Multidisciplinary treatment: association among orthodontics, implantodontia and prosthetics. Case report

Abstract

<p>Deficiencies in the alveolar ridge, dental migration and malocclusion are conditions that may hamper restorative treatment and thus must be resolved by taking a multidisciplinary approach. This clinical case report is associated with orthodontics, implantology and prostheses for rehabilitation. A 34-year-old male patient presented himself in a private practice complaining of aesthetics and discomfort when chewing. At the clinical examination, teeth numbers 11, 12, 21, 22 and 25 were absent, with a removable partial denture replacing them. Due to the prolonged use of this prosthesis, wear of the artificial teeth and the extrusion of the anterior inferior teeth were present. A depression was also present in the vestibular region of the upper incisors, which did not provide adequate lip support. The tomographic examination revealed that despite the deficiency of the vestibular-lingual bone volume, the remnant in this region allowed for the implantation of implants. Orthodontic treatment was performed for the intrusion of the inferior elements and the alignment of the arches, with the goal of providing more spaces for rehabilitation. Afterward, the patient underwent surgery to install implants in the 11, 21 and 25 regions, concomitantly with bone regeneration in the vestibular region of the upper incisors. During this time, the patient used a new removable partial denture. After eight months, the prosthetic phase was started. Ten years after the end of treatment, the patient is satisfied with the results and performs maintenance every six months.</p><p><strong>Keywords</strong></p><p>Tooth movement techniques; Dental implants; Bone transplantation; Dental prosthesis.</p>

Ortodontia pré-protética e terapia bioprogressiva de Ricketts: relato de casos

“…Com o presente estudo, foi possível relatar a importância do tratamento ortodôntico prévio à reabilitação oral do paciente, que além da devolução da estética dental, possibilitou a regularização do plano oclusal e de todo o sistema estomatognático dos pacientes. Ressalta-se neste contexto, a necessidade do planejamento do caso clínico, em conjunto pelos profissionais ortodontista/implantodontista/protesista, a fim de se ponderar as limitações, vantagens e custos-benefícios que as intervenções podem ter sobre os objetivos do tratamento e as expectativas do paciente 8,12 .…”

“…Neste contexto, ressalta-se a importância do planejamento multidisciplinar no tratamento reabilitador do paciente. Para tanto é necessário considerar a queixa principal do paciente, objetivo do tratamento, limitações dos casos, custo benefício, e assim poder indicar de forma coerente e responsável a intervenção das outras áreas da odontologia baseada na real necessidade do indivíduo 8,9 .…”

Stress distribution in lower second molar mesialization using mini-implants: a pilot study using 3D finite element analysis

“…Dental surgeons are frequently questioned about treatment alternatives for rehabilitation or space closure. Multidisciplinary treatments in these cases are generally a good rehabilitative approach [3]. Therefore, the dental surgeon must always pay attention to the clinical examination and anamnesis, in addition to the general health status of the patient to design a good treatment plan, be predictable and avoid as many complications as possible [4,5].…”