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Prosthetic rehabilitation of severe Siebert's Class III defect with modified Andrews bridge system.

Rathee M, Sikka N, Jindal S, Kaushik A - Contemp Clin Dent (2015)

Bottom Line: Management of such cases involves a wide range of treatment options comprising mainly of surgical interventions and non surgical techniques such as use of removable, fixed or fixed- removable partial dentures.But each treatment plan undertaken should be customized according to patient needs.A variety of factors such as quality and quantity of existing contiguous hard and soft tissues, systemic condition and economic status of the patient play an important role in treatment planning, clinical outcome and prognosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthodontics and Crown and Bridge, PGIDS, Rohtak, Haryana, India.

ABSTRACT
Prosthetic dentistry involves the replacement of missing and contiguous tissues with artificial substitutes to restore and maintain the oral functions, appearance, and health of the patient. The treatment of edentulous areas with ridge defects poses a challenging task for the dentist. Management of such cases involves a wide range of treatment options comprising mainly of surgical interventions and non surgical techniques such as use of removable, fixed or fixed- removable partial dentures. But each treatment plan undertaken should be customized according to patient needs. A variety of factors such as quality and quantity of existing contiguous hard and soft tissues, systemic condition and economic status of the patient play an important role in treatment planning, clinical outcome and prognosis. This case report presents the restoration of a Seibert's Class III ridge defect by an economical modification of Andrews Bridge in a 32 Year old patient.

No MeSH data available.


Related in: MedlinePlus

(a) Preoperative orthopantogram (b) Preoperative interocclusal view showing Siebert's Class III defect
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Figure 1: (a) Preoperative orthopantogram (b) Preoperative interocclusal view showing Siebert's Class III defect

Mentions: A 32-year-old male reported with a chief complaint of unesthetic appearance of the face due to depression in the lip region on the left side of the face. Extra orally, two scars and a prominent depression in lower lip region were noticeable on the left side of the face. On intraoral examination, mandibular anterior and premolar teeth were missing and a bony defect (12 mm × 19 mm) with flabby tissue at the base was present at the respective region [Figure 1a]. The complete case history of the patient was taken, which revealed that the patient had undergone treatment for comminuted mandibular fracture in symphseal-parasymphyseal region on the left side of face 3 years back. This segment of the mandible along with five teeth (mandibular anteriors and premolars) was removed during open reduction of the fracture followed by placement of titanium reconstruction plate. The intraoral closure of the defect was done by placing the temporal flap over the defect. The relative positions of the two mandibular segments and the reconstruction plate could be clearly appreciated on orthopantogram [Figure 1]. The tissues in the defect region were 12 mm below the cervical margins of the adjacent teeth, attributing it as a Siebert's Class III defect [Figure 1b]. The various treatment modalities were thoroughly explained to the patient. Considering the reluctance for the surgical procedure and economic status of the patient a modification of Andrews bridge was chosen as the treatment option. The modification planned was to replace the costlier prefabricated bar and sleeve attachment of conventional Andrews system with two small disc shaped magnets. The advantages and disadvantages were clearly explained to the patient and informed consent was taken. The step by step procedure is as follows:


Prosthetic rehabilitation of severe Siebert's Class III defect with modified Andrews bridge system.

Rathee M, Sikka N, Jindal S, Kaushik A - Contemp Clin Dent (2015)

(a) Preoperative orthopantogram (b) Preoperative interocclusal view showing Siebert's Class III defect
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374306&req=5

Figure 1: (a) Preoperative orthopantogram (b) Preoperative interocclusal view showing Siebert's Class III defect
Mentions: A 32-year-old male reported with a chief complaint of unesthetic appearance of the face due to depression in the lip region on the left side of the face. Extra orally, two scars and a prominent depression in lower lip region were noticeable on the left side of the face. On intraoral examination, mandibular anterior and premolar teeth were missing and a bony defect (12 mm × 19 mm) with flabby tissue at the base was present at the respective region [Figure 1a]. The complete case history of the patient was taken, which revealed that the patient had undergone treatment for comminuted mandibular fracture in symphseal-parasymphyseal region on the left side of face 3 years back. This segment of the mandible along with five teeth (mandibular anteriors and premolars) was removed during open reduction of the fracture followed by placement of titanium reconstruction plate. The intraoral closure of the defect was done by placing the temporal flap over the defect. The relative positions of the two mandibular segments and the reconstruction plate could be clearly appreciated on orthopantogram [Figure 1]. The tissues in the defect region were 12 mm below the cervical margins of the adjacent teeth, attributing it as a Siebert's Class III defect [Figure 1b]. The various treatment modalities were thoroughly explained to the patient. Considering the reluctance for the surgical procedure and economic status of the patient a modification of Andrews bridge was chosen as the treatment option. The modification planned was to replace the costlier prefabricated bar and sleeve attachment of conventional Andrews system with two small disc shaped magnets. The advantages and disadvantages were clearly explained to the patient and informed consent was taken. The step by step procedure is as follows:

Bottom Line: Management of such cases involves a wide range of treatment options comprising mainly of surgical interventions and non surgical techniques such as use of removable, fixed or fixed- removable partial dentures.But each treatment plan undertaken should be customized according to patient needs.A variety of factors such as quality and quantity of existing contiguous hard and soft tissues, systemic condition and economic status of the patient play an important role in treatment planning, clinical outcome and prognosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthodontics and Crown and Bridge, PGIDS, Rohtak, Haryana, India.

ABSTRACT
Prosthetic dentistry involves the replacement of missing and contiguous tissues with artificial substitutes to restore and maintain the oral functions, appearance, and health of the patient. The treatment of edentulous areas with ridge defects poses a challenging task for the dentist. Management of such cases involves a wide range of treatment options comprising mainly of surgical interventions and non surgical techniques such as use of removable, fixed or fixed- removable partial dentures. But each treatment plan undertaken should be customized according to patient needs. A variety of factors such as quality and quantity of existing contiguous hard and soft tissues, systemic condition and economic status of the patient play an important role in treatment planning, clinical outcome and prognosis. This case report presents the restoration of a Seibert's Class III ridge defect by an economical modification of Andrews Bridge in a 32 Year old patient.

No MeSH data available.


Related in: MedlinePlus