Implant prosthodontic rehabilitation of a patient with nevoid basal cell carcinoma syndrome: a clinical report

This clinical report describes the prosthodontic rehabilitation of an edentulous patient with compromised maxillary and mandibular anatomy, caused by the resection of several odontogenic keratocysts associated with nevoid basal cell carcinoma syndrome. Preprosthetic surgical preparation included iliac crest bone grafting to both arches and placement of implants. Prosthodontic treatment included the fabrication of maxillary and mandibular dental implant-supported connecting bars and construction of attachment-retained overdentures.     

Complex prosthodontic treatment with dental implants for a patient with polymyalgia rheumatica: a clinical report

Prosthodontic and implant treatment for a patient with polymyalgia rheumatica can be complicated not only by its symptoms, but also by the side effects of long-term use of certain medications, particularly systemic glucocorticoids. This clinical report presents a polymyalgia rheumatica patient who required full-mouth rehabilitation with dental implants. The patient had a sensitive gag reflex and refused the use of any removable prostheses. She presented clinically with a skeletal Class II malocclusion with severe overbite and overjet. All her remaining dentition was determined to be unrestorable. Full-mouth extractions and immediate placement of implants followed by early implant loading were performed. The use of systemic glucocorticoids might have exacerbated her type 4 maxillary bone and compromised her healing capacity and consequently made implant surgery challenging. Her treatment with full-arch fixed implant-supported dentures to correct her severe overbite and overjet and manage misaligned dental implants is summarized here. The effects of polymyalgia rheumatica in prosthodontic and dental implant treatments are reviewed and discussed.     

Surgical and prosthodontic rehabilitation for a patient with aggressive florid cemento-osseous dysplasia: a clinical report

Florid cemento-osseous dysplasia is an extensive form of periapical cemental dysplasia, which usually involves 1 to 4 posterior areas of the maxilla and mandible. The affected area undergoes changes from normal vascular bone into an avascular cementum-like lesion. The lesion is usually benign; however, treatment of a secondary infection of this lesion can be difficult and complicated. This clinical report describes a rare but aggressive secondary infection of this type, which was successfully treated by a combination of complex surgical and prosthodontic procedures, including dental implant therapy.     

Rehabilitation of malpositioned implants with a CAD/CAM milled implant overdenture: a clinical report

Dentists may be faced with the challenge of restoring unfavorably placed implants. In some instances, previously integrated implants may be from different manufacturers. This clinical report describes the rehabilitation of a patient with a maxillary CAD/CAM implant bar-supported overdenture that presented with malpositioned implants, from different manufacturers, including one from a discontinued implant system.     

The use of implants in the occlusal rehabilitation of a partially edentulous patient: a clinical report

This article describes the occlusal rehabilitation of a partially edentulous patient who did not want a removable partial denture. Implants and extensive fixed restorations were used to restore posterior support and treat severely worn dentition, respectively. The treatment offered the patient a functional and esthetic result.     

Management of a partially edentulous patient with malpositioned implants, using all-ceramic abutments and all-ceramic restorations: A clinical report

A 57-year-old man with missing permanent maxillary right first and second premolars presented for treatment. Two axially misaligned implants had been previously placed in the edentulous area and had successfully integrated, resulting in significant mechanical and esthetic restorative challenges. The prosthodontic treatment included placing 2 custom all-ceramic implant abutments and all-ceramic crowns. This treatment resulted in functional and esthetic restorations despite axial malposition of the implants.     

Osseointegrated implants in post-surgical prosthodontic rehabilitation.

The advent of osseointegrated implants and their use in dentistry has been well documented and continues to become more and more a part of conventional dental treatment. Apart from their use in simple situations they can prove invaluable when there is little hope of success with the other options. Two cases are presented here that involve multiple tooth loss as a result of surgical intervention and treatment of pathological lesions.     

Prosthodontic rehabilitation of dental implants with exposed threads: a clinical report

An unconventional technique was used to address the challenge of exposed dental implant threads. Titanium dental implants were prepared with rotary instruments to eliminate the exposed threads and to receive a fixed cementable prosthesis. The technique required fabrication of a gold casting of 2 copings connected by a round bar to fit the prepared implants and an implant-retained overdenture. This technique may be applied to other situations when multiple implants present with thread exposure and bone resorption. These include single crowns, partial fixed dental prostheses, and attachments for overdentures.     

