Multidisciplinary approach for the rehabilitation of dentoalveolar trauma

Abstract

Satisfactory dental rehabilitation of dentoalveolar trauma requires intense effort and time. Usually multidisciplinary treatment planning and teamwork are necessary to deal with multitask problems associated with these cases. Dental implants have been successfully used for replacement of missing teeth, but in trauma cases insufficient alveolar bone hinders implantation. In this report we present the multidisciplinary approach for the treatment of a trauma case. Maxillary segmental alveolar osteotomy in conjunction with interpositional and onlay bone grafting was performed to prepare the site for placement of osseointegrated implants. Titanium microplate and screws were used to provide orthodontic anchorage for intrusion of the extruded mandibular incisors. The patient was rehabilitated by implant supported fixed partial denture 6 months after implant placement.

Mandi̇bular Defektli̇ Hastalarin Proteti̇k Rehabi̇li̇tasyonunda Farkli Tedavi̇ Seçenekleri̇ : İki̇ Olgu Sunumu

“…8,9 Bazı hastalar dentoalveolar defektlerin protezlerde yol açtığı retansiyon ve stabilite kaybından dolayı protetik zorluklar çekerler. 6,10,11 Maksillo-fasiyal protezlerde genel protez kurallarının yanı sıra genellikle her hasta için kendine özgü uygulamalar ve planlamalar yapılmalıdır. 12 Hareketli protezler; oral hijyeni sağlama kolaylığı, özellikle alveolar sırt ve kemik defekti olduğunda yumuşak doku desteğini sağlanması, maliyetinin ucuz olması, tedavi süresinin kısalması ve takibinin kolay olması gibi avantajlara sahiptir.…”

Long-term Effects of Traumatic Injuries to Incisors and Periodontal Tissues during Childhood

“…Die vertikale Atrophie ist als Inaktivitätsatrophie, die horizontale als Folge des muskulären Drucks zu verstehen [55]. Deshalb ist häufig bei großem zeitlichem Abstand zwischen Zahnverlust und Implantatinsertion vor Einbringen des Implantates ein Defizitausgleich des Knochens nötig [3,10,46,53].…”

“…Vertical atrophy signifies interactivity atrophy, and horizontal a consequence of muscle pressure [55]. If there is a long interval between tooth loss and implant insertion, it is often necessary to compensate for any bone deficit before implant placement [3,10,46,53].…”

Orthodontic space closure of lost traumatized anterior teeth – case report

“…There are different approaches for replacing lost anterior teeth (6, 7, 9). The available treatment alternatives might vary according to the case.…”