space, Teeth Wear, Treatment Planning, Vertical Dimension.References
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