Dentinogenesis imperfecta dr. anil goud

transcript

FULL MOUTH REHABILITATION OF DENTINOGENESIS IMPERFECTA

– A CASE REPORT

www.asiandentalacademy.org

Above KFC Restaurant main Road

Kothapet Hyderabad

DENTINOGENESIS IMPERFECTA

• Is an autosomal anomaly.

• Hereditary developmental disorder of dentin in the

absence of any systemic disorder.

• Bulbous crowns, cervical constriction, thin roots, early

obliteration of root canal and pulp chamber

• Enamel #s easily from underlying defective dentine –

accelerated attrition. www.asiandentalacademy.org

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RADIOGRAPHS

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DIAGNOSIS

• Dentinogenesis Imperfecta (Type II)

• DD

• -Osteogenesis Imperfecta

• Type I

• Type III were ruled out.

TREATMENT PLAN

• Maxillary arch – fixed partial dentures

• Mandibular arch – overdenture

• Glass fibre-Reinforced acrylic

• Metal occlusal facings

•Resin teeth are opposed by metallic

•Cross linked resin teeth abrades faster

when opposed with metal or metal

ceramic teeth

•Reduction in vertical dimension

•Discomfort to the patient

•Reduced masticatory efficiency

FIXED PARTIAL DENTURE

COMPLETE DENTURE

•Amount of forces will

be more than the

tolerance

•Chances of fracture

of denture base

•Denture base has to

be reinforced

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HDPE FIBERS

• Highly Dense Polyethylene Fibers.

• Used mostly in automobile industry.

• Well integration with resins.

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DIAGNOSTIC WAX UP

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STEP BY STEP PROCEDURE

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COPING INSERTION

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MANDIBULAR IMPRESSION

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FACE-BOW TRANSFER

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VERTICAL RELATION RECORDING

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CENTRIC RELATION REGISTERED

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TEETH ARRANGEMENT

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DEWAXING

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FABRICATION OF METAL OCCLUSAL

SURFACES

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REINFORCEMENT OF DENTURE BASE

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CROWN LENGTHENING

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PREPARATION

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• Maintenance of gingival retraction in full arch

impression is difficult.

• Retraction is transient, Lasts only for 30

seconds

• Compression of the gingiva externally from

the impression material itself, specially by

putty.

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MATRIX IMPRESSION TECHNIQUE

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WAXING AND CARVING OF PATTERNS

FINISHED RESTORATIONS

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LUTING OF CROWNS AND FIXED PARTIAL

DENTURES

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Pre-operative Post operative

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Happy Ending www.asiandentalacademy.org

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ABOUT ASIAN DENTAL ACADEMY

• #asian dental academy is one of the largest Advanced dental

education center in India.

• It is recognozed by DCI, Asian dental association

• It is acreditated by ISO 9001:2008

• It offres short term and long term courses of Endodontics,

Prosthodontics, and Cosmetics, Implants, Orthodontics,

endodontics, smile designing

• Weekend courses of Implants, Orthodontics, endodontics, Smile

designing, Lasers in Dentistry.

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ABOUT DIRECTOR

• Dr Anil Goud

• Director: Asian Dental Academy

• Vice principal: Nanded Dental College Nanded

• Mentor: GPS smile designing Las Vegas USA

Kothapet Hyderabad

One of the visionery with clear vision to transform Indian dentistry to whole new

level, has started this finishing schools since 2010. With vast experience of indian

dental education system. He has introduced on patient training courses in India

THANK YOU!!!

Dentinogenesis imperfecta dr. anil goud

Healthcare