Establishing the maxillary occlusal plane as a requisite for placement of an immediate implant-supported fixed prosthesis in the mandible: a case report
Estabelecimento do plano oclusal na maxila como pré-requisito para a colocação de uma prótese fixa imediata implanto-suportada na mandíbula: relato de caso
Miranda, Milton Edson; Olivieri, Karina Andrea
Abstract
Introduction: In patients with Bruxism, the attrition can result in excessive occlusal wear that exceeds the compensatory mechanism and loss of occlusion vertical dimension occurs. Objective: The purpose of this article is to show the importance of re-establishing an adequate occlusal plane for the non treated arch by means of a fixed acrylic overlay, compatible with the prosthetic treatment of the arch to be rehabilitated. An upper maxillary fixed acrylic overlay restored the patient’s occlusal plane in an appropriate vertical dimension of occlusion together with a fixed prosthesis in the mandible, supported by five dental implants. Conclusion: When there is severe wear due to dental attrition in one of the arches, it is important to re-establish the occlusal plane and compensation curves in conjunction with the prosthetic treatment of the arch to be rehabilitated.
Keywords
Resumo
Introdução: Em pacientes com bruxismo, a atrição pode resultar em desgaste oclusal excessivo que excederá o mecanismo compensatório e ocorrerá uma perda de dimensão vertical de oclusão. Objetivo: O propósito deste artigo é mostrar a importância do restabelecimento de um adequado plano oclusal no arco não restaurado por meio de uma overlay fixa de acrílico, compatível com o tratamento protético do arco a ser reabilitado. A recuperação do plano oclusal do paciente na maxila com uma overlay de resina acrílica numa apropriada dimensão vertical de oclusão simultaneamente com uma prótese fixa na mandíbula, suportada por 5 implantes dentais é detalhada. Conclusão: Quando há um severo desgaste devido ao atrito dental em um dos arcos, é importante restabelecer o plano oclusal e as curvas de compensação simultaneamente com a restauração protética do arco a ser reabilitado.
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References
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