Interdisciplinary full-mouth rehabilitation for redefining esthetics, function, and orofacial harmony.

Le Fort I osteotomy full-mouth-rehabilitation maxillofacial surgery patient-oriented interdisciplinary treatment tooth-colored splint

Journal

Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]
ISSN: 1708-8240
Titre abrégé: J Esthet Restor Dent
Pays: England
ID NLM: 101096515

Informations de publication

Date de publication:
05 2019
Historique:
received: 27 08 2018
revised: 05 11 2018
accepted: 03 12 2018
pubmed: 5 1 2019
medline: 24 12 2019
entrez: 5 1 2019
Statut: ppublish

Résumé

In severe congenital or acquired orofacial anomalies, both dental esthetics and function are usually compromised. In particular, the esthetic ideas of the final desired appearance may differ from patient to patient, as the human esthetic sensibility differs significantly. Especially in complex cases, digital technology today offers outstanding improvements and simplifications in craniomaxillofacial surgical and prosthetic treatments, leading to a wide range of planning and pretreatment options. This case report describes a patient-oriented interdisciplinary craniomaxillofacial surgical and prosthetic treatment with noninvasive tooth-colored splints, a Le Fort I osteotomy, and a full-mouth rehabilitation to meet the patient's demand for better function as well as orofacial esthetics and harmony. By means of the digitally planned Le Fort I intervention and completion of the prosthetic rehabilitation, it was possible to optimize esthetics and facial harmony. In complex cases, digital technology today offers outstanding improvements and simplifications in craniomaxillofacial surgery and prosthetic treatments, leading to a wide range of planning and pretreatment options. Computer-aided design/computer-aided manufacturing technology enables the fabrication of tooth-colored flexible polycarbonate splints that offer a noninvasive, removable, functional, and esthetic solution. In intricate cases involving craniomaxillofacial anomalies, often together with necessary orofacial surgeries or prosthetic treatments due to moderate to severe tooth wear, such digital preprosthetic treatment and planning options represent an important enhancement with more predictable results.

Identifiants

pubmed: 30609191
doi: 10.1111/jerd.12455
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Pagination

179-189

Informations de copyright

© 2019 Wiley Periodicals, Inc.

Auteurs

Daniel Edelhoff (D)

Department of Prosthetic Dentistry, University Hospital, LMU Munich, Munich, Germany.

Florian Probst (F)

Department of Oral and Maxillofacial Surgery and Facial Plastic Surgery, University Hospital, Munich, Germany.

Michael Ehrenfeld (M)

Department of Oral and Maxillofacial Surgery and Facial Plastic Surgery, University Hospital, Munich, Germany.

Otto Prandtner (O)

Plattform Laboratory, Munich, Germany.

Josef Schweiger (J)

Department of Prosthetic Dentistry, University Hospital, LMU Munich, Munich, Germany.

Anja Liebermann (A)

Department of Prosthetic Dentistry, University Hospital, LMU Munich, Munich, Germany.

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