This study aimed to identify the most desirable method of occlusal adjustment in patients with occlusal trauma due to occlusal interference by their natural teeth and propose further considerations for occlusal adjustment. Among patients with occlusal interference of natural teeth and resulting occlusal trauma, occlusal adjustment was performed for 71 patients, and a questionnaire was administered to assess the discomfort experienced by the patients before and during treatment. Informed consent was obtained from the patients. The patient's discomfort before treatment was first examined, and satisfaction after treatment was investigated using the same survey. The questionnaire survey revealed that patients were concerned about the noise and process of the treatment before occlusal adjustment; however, following the treatment, noise was the primary discomfort. Before treatment, women exhibited higher treatment-related anxiety than men; however, no such sex-related difference was observed after treatment. Furthermore, both sexes considered the noise associated with the treatment to cause maximum discomfort, and patients in both the treatment groups assigned high scores for the necessity of occlusal adjustment, sufficient relevant information should be provided to patients to minimize treatment-related anxiety. Moreover, noise management can help improve patient satisfaction with the treatment.
Down syndrome patients generally have poor oral hygiene due to lack of awareness and ability to perform oral care, and there is a high risk of tooth loss. Also, they are characterized by small and irregular teeth and oligodontia, which makes it difficult to do prosthetic treatment. This article reports a case of implant hybrid prosthesis treatment of maxillary edentulous area in Down syndrome patient. The external shape of the final prosthesis was determined by using the mandibular artificial teeth to reflect the oligodontia of the mandible and the pontic areas were adjusted to facilitate oral hygiene care. As a result, aesthetically and functionally satisfactory results were obtained.
Herein, we report the use of a maxillary implant-supported overdenture with magnetic attachment using healing abutments. A 57-yearold male presented with multiple tooth loss in the maxilla along with chronic periodontitis. He had a history of diabetes mellitus and a smoking habit. Rehabilitation was initiated using fixed prostheses. However, the treatment plan was altered to implant-supported overdenture owing to poor bone status and multiple failures of the implants. The magnetic attachment system was selected for the implant-supported overdenture without the use of a locator or bar type attachment. The implants used in the patient were not provided with a magnetic attachment for the overdenture; therefore, healing abutments were modified so that the magnetic attachments could be capped above them. The final prosthesis was satisfactory both functionally and esthetically.
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