Interdisciplinary treatment approach in adult patient with multiple tooth loss

Vol. 12 – Number 47 – 2019 Case report Page 94-102 Interdisciplinary treatment approach in adult patient with multiple tooth loss Oscar Mario Antelo1 Gabriela Cuellar Caballero2 Ana Karolliny Amadi3 Neblyssa Agatha Schneider4 Orlando Motohiro Tanaka5 Abstract This case report illustrates an interdisciplinary treatment approach performed in an adult female patient, 43-year-old, skeletal Class II, convex profile, Angle Class I malocclusion with multiple tooth loss and maxillary molars extrusion on the right side with reduction of the prosthetic space for rehabilitation. Orthodontic treatment was conducted in order to prepare the edentulous spaces for rehabilitation with dental implants and prostheses. During leveling of dental arches, mini-implants were placed between the first and second maxillary molars on the right side, in the buccal and palatal corticals, respectively, to aid intrusion of these teeth, increasing the mandibular prosthetic space. In the finalization phase, osseointegrated implants were placed for the rehabilitation of the missing teeth. After three years and four months of treatment, the goals were achieved, and the orthodontic appliance was removed. Mechanics with orthodontic mini-implants favored maxillary molars intrusion and successful rehabilitation of the case, returning aesthetics, dental function and maintaining stable results after one year and five months of follow-up. Descriptors: Orthodontics, interdisciplinary treatment, mini-implants, dental implant. ¹ PhD student in Orthodontics – PUCPR – School of Life Sciences, Professor of the Specialization Course in Orthodontics – Universidad Católica Boliviana – Santa Cruz/Bolivia, Invited Professor at the Specialization Course in Orthodontics – PUCPR. ² Specialist in Implant Dentistry and Oral Rehabilitation – Santa Cruz/Bolivia. ³ Specialist in Orthodontics – PUCPR. 4 PhD Student in Orthodontics – PUCPR, Professor of Specialization in Pediatric Dentistry – SL Mandic – Curitiba PR. 5 Professor of the Postgraduate Program in Orthodontics – PUCPR – School of Life Sciences, Diplomate of the Brazilian Board of Orthodontics and Dentofacial Orthopedics, Postdoctoral – The Center for Advanced Dental Education at Saint Louis University.   Dear Subscriber, This article will be available for download in January 2020.