Multidisciplinary Approach to Prosthetic Rehabilitation of Traumatically Lost Mandibular Anterior Teeth using Onlay Graft, Laser and Dental Implants: A Case Report ZD06-ZD09
Madhuri Alankar Sawai,
Faculty of Dentistry, Jamia Millia Islamia, Delhi, India.
Traumatic injuries are a primary cause of anterior tooth loss and associated soft and hard tissues damage. Management of lost teeth necessitates a multidisciplinary approach. While the simplest approach in such cases remains that of a Removable Partial Denture (RPD), problems with support and retention can often lead to functional limitations and patient discomfort. Further, patients generally prefer to have a fixed solution over a removable prosthesis. Conventional bridgework also does not provide with suitable replacement in patients with large edentulous spans, thereby, leaving dental implants as the only predictable rehabilitation option. Dental implants present with their own limitations in terms of need for sufficient bone volume for optimum biomechanical foundation for implant placement, adequate space between present teeth and vestibule depth to avoid impingement of the placed implant. This present report illustrates a case of 24-year-old male patient who experienced Road Traffic Accident (RTA) leading to multiple injuries and loss of permanent mandibular anterior teeth. Being dissatisfied with his current removable prosthesis, implantbased treatment was planned. Various clinical findings indicated towards need for onlay grafting and laser assisted periodontal surgery. Thus, a staged multidisciplinary approach was adopted. Postoperative clinical and radiographic findings showed clinically successful treatment. The patient too was satisfied with prosthesis functionality and achieved aesthetics.