B. Velásquez Ron, C. Benalcazar Ormaza, E. Aldas Fierro, R. Coral Velasco, A. Mena Serrano
{"title":"老年糖尿病高血压患者的综合康复:一例临床病例","authors":"B. Velásquez Ron, C. Benalcazar Ormaza, E. Aldas Fierro, R. Coral Velasco, A. Mena Serrano","doi":"10.4321/s0213-12852022000100003","DOIUrl":null,"url":null,"abstract":"rehabilitación oral mediante filosofía gnatológica. Endodoncias de dientes inferiores, carillas de disilicato de litio, coronas de metal cerámica con ataches ERA, prótesis parcial removible inferior. Fase IV ejecución de prótesis hibrida superior con abutments multiunit de diferente angulación. Conclusión: el enfoque multidisciplinario en el tratamiento de la cavidad oral en pacientes geriátricos con patologías sistémicas prexistentes, permitieron restaurar función, estética fonética en el paciente. ABSTRACT An edentulous state is the total or partial loss of teeth and is mainly caused by caries and periodontal disea-se. Pre-existing systemic diseases must be under strict control prior to dental appointments for a favorable prognosis after treatment. Objective: To restore esthetics, function, and phonetic function in geriatric patients with pre-existing systemic diseases by applying a complete oral rehabilitation protocol. and diabetes was medicated with Glucophage (metformin) and Losartan (hydrochlorothiazide). She presented a superior total edentulous maxilla and a partial edentulous Kennedy class I in the mandible. Treatment was performed in four phases. Phase I corresponded to the proper planning of the clinical case with plaster and virtual models. Phase II corresponded to the surgical phase, in which the U-shaped flap technique was performed and 6 dental implants with a diameter of 3.75 mm x 11.5 mm were placed. (Two conical connection implants (I.e. Morse Alvim) were placed in the anterior regions (13 and 23), and four other conical connection implants (i.e. Drive implants) were used in the posterior regions (14, 16, 24, and 26). Phase III oral rehabilitation the based on gnathological philosophy. Dental endodontics, lithium disilicate veneers, ceramic metal crowns with ERA attachments and removable partial dentures were used. Phase IV corresponded to the execution of an upper hybrid prosthesis with multiunit abutments of different angles. Conclusion: This minimally invasive multidisciplinary approach is considered predictable regarding esthe-tics and recommended for the restoration of patients’ appearance and self-esteem..","PeriodicalId":52514,"journal":{"name":"Avances en Odontoestomatologia","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Rehabilitación completa de paciente geriátrico diabético e hipertenso: caso clínico\",\"authors\":\"B. Velásquez Ron, C. Benalcazar Ormaza, E. Aldas Fierro, R. Coral Velasco, A. Mena Serrano\",\"doi\":\"10.4321/s0213-12852022000100003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"rehabilitación oral mediante filosofía gnatológica. Endodoncias de dientes inferiores, carillas de disilicato de litio, coronas de metal cerámica con ataches ERA, prótesis parcial removible inferior. Fase IV ejecución de prótesis hibrida superior con abutments multiunit de diferente angulación. Conclusión: el enfoque multidisciplinario en el tratamiento de la cavidad oral en pacientes geriátricos con patologías sistémicas prexistentes, permitieron restaurar función, estética fonética en el paciente. ABSTRACT An edentulous state is the total or partial loss of teeth and is mainly caused by caries and periodontal disea-se. Pre-existing systemic diseases must be under strict control prior to dental appointments for a favorable prognosis after treatment. Objective: To restore esthetics, function, and phonetic function in geriatric patients with pre-existing systemic diseases by applying a complete oral rehabilitation protocol. and diabetes was medicated with Glucophage (metformin) and