Importance of periodic control after fitting a total prosthesis--case report.
A patient was seen at the Total Prosthesis Clinic complaining of facial pain after using the same prosthesis for 46 years. Clinical examination revealed TMJ disturbance due to a loss of the vertical dimension caused by a wearing of the teeth. Diagnosis indicated replacement with new prostheses, with a gradual recuperation in the vertical dimension by the application of resin over the lower teeth and a reconditioning of the support tissues. After the alleviation of pain, correction of the dysfunction and reestablishment of the vertical dimension of occlusion, new prostheses were made. At the end of treatment, the patient felt a relaxed facial musculature, lifting the mandible to a resting position instead of constantly maintaining it in occlusion as before. The patient was given instructions as to use, conservation and hygiene of the prostheses and oriented to return for annual evaluation of occlusion and of the supporting oral structures, as well as the stability of the prostheses.
Mazzetto
M O
MO
Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo.
Abrão
W
W
Rodrigues da Silva
M A
MA
D000368:Aged; D003826:Denture, Complete, Lower / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D013499:Surface Properties; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000209:etiology*; D014716:Vertical Dimension