An endodontically treated anterior tooth requires extracoronal restoration when the tooth structure is weakened or lost due to caries, endodontic treatment, placement of previous restorations and/or is discolored. The reduced tooth structure makes retention of extracoronal restoration difficult. The purpose of post is to provide retention for the core restoration, which replaces lost coronal structure. This article describes restoration of mutilated maxillary central incisors by using cast post and core, followed with porcelain fused to metal restorations. How to cite this article Legha VS, Saini DK, Kumar KVA. Esthetic Rehabilitation of Mutilated Anterior Teeth with Custom Cast Post and Core Porcelain-Fused-to-Metal Crowns. Int J Experiment Dent Sci 2015;4(1):69-71.
Discontinuity of mandible limits the balance of the lower face and leads to decreased mandibular function by deviation of residual segment toward surgical site. Delay in the initiation of mandibular guidance therapy may be due to varied reasons like postsurgical morbidities, tight wound closure, radiation therapy, flap necrosis, and others, which may result in an inability to achieve normal maxillomandibular relationships. When such deviated mandible is opposed to maxillary complete denture, then the rehabilitation would be of greater challenge. This clinical report presents rehabilitation of hemimandibulectomy defect with twin occlusion in maxillary overdenture with access posts and O-ring attachments. How to cite this article Kumar KVA, Legha VS, Saini DK. Wadhwa VN, Sarkar A, Chahar PK. Twin Occlusion in Maxillary Overdenture with Access Posts and O-ring Attachments in the Rehabilitation of Hemimandibulectomy Patient. Int J Experiment Dent Sci 2017;6(2):105-107.
Rehabilitation of facial defects is an exigent task for the prosthodontist requiring an innovative design and technique for each patient. The disfigurement associated with the loss of an eye may result in significant physical and emotional problems. The placement of an artificial prosthesis serves a great psychological, social, and cosmetic benefit to the patient. The present article describes a straightforward technique for the fabrication of a silicone orbital prosthesis retained using spectacle in a patient who had undergone exenteration of the right eye due to rhabdomyosarcoma. How to cite this article Wadhwa VN, Kumar KVA, Legha VS, Saini DK, Chahar PK, Sarkar A. Esthetic Rehabilitation of an Orbital Defect Secondary to Surgical Management of Rhabdomyosarcoma. Int J Experiment Dent Sci 2017;6(2):108-110.
The end goal of prosthetic replacement of teeth following tooth loss is to provide a functional restoration that is harmonious with the remaining natural dentition. To achieve this goal, hard and soft tissues need to be present in adequate volume and quality. An increasingly common strategy to preserve bone and reduce treatment times includes the placement of dental implant into a fresh extraction site. Resorption of the alveolar bone is common after the extraction and presents a clinical challenge to ideal implant placement, especially in the esthetic zone. In order to preserve the extraction socket dimension, immediate implant placement at the time of extraction has been proposed. The technique involves atraumatic extraction of the tooth followed by implant placement. Voids between the implant and the socket walls are filled with a particulate bone graft material. This article describes one such case of immediate implant placement and prosthodontic rehabilitation of a young patient following traumatic loss of natural teeth.
Following mandibular resection, restoration of function is usually not possible and prolonged disfigurement is inevitable. By the use of a guide flange initially followed by prosthetic rehabilitation, function can be restored to normal physiological limits with little disfigurement. The basic rehabilitation objective is to train the mandibular muscles and to re-establish an acceptable occlusal relationship so that the patient can adequately control opening and closing mandibular movements. During the initial healing period following mandibular resection early prosthodontic intervention by mandibular guide flange and maxillary stabilization prosthesis serve the purpose of reducing the mandibular deviation, preventing extrusion of teeth and improving the masticatory efficiency. This article describes the initial prosthodontic rehabilitation of two cases with two different types of 'Guide flange prosthesis'.
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