The keys to succeed an immediate maxillary complete denture : a case report
DOI:
https://doi.org/10.22270/ajdhs.v4i1.73Keywords:
Edentulism, Aesthetics, Immediate prosthesis, Anterior teeth, Occlusion plane, Surgical guide, Individual impression trayAbstract
The transition from partial to total edentulism is a delicate situation for certain patients that involves the practitioner in the management process. The immediate complete prosthesis is therefore an effective solution capable of removing the constraint of appearing totally edentulous by delivering a prosthesis on the day of extraction of the remaining teeth. A partially edentulous patient consulted us with the typical indication for this immediate prosthesis with four remaining maxillary incisors and a major aesthetic concern. The prosthetic production chain is particular concerning firstly the presence of a bilateral terminal edentulism, the confection of the individual impression tray, the orientation of the anterior occlusion plane while anterior teeth remaining on the arch, the fitting of the prosthetic anterior teeth following the working model rectification as well as the surgical phase on the day of denture insertion. Surgical guide would be very useful when bone regularization is imperative. The post-prosthetic follow-up phase is important in order to optimize tissue integration of the prosthesis, while taking into consideration the rebasing that is often unavoidable after a few months. Blood problems, a protracted healing process, significant bone loss, mental illness, or emotional problems contraindicate this type of prosthesis. The dentist and the laboratory technician are invited to master the clinical and laboratory stages of this prosthesis in order to appropriate the result aesthetically and functionally.
Keywords: Edentulism; Aesthetics, Immediate prosthesis, Anterior teeth, Occlusion plane, Surgical guide, Individual impression tray
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