General consideration and clinical application in periodontal prosthesis-clinical cases report

• Main Authors: Chao-Lung Hsu, 許朝隆
• Other Authors: Chi-Cheng Tsai
• Format: Others
• Language: zh-TW
• Published: 2007
• Online Access: http://ndltd.ncl.edu.tw/handle/37827532086377917822

碩士 === 高雄醫學大學 === 牙醫學研究所碩士班 === 95 === New-aged dental treatment has entered cross many specialties, namely strive for the integratness of giving full cooperative treatments. All answers share, oral diagnostic, operative, endodontic, periodontal treatment, oral surgical , orthodontic, prosthodontics, and support from dental technicians should be included. Dr. Amsterdam (University of Pennsylvania, 1974) shared the same view. He defined periodontal prosthesis as“Those restorative prosthetic endeavors are absolutely essential in the treatment of advanced periodontal disease”. Periodontal compromised dentitions involved deep pocket depth, tooth mobility, missing teeth, which could lead to the pathological migration, central relation discrepancy, posterior bite collapse and temporomandibular joint dysfunction syndrome. Basically, the dental therapy is not only to provide the esthetics but also to stabilize the supporting structures. Like a perfect building, it must have a solid base. The final prosthesis should be constructed on a stable periodontal structure. Since the individual susceptibility of periodontal disease and different disease progression are affected by virulence of infection bacteria, dentist must evaluate the patient’s characteristics, financial capabilities and treatment variabilities to select the most appropriate treatment for the patient. This clinical thesis included 10 representative periodontal-prosthetic cases, (case report, literature review, and discussion) including case such as single-tooth implant and immediate loading, cases which involved full-mouth periodontal treatment and occlusal rehabilitation, matching orthodontics treatment, telescopic denture system or flexible removable denture. eight females and two males (aged 37~72 yrs old ; 54.3 y/o on the average). with treatment course of 6~27 months (15.6 months on the average) were reported. All cases are part of periodontal-prosthesis and can be used as reference for similar treatments. Patients are satisfied in terms of chewing, articulation and esthetics. However, the endurance is yet to be proved and long-term follow-up are indispensable. Key words: periodontal-prosthetics, posterior bite collapse, telescopic prosthesis, implant