The Lip-Tooth-Ridge Classification: A Guidepost for Edentulous Maxillary Arches. Diagnosis, Risk Assessment, and Implant Treatment Indications

Pollini, Adrien; Goldberg, Jack; Mitrani, Ricardo; Morton, Dean

doi:10.11607/prd.3209

Cited by 14 publications

(6 citation statements)

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“…Cuando los rebordes se observan con una deficiencia vertical y horizontal importante, se enfrenta un desafío mayor, que es dar soporte labial significativo con una prótesis dento-gingival con flancos. Esto puede ser resuelto con sobredentaduras implanto-asistidas con ataches individuales o barras (7) .…”

Section: Discussionunclassified

“…Al examen clínico, con la prótesis removible (PR) se observa soporte labial protruído y overjet de 5mm; al retirarla, se observa leve deficiencia en soporte labial por pérdida de dientes anteriores. Los rebordes óseos maxilares están bien conservados en altura y ancho, observándose según Pollini et al, una relación Labio-Diente-Reborde Clase I sin defecto (LTR Class I) (7) . Como antagonista presenta dentición natural y rehabilitación fija plural sobre implantes en 4.4 y 4.6 con 4.5 de intermediario y, PFU implantosoportada en 3.6; ambas realizadas en una etapa previa.…”

Section: Informe De Casounclassified

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Transición de prótesis removible a rehabilitación fija de arco completo sobre implantes: Impacto en el perfil facial. Reporte de caso.

Gutiérrez-Mendoza

Barrientos-Ramwell

Cabrera-Pestán

et al. 2022

Int. j interdiscip. dent.

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población igual o mayor a 65 años presentan dentición no funcional y el 22,4% utiliza prótesis total removible (1) . Éstas, son una buena alternativa cuando la dimensión vertical oclusal está disminuida y cuando el soporte labial está comprometido (2) . Otra alternativa de tratamiento para el edentulismo es la rehabilitación fija sobre implantes, pero requiere mayor preservación de las estructuras óseas remanentes. Conjuntamente, la línea y el soporte labial influyen drásticamente en el diseño de la prótesis. Actualmente, varios estudios muestran un interés creciente y mayor satisfacción con rehabilitaciones fijas en comparación con prótesis removibles (3)(4)(5) .Cuando el motivo de consulta y las expectativas del paciente se combinan con el examen clínico y exámenes complementarios, se puede formular un diagnóstico y plan de tratamiento real e individualizado. Asimismo, la planificación debe ser transferida con una correcta ejecución que asegure los resultados esperados.En el presente reporte de caso, se presenta la planificación y el tratamiento rehabilitador de una paciente portadora de prótesis maxilar removible, que debido a la disponibilidad ósea tridimensional y al soporte labial conservado, se rehabilita en base a prótesis fija de arco completo sobre 6 implantes. REPORTE CLÍNICOTransición de prótesis removible a rehabilitación fija de arco completo sobre implantes: Impacto en el perfil facial. Reporte de caso.

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Section: Discussionunclassified

Section: Informe De Casounclassified

Transición de prótesis removible a rehabilitación fija de arco completo sobre implantes: Impacto en el perfil facial. Reporte de caso.

Gutiérrez-Mendoza

Barrientos-Ramwell

Cabrera-Pestán

et al. 2022

Int. j interdiscip. dent.

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“…In the recent years, numerous authors have made recommendations for the classification systems of edentulous jaws [3][4][5][6]. One of the newer ones, published in January 2020 [7], combines four parameters and gives recommendations for a prosthodontic treatment plan.…”

Section: Degree Of Bone Resorptionmentioning

confidence: 99%

“…Poslednih godina mnogobrojni autori dali su preporuke za klasifikacione sisteme bezubih vilica [3][4][5][6]. Jedna od novijih, objavljena u januaru 2020. godine [7], objedinjuje četiri parametra na osnovu kojih daje preporuke za plan protetske terapije.…”

Section: Stepen Koštane Resorpcijeunclassified

Treatment planning in implant-prosthodontics: Prosthodontic aspect

et al. 2020

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Properly implemented treatment plan implies adaptation to each individual case. The anatomical and morphological limitations of edentulous and partially edentulous jaws present a challenge for the clinician in the context of establishing an adequate implant position, retention and stabilization of dental restoration. On the other hand, highly aesthetic patient requirements play a significant role in achieving overall satisfaction with implant-prosthodontics treatment. From the perspective of the complexity of implant therapy, the first clinical phase of planning requires detailed sublimation of the criteria that define the treatment plan, among which the most important are: degree of regressive bone remodelling, type of prosthodontic restoration, loading time, type of retention, as well as aesthetic criteria. The ideal position of the implant is an important prerequisite for successful tissue integration. The aim of this paper was to present the complexity of the therapeutic plan based on the collected literature through the analysis of factors related to prosthodontic aspect.

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“…Cawood and Howell's classification describes different stages of maxilla atrophy associated with the collapse of the circumoral musculature, triggering mouth narrowing, loss of lip support, and inversion of the lips [6]. This latter aspect is more significant in the anterior maxilla [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Guided Bone Regeneration in the Edentulous Atrophic Maxilla Using Deproteinized Bovine Bone Mineral (DBBM) Combined with Platelet-Rich Fibrin (PRF)—A Prospective Study

Caramês

Vieira

Pinto

et al. 2022

JCM

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Background: Bone regeneration procedures represent a major challenge in oral surgery. This study aimed to evaluate a composite PRF/particulate xenograft in guided bone regeneration. Methods: Edentulous patients with horizontal ridge deficiencies in the anterior maxilla and candidates to an immediate-loading full-arch rehabilitation were included. Horizontal linear measurements indicating bone gain were assessed from computer beam computer tomography (CBCT) scans obtained at pre-surgery, post-surgery, and the 12-month follow-up. Mean bone values were presented as mean ± 95% CI. Non-parametric tests were used as appropriate, and the effect size was calculated with Cohen’s d repeated measures. Results: Eighteen patients were rehabilitated with 72 implants. The mean horizontal bone width was 4.47 [4.13–4.80] mm pre-surgically, 9.25 [8.76–9.75] mm post-surgically, and 7.71 [7.28–8.14] mm 12 months after. Conclusions: PRF associated with a xenograft seems to promote an effective horizontal bone gain. Randomized clinical trials are needed to confirm the benefits of this surgical approach.

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The Lip-Tooth-Ridge Classification: A Guidepost for Edentulous Maxillary Arches. Diagnosis, Risk Assessment, and Implant Treatment Indications

Cited by 14 publications

References 0 publications

Transición de prótesis removible a rehabilitación fija de arco completo sobre implantes: Impacto en el perfil facial. Reporte de caso.

Transición de prótesis removible a rehabilitación fija de arco completo sobre implantes: Impacto en el perfil facial. Reporte de caso.

Treatment planning in implant-prosthodontics: Prosthodontic aspect

Guided Bone Regeneration in the Edentulous Atrophic Maxilla Using Deproteinized Bovine Bone Mineral (DBBM) Combined with Platelet-Rich Fibrin (PRF)—A Prospective Study

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