J Korean Acad Prosthodont.  2019 Jan;57(1):75-80. 10.4047/jkap.2019.57.1.75.

Prosthetic reconstruction of maxillary defect resulting from a traumatic fall in an elderly patient: A case report

• Bae Y
• Choi S

• KMID: 2432005
• DOI: http://doi.org/10.4047/jkap.2019.57.1.75

Abstract

Fall is the most common cause of trauma in the elderly and a major reason of dental injury. Maxillary anterior region is the most vulnerable area to the traumatic fall. Loss of teeth and adjacent tissue in this area results in maxillofacial defects and inappropriate maxillomandibular relationship. Reconstruction of the loss requires comprehensive and careful planning to fulfill not only functional but also esthetic demand. Prosthetic approach can avoid surgically extensive intervention, reducing both treatment cost and time. This clinical report describes a 78-year-old woman with the loss of teeth and alveolar bone in maxillary anterior region due to a traumatic fall, rehabilitated with a metal-ceramic fixed dental prosthesis using gingival porcelain.

Keyword

Dental trauma; Fixed dental prosthesis; Gingival porcelain

MeSH Terms

Aged*
Dental Porcelain
Dental Prosthesis
Female
Health Care Costs
Humans
Tooth
Dental Porcelain

Figure

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  Fig. 1 (A) Initial intraoral photograph, (B) Initial panoramic radiograph.

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  Fig. 2 Intraoral photographs after extraction. (A) Frontal view, (B) Maxillary occlusal view.

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  Fig. 3 Diagnostic wax-up.

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  Fig. 4 Custom anterior guide table fabricated from the provisional restoration.

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  Fig. 5 Definitive prosthesis. (A) Maxillary occlusal view, (B) Lateral view (right), (C) Frontal view, (D) Lateral view (left), (E) Right working movement, (F) Mandibular occlusal view, (G) Left working movement.

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  Fig. 6 Extraoral photographs. (A) Before treatment, (B, C) After treatment.

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