Overdentures are one of the most sought-after treatment options for patients with few remaining natural teeth. They are desired as they tend to preserve the natural teeth and its intact periodontium. This helps in reducing the residual ridge resorption and preserve proprioception. These characteristics offer better masticatory ability in patients rehabilitated with overdentures when compared to conventional complete dentures. Enhancements such as telescopic denture for better retention prove to be efficient clinically. Telescopic dentures enable frictional type of retention. This is a case report of a partially edentulous patient with decreased vertical dimension, successfully rehabilitated with telescopic denture in relation to the maxilla and fixed partial prosthesis in the mandibular region.
The objective of this technique was to fabricate a customized soft tissue gingival mask with vinyl poly siloxane impression materials. Microsoft paint software was used to obtain the concentration of color on the patient images and matched for the color differences of impression materials. This color concentration is transferred to the Vinyl Siloxane Impression (VPS) material. The colors were added by addition technique to the catalyst paste of VPS impression materials. Disposable syringe is used to inject the material around the implant analogue of the implant impression and soft cast obtained simulates the gingival color and tissue of the patient around the implant. The patient gingival color on the cast is obtained with this customized technique of gingival mask.
Background: Ludwig's angina is a potentially life-threatening disease characterized by diffuse bilateral cellulitis with an odontogenic origin. This unique infection is now rare owing to the antibiotic era. Case: This patient presented to the emergency room with trismus, jaw and neck swelling, mild respiratory distress with tachypnea, hyperthermia, and panic. Clinical examination and radiographic evaluation confirmed the diagnosis of Ludwig's angina. As it is a quickly spreading infection, the patient was taken up for immediate surgical decompression leading to pus drainage, removal of the offending tooth, bacterial culture and sensitivity, and administration of empirical antibiotics. As we had operated promptly, there was no need for emergency airway intervention, and the patient had immediate relief from airway distress. Conclusions: Early accurate diagnosis with conservative surgical decompression, thereby negating the need for airway intervention, was vital to avoiding mortality which is always possible in such an expeditious infection.
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