Rehabilitación oral de un paciente femenino de 63 años de edad desdentado parcial con atrición dentaria causada por parafunción, sin pérdida de dimensión vertical

Abstract:

Occlusion is a main pillar in odontology. To have a successful oclusal therapy it’s essential that the temporal mandibular joints are in a comfortable and stable position to be able to work appropriately and support different levels of pressure without it feeling unpleasant. The anterior teeth must be in harmony with the entire function and the posterior ones without any obstacles, meaning they should be not interrupted by the ATM or the anterior guide. Bruxism is one of the pathologies that affect occlusion directly. Given the fact that it’s a parafunction, it’s clear it doesn’t have a functional purpose, and it’s consequence would result in a non-carious lesion known as attrition. What causes attrition is the friction between the antagonists teeth during the chewing function over a long period of time, originating a dental wear out. When the attrition overpasses 10μm per year it’s consider pathological. The loss of molars and attraction are contributing factors to lose the mutually protected occlusion, which creates the necessity to modify intermaxilar relations. Given these reasons, it’s important to consider regular occlusion, the anterior guide and vertical dimension as important factors when the time of a modification comes. In these situations, there are pre-established protocols for their rehabilitation, and if the patients didn’t have the means to get the ideal treatment done, there are alternate options they could choose from, and get the definite treatment later on.

Año de publicación:

2015

Keywords:

• Rehabilitación
• Protesis
• ODONTOLOGÌA
• ATRICION

Fuente:

rraae