ESTHETIC ANALYSIS OF IMPLANT-SUPPORTED DENTURE AT THE CLEFT AREA.
Summary of "ESTHETIC ANALYSIS OF IMPLANT-SUPPORTED DENTURE AT THE CLEFT AREA."
Abstract Objective: to evaluate the esthetics of implant-supported denture at the cleft area comparing the peri-implant tissues and prosthetic crown to the contralateral tooth. Settings: Hospital for Rehabilitation of Craniofacial Anomalies, Brazil. Patients: 39 individuals of both genders, with complete unilateral cleft lip and palate, who received secondary alveolar bone graft and were rehabilitated with single implant-supported dentures at the area of the missing maxillary lateral incisor after completion of orthodontic treatment. Interventions: the following parameters were analyzed in follow-up sessions: length and width of prosthetic crown and contralateral tooth, characteristics of implants, filling of interproximal space by the papilla and smile height of the patients. Results: the implant-supported prosthetic crowns were longer than the contralateral tooth (p<0.001). Among the 78 papillae analyzed, 29 (37.17%) received score 3, 32 (41.02%) papillae had score 2 and 17 (21.79%) received score 1. Concerning the smile height, among the 39 patients analyzed, 23 (56.41%) had medium smile, 15 (38.46%) high smile and 2 (5.12%) presented low smile. Conclusion: the utilization of dental implants to rehabilitate the edentulous cleft area is an excellent option. However, adequate evaluation of the bone quantity and quality, positioning and shape of adjacent teeth, smile height and patient expectations should be considered to achieve success and avoid esthetic deformities as elongated teeth and absence of gingival papilla. Key words: dental implants, esthetics, cleft lip and palate.
Affiliation
a Hospital for Rehabilitation of Craniofacial Anomalies of University of São Paulo.
Journal Details
This article was published in the following journal.
Name: The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
ISSN: 1545-1569
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22616760
- DOI: http://dx.doi.org/10.1597/11-193
Medical and Biotech [MESH] Definitions
Esthetics
The branch of philosophy dealing with the nature of the beautiful. It includes beauty, esthetic experience, esthetic judgment, esthetic aspects of medicine, etc.
Denture, Partial
A denture replacing one or more (but not all) natural teeth. It is supported and retained by underlying tissue and some or all of the remaining teeth.
Denture, Complete, Lower
A complete denture replacing all the natural mandibular teeth and associated structures. It is completely supported by the oral tissue and underlying mandibular bone.
Denture, Complete, Upper
A complete denture replacing all the natural maxillary teeth and associated maxillary structures. It is completely supported by the oral tissue and underlying maxillary bone.
Denture Bases
The part of a denture that overlies the soft tissue and supports the supplied teeth and is supported in turn by abutment teeth or the residual alveolar ridge. It is usually made of resins or metal or their combination.
PubMed Articles
Abstract The protocol for converting an existing mandibular denture to an interim fixed implant-supported (hybrid) prosthesis has been well documented. This article describes a simple chair-side proce...
Abstract Background. Reconstruction after substantial osseous, cutaneous and muscular tissue loss following a mandibular resection is a challenge. The use of a fibular free flap is an outstanding - bu...
Background: Early implant placement is one of the treatment options following extraction. Implant surgery is performed after a healing period of 4-8 weeks, and combined with a simultaneous contour aug...
Purpose: This retrospective study sought to examine posterior mandibular ridge resorption under implant-supported and implant-retained distal extension partial overdentures in men at the end of a 5-ye...
Zygoma implant-supported prosthetic rehabilitation of a patient with a maxillary defect.
This clinical report describes the successful management of a patient who underwent extensive resection of a maxillary cancer, by introduction of a maxillary obturator prosthesis using zygoma implants...
Clinical Trials
Biological Specifications for Denture Designs
The primary term goal of these research efforts has been to enhance the functional status, comfort and quality of life of edentulous patients by evaluating clinical procedures, denture des...
The aim of the investigators study is to compare, in a prospective controlled clinical trial, the Locator® System with two other types of stress-breaking retention (Retentive Anchors and...
The purpose of this study is to asses if taking 4 mg of folic acid per day at preconception and during the first three months of pregnancy decreases the risk of having a child with cleft l...
Oral Cleft Prevention Trial in Brazil
Cleft lip and palate are a significant component of morbid human birth defects in the developing world. By supplementing a high-risk group of women with folic acid (4.0 mg versus 0.4 mg)...
Timing of Primary Surgery for Cleft Palate
This trial is a randomised controlled trial with a parallel design taking place in centres across the UK, Scandinavia and Brazil. 650 infants with a diagnosis of isolated cleft palate who...