Fixed prosthodontic rehabilitation in a wear patient with Fabry's disease

Fabry's disease is an uncommon X-linked metabolic disorder that leads to abnormal accumulation of glycosphingolipids in the body resulting in a variety of systemic disorders. Few reports have addressed dental findings and management of these patients. This clinical report describes the fixed prosthodontic rehabilitation of an adult male patient with Fabry's disease, who presented with generalized severe wear of the dentition. In addition to numerous systemic morbidities, the patient also presented with intraoral angiokeratomas, telangiactasias, anterior diastemata, bimaxillary prognathism, and other oral findings known to be prominent in these patients. The patient was managed by an interdisciplinary team of dental specialists in close coordination with his nephrologist. The prosthodontic treatment included restorations on all teeth, except mandibular anterior teeth, and the patient was restored with a partial group function scheme of occlusion. At the 3.5-year follow-up appointment, the patient's oral health and integrity of the restorations remained stable. This is the first clinical report describing the prosthodontic management of a patient with Fabry's disease. Unique features related to this patient's fixed prosthodontic treatment include accommodation to complex medical problems, management of maxillary diastemata, and choice of occlusal scheme.     

Prosthetic rehabilitation for a patient with microstomia: a clinical report

This clinical report describes the fabrication of a collapsible maxillary removable complete overdenture using a sectional impression tray technique and a custom-made palatal hinge mechanism for a partially edentulous woman with microstomia resulting from scleroderma. As microstomia is frequently associated with poor manual dexterity, an instrument was fabricated to assist the patient in removing the prosthesis.     

Efficient prosthodontic treatment in a young patient with long-standing bulimia nervosa: A clinical report

Time-saving, efficient dental treatment is essential for patients in poor dental condition. This clinical report describes a systematic technique for restoration of the visibly-destroyed dentition of a long-term bulimia nervosa patient, including occlusal vertical dimension increase, with composite resin core foundations and prosthetic rehabilitation with ceramic crowns, in only a few treatment sessions. The efficiency of this procedure is gained from composite resin core restorations that establish the new occlusal vertical dimension (OVD) and replace and form the foundation for the subsequent crown preparation.     

Prosthodontic rehabilitation of a patient with partial anodontia: a clinical report

This clinical report describes the prosthodontic rehabilitation of a 22-year-old female patient diagnosed with partial anodontia. A combined dental therapy approach was used and included endodontic therapy and a post-and-core buildup on the mandibular left canine, fabrication of a mandibular removable denture, and fabrication of maxillary fixed restorations. Canine-protected occlusion was developed in the final restorations to decrease lateral forces on the posterior dentition. Protrusive guidance was evenly distributed across the maxillary and mandibular incisors. Functional and esthetic results were achieved.     

Prosthetic rehabilitation of a total rhinectomy patient resulting from squamous cell carcinoma of the nasal septum: a clinical report

The clinical characteristics and prosthetic rehabilitation of a patient with squamous cell carcinoma of the nasal septum after combined radiation therapy and a total rhinectomy is presented.     

痣样基底细胞癌综合征伴先天性左眼缺失1例

痣样基底细胞癌综合征（NBCCS）又称基底细胞痣综合征或Goltz-Gorlin综合征,是一种复杂且罕见的常染色体显性遗传疾病,大量研究文献证实PTCH1基因与NBCCS有关。本文报道1例NBCCS伴先天性左眼缺失的病例,并结合相关文献探讨以进一步了解该综合征。     

Combined prosthodontic and orthodontic treatment of a patient with a Class III skeletal malocclusion: a clinical report

This clinical report describes a multidisciplinary approach for the treatment of a patient with Angle Class III skeletal malocclusion and decreased occlusal vertical dimension. An overlay removable partial denture (ORPD) was used to reestablish the occlusal vertical dimension (OVD). After the trial and adjustment period, the reduced lower anterior dentofacial height was orthodontically increased and the negative horizontal overlap was corrected. A maxillary precision attachment RPD and a mandibular fixed partial denture and metal ceramic crowns were fabricated to satisfy esthetic and functional requirements.     

Full-mouth rehabilitation of a patient with gastroesophageal reflux disease: a clinical report

Gastroesophageal reflux disease (GERD) is a chronic condition caused by stomach acid regurgitating into the esophagus or oral cavity, often causing heartburn. Tooth erosion and wear are common oral manifestations of GERD. This clinical report describes the full-mouth rehabilitation of a patient with over 30 years of GERD, causing wear of maxillary and mandibular anterior teeth, along with complications associated with past restorations. Full-mouth rehabilitation of natural teeth in conjunction with dental implants was selected as the treatment option. Ideal occlusal design and optimal esthetics, along with reinforcement of oral hygiene, ensure a favorable prognosis.