Clinical aspects of therapeutic options in oral rehabilitation of partially edentulous patients
Musteaţă, A.; Antohe, M.-E.; Forna, N.C.
Revista Medico-Chirurgicala a Societatii de Medici Si Naturalisti Din Iasi 113(4): 1263-1267
2009
ISSN/ISBN: 0048-7848 PMID: 20191911 Document Number: 636123
This study aims at identifying practical ways of approaching social cases, and creating a hierarchy of the final functions of restauration. In 2008 the Clinical Base for Learning from the School of Dental Medicine, Iaşi, recorded for the Partially Stretched Edentation Clinic and Therapy course a prevalence of biterminal partial edentation (Class I Kennedy)-66.39 per cent from the total number of patients, followed by uniterminal edentation (Class II Kennedy), having 40.24 per cent of the clinical cases, whereas INTERCALATE edentation (Class III Kennedy), frontal edentation (Class IV Kennedy), and subtotal edentation have about 20.12.1 per cent each. The clinical form of edentation contributes to the election of a proper therapeutic solution as well as the odonto-parodontal and muco-osseous status of each clinical case, the patient's general condition or the socio economic and technical factors leading to a modern, classical or social prothesing. An important aspect to take into account is the large percentage of social cases diagnosed with partially edentation, pleading for provisional protheses with an established role in therapy, which sometimes may become social prothesing--an outstanding clinical reality. Social cases should be solved with a view to restoring functionality such as lower level redimensioning and cranio-mandibulary repositioning, whereas aesthetic requirements fall into therapies based on metallo-ceramic and hybrid prothesing or implanto-prothetic therapy.