The evolution of advanced prosthodontic care: a 30-year patient report.
This clinical report demonstrates the history of a patient with progressive periodontal deterioration and illustrates how prosthodontic treatment has evolved over time. In 1974, maxillary and mandibular telescopic porcelain-fused-to-gold fixed prostheses and a semi-precision maxillary distal-extension removable partial denture represented leading edge technology. Over time, a gradual deterioration in the patient's intraoral condition occurred secondary to chronic, inflammatory periodontal disease, failed appointments, and recurrent caries. Prosthodontic treatment was also evolving. The patient's teeth were extracted and ultimately replaced with two implant-supported fixed prostheses. This clinical report is one example of how patients continually benefit from continued research in biology and materials science.
Balshi
Thomas J
TJ
Prosthodontics Intermedica, Fort Washington, PA 19034, USA. balshi2@aol.com
Balshi
Stephen F
SF
Wolfinger
Glenn J
GJ
D016301:Alveolar Bone Loss / Q000150:complications; D003731:Dental Caries / Q000150:complications; D015921:Dental Implants; D003776:Dental Porcelain; D019094:Dental Prosthesis, Implant-Supported; D019232:Dental Restoration Failure; D003779:Denture Design; D003828:Denture, Overlay; D003830:Denture, Partial, Fixed; D003832:Denture, Partial, Removable; D005260:Female; D005500:Follow-Up Studies; D005891:Gingivitis / Q000150:complications; D006047:Gold Alloys; D006801:Humans; D016876:Metal Ceramic Alloys; D008875:Middle Aged; D010347:Patient Care Planning; D010510:Periodontal Diseases / Q000150:complications* / Q000628:therapy
D015921:Dental Implants; D006047:Gold Alloys; D016876:Metal Ceramic Alloys; D003776:Dental Porcelain