REASONS AND CONSEQUENCES OF TOOTH LOSS

DENTAL TREATMENT PLAN

JUDIT BORBÉLY

THE ROLE OF THE TEETH

• Chewing

• Speech

• Aesthetic

ROLES OF PROSTHETICS

Reconstruction of

• Chewing capacity

• Phonation

• Aesthetics

REASON FOR TOOTH LOSS

• Biological (senilis osteoporosis)

• Pathological (caries, parodontitis, accident, geneticanomaly, tumour)

CONSEQEUENCES OF TOOTH LOSS

• Reduction of chewing capacity

• Disorder of phonation

• Disadvantage of aesthetic aspect

• Psychic problem• Pathological tooth

dislocation

• Overload of theteeth

• Disorder of thecontact point system

• Inclination of theteeth

• Elongation of theteeth

• Attrition of the teeth• Traumatic occlusion

LATER CONSEQUENT OF MISSIG TEETH(IN INTENSE CASES)

• Reduction of chewing intensity

• Involution of buccal muscle

• Hollow-cheeked

• TMJ disorder

• Gastrointestinal problems

• Disorder of digestion

A BASIC GOAL IN DEVELOPING A TREATMENTPLAN SHOULD BE SIMPLICITY.

IN NO WAY SHOULD A SIMPLE SOLUTIONTO A GIVEN PROBLEM BE CONFUSED

WITH INADEQUATE OR IMPROPERTREATMENT.

IDEAL TREATMENT PLAN: TREATMENT THAT PROMISES BEST

POSSIBLE DENTAL PROGNOSISFOR THE INDIVIDUAL PATIENT.

THE DEVELOPMENT OF A COMPREHENSIVEAPPROACH TO TREATMENT PLANNING

Collection of data

Organization of data

Visualization

Prognosis

Decision

IntroductionInformation Collection

Outline: A Closer LookGeneral InformationThe History

The Chief ComplaintThe Dental HistoryThe Medical History(Socioeconomic History)

The Clinical ExeminationExtraoral ExaminationIntaoral Examination

Laboratory StudiesRadiographic ExaminationDiagnostic CastsClinical Photography

Photodocumentation

StudentDate

Prosthodontic Final Exam Case PresentationTitle (Type of Denture)

SEMMELWEIS UNIVERSITYDepartment Of Prosthodontics

INTRODUCTION OF THE PATIENT

• 35 years old woman

• Occupation:

inspector

The reason for Dental Investigations’s Needs

• The 16 tooth was extracted due tounsuccessful endodontic treatment. The patient does not want a dental implant.

Casereport by Dr. Dóra Fehér

MEDICAL HISTORY

• The patient doesn’t take anymedicine, she hasn’t got any generaldisease.

• Allergy test was made due to a possible metal allergy. NO metal allergy but bisphenol-A dimethacrylateand benzoil-peroxid allergy was found.

• The patient has not got any bad habitor addiction. (She quit smoking oneyear ago)

DENTAL HISTORY

• The 16 tooth was extracted due to

periostitis and unsuccessful endodontic

treatment in January 2020

• 14 was extracted due to orthodontic

treatment

At the Conservative Clinic Dr. Enikő

Szabó treated her. (fillings)

Casereport by Dr. Dóra Fehér

StudentDate

Prosthodontic Final Exam Case PresentationTitle (Type of Denture)

SEMMELWEIS UNIVERSITYDepartment Of Prosthodontics

DENTAL STATUSPORTRAIT AND FULL SMILE PHOTO

Casereport by Dr. Dóra Fehér

StudentDate

Prosthodontic Final Exam Case PresentationTitle (Type of Denture)

SEMMELWEIS UNIVERSITYDepartment Of Prosthodontics

DENTAL STATUS –ICP AND MOUTH SLIGHTLY OPEN

Casereport by Dr. Dóra Fehér

StudentDate

Prosthodontic Final Exam Case PresentationTitle (Type of Denture)

SEMMELWEIS UNIVERSITYDepartment Of Prosthodontics

DENTAL STATUS- PANORAMIC RADIOGRAPH

The x ray was made 2019.10.28, 16 was extracted(January,2020)

Casereport by Dr. Dóra Fehér

StudentDate

Prosthodontic Final Exam Case PresentationTitle (Type of Denture)

SEMMELWEIS UNIVERSITYDepartment Of Prosthodontics

DENTAL STATUSINTRAORAL RADIOGRAPHS AND FINDINGS

Casereport by Dr. Dóra Fehér

INSPECTION OF HEAD AND NECK REGIONINTRAORAL INVESTIGATION I.

• Stomato-oncological screening: no findings

• TMJ examination: no findings

• Static Occlusion - Bite form: eugnathic

• Dynamic Occlusion - guidance

StudentDate

Prosthodontic Final Exam Case PresentationTitle (Type of Denture)

SEMMELWEIS UNIVERSITYDepartment Of Prosthodontics

ANOMALIES Dental Skeletal

Transversal

Saggital Angle Class I.

Vertical

Casereport by Dr. Dóra Fehér

StudentDate

Prosthodontic Final Exam Case PresentationTitle (Type of Denture)

SEMMELWEIS UNIVERSITYDepartment Of Prosthodontics

DENTAL STATUS – UPPER JAW

• Fábián and Fejérdy Classification of Partially Edentulous Arch: 1A

F

(o)D

(M)

F(MOD

)

F(MOD

F(MO)

8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8

Casereport by Dr. Dóra Fehér

StudentDate

Prosthodontic Final Exam Case PresentationTitle (Type of Denture)

SEMMELWEIS UNIVERSITYDepartment Of Prosthodontics

DENTAL STATUS –LOWER JAW

• Fábián and Fejérdy Classification of Partially Edentulous Arch: 0

Casereport by Dr. Dóra Fehér

StudentDate

Prosthodontic Final Exam Case PresentationTitle (Type of Denture)

SEMMELWEIS UNIVERSITYDepartment Of Prosthodontics

• Scaling, polishing

Preoperative treatments

Casereport by Dr. Dóra Fehér

PROSTHODONTIC TREATMENTPLAN

3-unit monolithic zirconium-dioxide FPD, made with CAD/CAM technology

Abutments:15,17Pontic:16

.

Casereport by Dr. Dóra Fehér

THE MODIFIERS OF THETREATMENT PLAN

• Prothetic value of the teeth

• Condition of theparodontium

• Axis of the teeth

• Form and size of the teeth

• Form and size of the arch

• Form of the edentulousridge

• Bite-form

• Properties of theantagonistic teeth

• M/F, age, profession, medical history of thepatient

• Parafunctional movements

• Socioeconomic factors

• Patient desire

TREATMENT PLAN

• Informed consent!

• Predictibility

• Smile Design

• Wax-up-Mock-up• Analog or Digital

TRADITIONAL WAY DIGITAL WAY

Slides by Dr. Dóra Fehér

Smile Designer Pro Aesthetic Digital Smile Design Planmeca Romexis Smile design

Cerec SW 4.2 VisagiSMile 3 Shape Smile Design DSD App

Slide by Dr. Dóra Fehér

THANK YOUFOR YOUR

ATTENTION!