Prosthetic rehabilitation of a Crouzon patient: A case report

Crouzon syndrome is a rare genetic disorder, which can be defined as a variation of craniofacial dysostosis caused by the premature obliteration and ossification of two or more sutures. The growth pattern results in pseudoprognathism and malocclusions including an overcrowded or a widely spaced dentition. Specifically maxillary arch is narrow, high, and V-shaped. Cleft palate and bifid uvula are other possible features in the oral cavity. This report describes a non-surgical treatment model to overcome the remaining significant Class III intermaxillary relation and excessive tooth loss to recover function and aesthetics for a 25-year-old Crouzon patient.     

Guide flange prosthesis for early management of reconstructed hemimandibulectomy: a case report

Surgical resection of the mandible due to presence of benign or malignant tumor is the most common cause of the mandibular deviation. Depending upon the location and extent of the tumor in the mandible, various surgical treatment modalities like marginal, segmental, hemi, subtotal, or total mandibulectomy can be performed. The clinicians must wait for extensive period of time for completion of healing and acceptance of the osseous graft before considering the definitive prosthesis. During this initial healing period prosthodontic intervention is required for preventing the mandibular deviation. This case report describes early prosthodontic management of a patient who has undergone a reconstructed hemi-mandibulectomy with modified mandibular guide flange prosthesis. The prosthesis helps patient moving the mandible normally without deviation during functions like speech and mastication.     

Treatment of osteoradionecrosis by transoral hemimandibulectomy: report of case.

A case of progressive osteoradionecrosis after cobalt-60 radiation has been presented. A rational, but aggressive, treatment has been described. The morbidity of the procedure is minimal when proper instrumentation is available. The postoperative results are esthetically pleasing because, with radiation, there is so much fibrosis that facial contour is satisfactory even after a hemimandibulectomy.     

Prosthetic rehabilitation of an ocular defect with post-enucleation socket syndrome: A case report

Ocular trauma can be caused by road traffic accidents, falls, assaults, or work-related accidents. Enucleation is often indicated after ocular injury or for the treatment of intraocular tumors, severe ocular infections, and painful blind eyes. Rehabilitation of an enucleated socket without an intraocular implant or with an inappropriately sized implant can result in superior sulcus deepening, enophthalmos, ptosis, ectropion, and lower lid laxity, which are collectively known as post-enucleation socket syndrome. This clinical report describes the rehabilitation of post-enucleation socket syndrome with a modified ocular prosthesis. Modifications to the ocular prosthesis were performed to correct the ptosis, superior sulcus deepening, and enophthalmos. The rehabilitation procedure produced satisfactory results.     

Prosthetic rehabilitation of edentulous mandibulectomy patient: A clinical report

Segmental resection of the mandible commonly results in deviation of the mandible to the defective side. The amount of deviation depends on the amount of hard and soft tissue involvement, the method of surgical site closure, the degree of impaired tongue function, the number of remaining teeth and the extent of loss of sensory and motor innervations. Prosthodontic treatment along with physical therapy may be useful in reducing mandibular deviation and improving masticatory efficiency. This clinical report describes the use of two rows of nonanatomic teeth on the unresected side. This provided a broader occlusal table and improved masticatory efficiency in our edentulous madibulectomy patient.     

Prosthetic rehabilitation of extremely worn dentitions: case reports.

The stomatognathic system is a complicated structure, and patients usually adapt to their existing vertical dimension of occlusion. Therefore, prosthetic rehabilitation of decreased vertical dimension of occlusion should be considered only when dictated by esthetic or functional requirements. If the loss of vertical dimension is significant, provisional prostheses should be used before the final prosthesis to prevent tension or pain in the temporomandibular joints and the muscles as the patient adapts to the new dimensions. Acrylic resin provisional prostheses were used for three patients before the final prosthesis was fabricated with the restored vertical dimension of occlusion. The period of use varied, depending on the patient's individual adaptive ability. The important aspect is to find the most comfortable position for the patient.     

Prosthetic rehabilitation of the oral cancer patient: A clinical report

A clinical report is presented describing the prosthodontic rehabilitation of an oral cancer patient, and the techniques involved.     

Rehabilitating dentulous hemimandibulectomy patients.

A hemimandibulectomy can have many debilitating consequences, such as an eccentric occlusion, a disoriented masticatory cycle, facial disfigurement, distorted speech, and salivation problems. If prosthetic treatment begins some time following surgery and the cicatricial tissue has already consolidated, additional treatment time is necessary. A technique is described which combines crowns with a maxillary prosthesis to guide the mandible into a functional occlusion.     

Prosthetic and orthodontic rehabilitation of a patient with missing maxillary lateral incisors: a case report.

IPS Empress 2 materials can be used for fabrication of short-span fixed partial dentures in the anterior region as well as single crowns. This clinical report describes the prosthodontic treatment of a 16-year-old male patient with missing permanent maxillary left and right incisors with IPS Empress 2 fixed partial dentures following orthodontic treatment.     

Prosthetic rehabilitation of a child affected from anhydrotic ectodermal dysplasia: a case report

The aim of this clinical report is to describe the management of a young patient, affected by ectodermal dysplasia, during a nine-year period. Dental treatment can vary depending on the severity of the disease (tooth size, morphology, and amount of available alveolar bone). New technologies, such as adhesive dentistry, and new materials, such as composite resin, represent current options in the management of the dental rehabilitation of patients affected by ectodermal dysplasia. Removable partial dentures were used to replace congenitally missing teeth, and composite resin materials were used to restore conical-shaped maxillary teeth to achieve a favorable esthetic result. This option minimized the sacrifice of healthy dental tissue. Prosthodontic and restorative treatment was provided for the psychological and social comfort of the young patient.