Losartan (hydrochlorothiazide). She presented a superior total edentulous maxilla and a partial edentulous Kennedy class I in the mandible. Treatment was performed in four phases. Phase I corresponded to the proper planning of the clinical case with plaster and virtual models. Phase II corresponded to the surgical phase, in which the U-shaped flap technique was performed and 6 dental implants with a diameter of 3.75 mm x 11.5 mm were placed. (Two conical connection implants (I.e. Morse Alvim) were placed in the anterior regions (13 and 23), and four other conical connection implants (i.e. Drive implants) were used in the posterior regions (14, 16, 24, and 26). Phase III oral rehabilitation the based on gnathological philosophy. Dental endodontics, lithium disilicate veneers, ceramic metal crowns with ERA attachments and removable partial dentures were used. Phase IV corresponded to the execution of an upper hybrid prosthesis with multiunit abutments of different angles. 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引用次数: 0
摘要
口腔修复。二级内生孢子虫、二硅球脊虫、ERA中的金属冠病毒、可移除的特殊下生孢子虫。Fase IV是一种具有不同角度的多单元高级桥台。结论:这是一个多学科的口腔口腔医学研究中心,它是一个预先存在的系统,允许恢复功能,并对口腔医学进行评估。摘要无牙状态是指牙齿的全部或部分缺失,主要由龋齿和牙周病引起。为了在治疗后获得良好的预后,在牙科预约之前必须严格控制先前存在的系统性疾病。目的:应用完整的口腔康复方案,恢复已有系统性疾病的老年患者的美学、功能和语音功能。糖尿病用葡萄糖噬菌体(二甲双胍)和氯沙坦(氢氯噻嗪)治疗。她上颌骨全无牙,下颌骨肯尼迪一级部分无牙。治疗分四个阶段进行。第一阶段对应于使用石膏和虚拟模型对临床病例进行适当规划。第二阶段对应于手术阶段,其中进行U形皮瓣技术,并放置6个直径为3.75 mm x 11.5 mm的牙科植入物。(两个锥形连接植入物(即Morse Alvim)被放置在前部区域(13和23),另外四个锥形连接种植物(即Drive植入物)被使用在后部区域(14、16、24和26)。第三阶段口腔康复是基于颚学哲学的。使用牙髓病学、二硅酸锂贴面、带ERA附件的陶瓷金属冠和可摘局部义齿。第四阶段对应于使用具有不同角度的多单元基牙的上部混合假体。结论:这种微创多学科方法被认为是可预测的,并被推荐用于恢复患者的外表和自尊。。
Rehabilitación completa de paciente geriátrico diabético e hipertenso: caso clínico
rehabilitación oral mediante filosofía gnatológica. Endodoncias de dientes inferiores, carillas de disilicato de litio, coronas de metal cerámica con ataches ERA, prótesis parcial removible inferior. Fase IV ejecución de prótesis hibrida superior con abutments multiunit de diferente angulación. Conclusión: el enfoque multidisciplinario en el tratamiento de la cavidad oral en pacientes geriátricos con patologías sistémicas prexistentes, permitieron restaurar función, estética fonética en el paciente. ABSTRACT An edentulous state is the total or partial loss of teeth and is mainly caused by caries and periodontal disea-se. Pre-existing systemic diseases must be under strict control prior to dental appointments for a favorable prognosis after treatment. Objective: To restore esthetics, function, and phonetic function in geriatric patients with pre-existing systemic diseases by applying a complete oral rehabilitation protocol. and diabetes was medicated with Glucophage (metformin) and Losartan (hydrochlorothiazide). She presented a superior total edentulous maxilla and a partial edentulous Kennedy class I in the mandible. Treatment was performed in four phases. Phase I corresponded to the proper planning of the clinical case with plaster and virtual models. Phase II corresponded to the surgical phase, in which the U-shaped flap technique was performed and 6 dental implants with a diameter of 3.75 mm x 11.5 mm were placed. (Two conical connection implants (I.e. Morse Alvim) were placed in the anterior regions (13 and 23), and four other conical connection implants (i.e. Drive implants) were used in the posterior regions (14, 16, 24, and 26). Phase III oral rehabilitation the based on gnathological philosophy. Dental endodontics, lithium disilicate veneers, ceramic metal crowns with ERA attachments and removable partial dentures were used. Phase IV corresponded to the execution of an upper hybrid prosthesis with multiunit abutments of different angles. Conclusion: This minimally invasive multidisciplinary approach is considered predictable regarding esthe-tics and recommended for the restoration of patients’ appearance and self-esteem..