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Prosthodontic rehabilitation after traumatic tooth and bone loss: A clinical report
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Introduction Traumatic injuries are generally caused by mechanical electrical, and chemical agents ,radiation and heat. Patients with traumatic defects present with movable tissue beds and lack of sufficient tooth and bone support, which limits prosthesis retention
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The loss of prosthodontic suport may result in the tendency to use a removable prosthesis supported by both teeth and soft tissues. The placement of osseointegrated implants offers an opportunity to enhance the prosthodontic support with different restorative designs .
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This clinical report describes treatment of a partially edentulous patient with a traumatic injury as a result of and automobile accident.
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Clinical report automobile accident that had resulted in a multiple facial fractures and extensive soft-tissue wounds. Cranial radiographs confirmed the presence of multiple facial bone fractures located in the zygomatic arch,orbital and maxillary sinus walls, and in the mandibular body.
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Chief complaint : inability relative to speech ,mastication and esthetics . Clinical findings Teeth and bone loss Subluxated ,dislocated and periodontally compromised teeth Scar bands on the soft and hard palate and in the vestibule
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Limited mouth opening
Reduced interarch space Mandibular deviation TMJ and associated muscles – asymptomatic
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Summary : The use of osseointegrated implants may provide reliable prosthesis retention in addition to the retention gained by the removable prosthesis. Implants provide an excellent means of stabilizing the prosthesis in a manner that may restore the patient to a preaccident level of function.
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The optimal treatment for patients with traumatic tooth loss and hard and soft tissue malformations may include the use of osseointegrated implants to provide increased prosthesis support and stability.
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www.indiandentalacademy.com Leader in continuing dental education
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