Gavhane Sanket, Da Costa Godwin Clovis, Chalakkal Paul, De Souza Neil
Department of Oral and Maxillofacial Surgery, Goa Dental College and Hospital, Bambolim, Goa, India.
Department of Prosthodontics, Goa Dental College and Hospital, Bambolim, Goa, India.
Contemp Clin Dent. 2019 Jan-Mar;10(1):170-173. doi: 10.4103/ccd.ccd_487_18.
This case report highlights a case of full-mouth rehabilitation in a 38-year-old female. Extrusion of the right posterior maxillary alveolar segment had resulted due to the presence of an opposing edentulous mandibular span, which had led to complete absence of restorative space in the lower arch. Maxillary posterior segmental osteotomy was carried out to obtain adequate space for placing an implant-supported prosthesis in the opposing edentulous mandibular span. The procedures before the surgery consisted of articulation of the diagnostic casts on to a semi-adjustable Hanau™ Wide-Vue articulator and a mock surgery on the upper cast to assess the amount of segmental osteotomy necessary to accommodate an implant-supported prosthesis in the lower edentulous region. Other procedures included implant placements, root canal treatment, post and core build-up, and full-crown placement on various teeth.
本病例报告重点介绍了一名38岁女性的全口修复病例。由于存在对侧无牙下颌跨度，导致右侧上颌后牙槽段突出，进而导致下牙弓完全没有修复空间。进行了上颌后段截骨术，以便在对侧无牙下颌跨度中获得足够空间来放置种植体支持的修复体。手术前的程序包括将诊断模型安装到半可调的Hanau™ Wide-Vue牙合架上，以及在上颌模型上进行模拟手术，以评估在下颌无牙区容纳种植体支持修复体所需的截骨量。其他程序包括种植体植入、根管治疗、桩核修复以及在多颗牙齿上进行全冠修复。
