Combined orthodontic prosthetic treatment Flashcards
(22 cards)
Combined orthodontic prosthetic treatment
Purpose of combined orthodontic prosthetic treatment
- To preserve the occlusion
- Maintain main oral functions such as mastication and swallowing
The treatment focuses on ensuring that the bite is correct and that essential oral functions are not compromised.
Combined orthodontic prosthetic treatment
Groups of patients in combined orthodontic prosthetic treatment
- Treatment of preadolescents and adolescents w/ remaining growth
- Treatment of adult patients w/ completed growth
- Treatment of elderly patients
- Treatment of periodontally compromised adult patients.
Each group requires tailored treatment approaches based on growth status and periodontal health.
Combined orthodontic prosthetic treatment
Orthodontic prosthetic treatment classificationn
As tertiary prophylaxis (treatment and prevention)
This classification indicates that the treatment not only addresses existing issues but also aims to prevent future complications.
Combined orthodontic prosthetic treatment
What additional treatments might a growing orthodontic patient require?
- Prosthetic replacement of missing teeth
- Aesthetic tooth reconstruction to match the Bolton discrepancy
- Periodontal rehabilitation
- Surgical exposure of an impacted tooth.
These treatments are crucial to ensure that the orthodontic outcomes are effective and sustainable.
Combined orthodontic prosthetic treatment
Secondary role of the orthodontist in combined orthodontic prosthetic treatment
To treat adult patients
This role focuses on supplementing other planned treatments to improve conditions for complete dentition rehabilitation.
Combined orthodontic prosthetic treatment
Example of a secondary procedure carried out by orthodontist
Creating space or uprighting teeth to facilitate prosthetic replacement of a missing tooth.
This is essential for ensuring that prosthetic solutions can be effectively implemented.
Combined orthodontic prosthetic treatment
Main purpose of combined orthodontic prosthetic treatment in growing preadolescents and adolescents
- Space management in dental arch and occlusal management, finishing with prosthodontic treatment
- Involves prophylaxis of premature loss of permanent teeth in different stages of developing dentition
Combined orthodontic prosthetic treatment
Treatment options for deep fractured teeth
- Extraction of the fractured tooth w/ subsequent prosthetics.
- Restorative reconstruction of deeply fractured tooth assisted by periodontal surgery.
- Orthodontic extrusion assisted by restorative reconstruction of fractured root
Combined orthodontic prosthetic treatment
Fst extrusion in dental treatment
- Rapid occlusal movement of teeth w/ subgingivally destroyed or fractured clinical crown=>
- without changing width of attached gingiva and surrounding soft tissues
- The tooth extruded without adjacent periodontium
Purpose of fast extrusion
- Vertical extraction 1-2 mm above gingival level of hard tooth tissue=>
- Creating possibility of prosthetics for teeth w/ deeply destroyed or fractured crown
Combined orthodontic prosthetic treatment
Risks associated with fast extrusion
- Rupture of periodontal ligament=>
- Result in ankylosis
- High force can also lead to root resorption
Combined orthodontic prosthetic treatment
Slow extrusion
- Extrusion of tooth together w/ surrounding tissues (bone and soft tissues)=>
- by means of coronal elongation w/ application of slight forces.
Combined orthodontic prosthetic treatment
Goal of slow extrusion
- Attachment formation and increase of bone volume=>
- by reshaping alveolar bone, which saves bone graft procedures.
Combined orthodontic prosthetic treatment
Etiological factors for combined prosthetic orthodontic treatment
- Caries and complications
- Hypodontia
- Dentofacial anomalies.
Combined orthodontic prosthetic treatment
Common finding in cases of missing second premolars
- Retained primary second molars
Combined orthodontic prosthetic treatment
Can be done if retained primary second molars are submerged due to ankylosis
- Can be restored to the functional occlusal plane w/ restorations=>
- Occlusal composites or crowns.
- Sometimes, extraction of the ankylosed teeth advisable to allow normal vertical growth of alveolus.
Combined orthodontic prosthetic treatment
May be necessary if adjacent teeth have drifted or tipped over the primary molar region
- Orthodontic repositioning before any restorative or prosthetic replacement of missing teeth
Combined orthodontic prosthetic treatment
Types of adult treatment with combined orthodontic prosthetic treatment
- Partial treatment
- Complete rehabilitation of dentition
- Treatment in patients w/ periodontally compromised dentition.
Combined orthodontic prosthetic treatment
Partial treatment in combined orthodontic prosthetic treatment
- Treatment of deviations in position of individual teeth=>
- creating space for restoration
- Restoration of the occlusal plane and vertical height
- Optimizing periodontal support
Combined orthodontic prosthetic treatment
Complete rehabilitation in combined orthodontic prosthetic treatment
- Restoration of normal occlusal relationships
- Raising the occlusion
- Restoring occlusion in bruxism and attrition
- Restoring dental arch integrity in multiple hypodontia
- Creating space for restoration
Combined orthodontic prosthetic treatment
Crucial factor in orthodontic treatment for patients with periodontal disease
The appropriate control of existing inflammation.
Combined orthodontic prosthetic treatment
Treatment contraindication of combined periodontal and orthodontic problems with fixed mechanics
Patients with inadequate hygiene or deteriorating periodontal health.
