Fifteen years of follow-up of a removable prosthetic design to maintain two remaining molars in a patient with mandibular reconstruction

This clinical report describes a long-term prosthetic solution for a patient who had undergone mandibular reconstruction with a fibular graft, leaving only two right molars. The only retention device for the removable prosthesis design included a telescoping system with an O-ring application, but wi...

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Main Authors: Ming-Lun Hsu, Jacqueline Chia-Hsuan Wu, Ling-Ming Yu
Format: Article
Language:English
Published: Elsevier 2012-06-01
Series:Journal of Dental Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1991790212000517
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author Ming-Lun Hsu
Jacqueline Chia-Hsuan Wu
Ling-Ming Yu
author_facet Ming-Lun Hsu
Jacqueline Chia-Hsuan Wu
Ling-Ming Yu
author_sort Ming-Lun Hsu
collection DOAJ
description This clinical report describes a long-term prosthetic solution for a patient who had undergone mandibular reconstruction with a fibular graft, leaving only two right molars. The only retention device for the removable prosthesis design included a telescoping system with an O-ring application, but without fibula graft involvement. This prosthesis design was motivated by the altered bony and muscular architecture resulting in an increased maxillomandibular space and thick soft tissue in the denture-bearing area. This case demonstrates that appropriate denture design, consistent recall maintenance, and oral hygiene motivation minimized periodontal destruction and maximized prosthetic use for the patient despite the unfavorable loading conditions.
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spelling doaj.art-fe4d68b43e8d492b8b3d0851bae2f3742022-12-22T00:29:08ZengElsevierJournal of Dental Sciences1991-79022012-06-017220320810.1016/j.jds.2012.03.019Fifteen years of follow-up of a removable prosthetic design to maintain two remaining molars in a patient with mandibular reconstructionMing-Lun Hsu0Jacqueline Chia-Hsuan Wu1Ling-Ming Yu2Department of Dentistry, National Yang-Ming University, Taipei, TaiwanDepartment of Dentistry, National Yang-Ming University, Taipei, TaiwanDental Department, Chung Gung Memorial Hospital, Taipei, TaiwanThis clinical report describes a long-term prosthetic solution for a patient who had undergone mandibular reconstruction with a fibular graft, leaving only two right molars. The only retention device for the removable prosthesis design included a telescoping system with an O-ring application, but without fibula graft involvement. This prosthesis design was motivated by the altered bony and muscular architecture resulting in an increased maxillomandibular space and thick soft tissue in the denture-bearing area. This case demonstrates that appropriate denture design, consistent recall maintenance, and oral hygiene motivation minimized periodontal destruction and maximized prosthetic use for the patient despite the unfavorable loading conditions.http://www.sciencedirect.com/science/article/pii/S1991790212000517fibula graftmandibular reconstructionremovable prosthesis
spellingShingle Ming-Lun Hsu
Jacqueline Chia-Hsuan Wu
Ling-Ming Yu
Fifteen years of follow-up of a removable prosthetic design to maintain two remaining molars in a patient with mandibular reconstruction
Journal of Dental Sciences
fibula graft
mandibular reconstruction
removable prosthesis
title Fifteen years of follow-up of a removable prosthetic design to maintain two remaining molars in a patient with mandibular reconstruction
title_full Fifteen years of follow-up of a removable prosthetic design to maintain two remaining molars in a patient with mandibular reconstruction
title_fullStr Fifteen years of follow-up of a removable prosthetic design to maintain two remaining molars in a patient with mandibular reconstruction
title_full_unstemmed Fifteen years of follow-up of a removable prosthetic design to maintain two remaining molars in a patient with mandibular reconstruction
title_short Fifteen years of follow-up of a removable prosthetic design to maintain two remaining molars in a patient with mandibular reconstruction
title_sort fifteen years of follow up of a removable prosthetic design to maintain two remaining molars in a patient with mandibular reconstruction
topic fibula graft
mandibular reconstruction
removable prosthesis
url http://www.sciencedirect.com/science/article/pii/S1991790212000517
work_keys_str_mv AT minglunhsu fifteenyearsoffollowupofaremovableprostheticdesigntomaintaintworemainingmolarsinapatientwithmandibularreconstruction
AT jacquelinechiahsuanwu fifteenyearsoffollowupofaremovableprostheticdesigntomaintaintworemainingmolarsinapatientwithmandibularreconstruction
AT lingmingyu fifteenyearsoffollowupofaremovableprostheticdesigntomaintaintworemainingmolarsinapatientwithmandibularreconstruction