Objective: To review the literature systematically in relation to the effectiveness of the adhesive for dental prostheses presented in terms of patient satisfaction and to evaluate the differences regarding the use or not of them. Methodology: A search was carried out in the databases PubMed / MEDLINE, Embase, Scopus and Web of Science according to the criteria of Preferred Reports for Systematic Reviews and Meta-Analysis. The PICO question was used to address the following specific question: "Patients who use adhesives on full denture satisfaction?". Results: Sixteen studies with a total of 1133 patients with age average of 67 years were included; in relation to masticatory capacity, improvement was found in feeding, increased vertical movement in the mandible and less intrusion of the prosthesis. As for satisfaction, studies have shown greater comfort, improvement in social, psychological, quality of life and oral health and self-confidence. No serious side effects have been reported and only oral adverse events have been coded. Conclusion: Although adhesives for dental prostheses do not improve their function, that is, they are not capable of problems related to anatomy or errors in the manufacture of the prosthesis, they affect as subjective evaluations of patients. The use of adhesives for prolonged complete dentures increases their retention and stability and positively affects the patient's satisfaction with regard to masticatory capacity, comfort and confidence, provided the recovery is adequate.
Este estudo teve como objetivo, apresentar por meio de um relato de caso a interação entre odontologia restauradora e prótese dentária, orientando ao clínico uma opção de conduta clínica minimamente invasiva no tratamento de reabilitação oral. Paciente do sexo masculino, 49 anos, com queixa principal de mobilidade nos dentes anteriores superiores que sustentavam uma prótese fixa e insatisfação estética do sorriso. O exame clínico foi realizado e constatou-se situação periodontal comprometida de todos os dentes superiores, periodontite com grau 2 de mobilidade e reabsorção óssea vertical severa nos dentes 31, 32, 37 e 42, ausência dos elementos 36 e 41 e mobilidade grau 2 nos demais dentes inferiores em função da má oclusão. Foi planejada extração dentária dos dentes superiores, seguida de levantamento de seio bilateral e instalação de seis implantes para prótese do tipo protocolo de Banemärk. No arco inferior, raspagem e alisamento radicular, extração dos dentes 31, 32, 37 42, instalação de implantes nas regiões dos dentes 32, 36 e 42 e instalação de prótese implantosuportada. Considerando a necessidade de reestabelecer a oclusão, a condição periodontal comprometida dos dentes inferiores posteriores e a necessidade de melhorias estéticas, foi optado pela realização de restaurações em resina composta do tipo BulkFill® através da técnica do carimbo modificado, reproduzindo a anatomia oclusal dos elementos. Dessa forma, podemos concluir que a interação da odontologia restauradora e a prótese dentária pode ser uma alternativa interessante para casos em que há necessidade de tratamento reabilitador conservador, visando obter resultado de excelência na reabilitação oral
The objective of this study is to report a clinical case of a female patient, melanoderma, 18 years old, referred to the FOA-UNESP surgery and traumatology team in 2013, reporting being a victim of a high-level fall in the attempted suicide. Clinical examination revealed loss of teeth 33, 32, 31, 41, 42, 43 and 44 and CT scan of the face revealed NOE, Lefort I and II and Lanelong fractures. The patient underwent a surgical procedure to reduce and fix fractures. The case was followed up after hospital discharge. A mandible CT was requested to install dental implants. Surgical planning was performed to install implants and make a surgical guide. 4 implants were installed in the region of teeth 32, 31, 41, 42, 43. Two years after the implant was installed, the patient returned to the institution reporting pain in tooth 45. The patient was referred by the screening sector to the endodontic team, which requested a new CT examination of the mandible, noting that the implants installed in the regions of teeth 33 and 44 had reached teeth 34 and 45, indicating the extraction of these teeth and removal of 2 implants. Surgical planning was performed and the extraction and removal surgery of the implants performed. After waiting for the healing period, the patient was referred to the dental prosthesis team and it was defined that reverse planning would be carried out to install the new implants and oral rehabilitation using a supported implant prosthesis. Thus, the impressions left by the case allow us to conclude that the use of a surgical guide, without prosthetic planning, provides the inexperienced surgeon with false security for the procedure, with reverse planning and professional experience essential for implant dentistry.
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