THERAPEUTIC VARIANTS IN COMPLEX CLINICAL CASES OF INTERCALATED EDENTATION

Abstract

Intercalated edentations have high prevalence both in anterior and lateral prosthetic areas. Various prosthetic solutions can be proposed for these clinical situations, including fixed bridges, hybrid prosthesis, or implant-prosthetic rehabilitation. Financial reasons or abutment teeth affected by severe periodontal disease, can conduct to the replacement of these prosthetic solutions with removable dentures but the oral hygiene as well as the period of adaptation and restoration of functions are more difficult. Pro-prosthetic treatments, crown lengthening and surgery procedures (augmentation associated or not to guided bone regeneration technique) on the level of the alveolar ridge, must be considered to improve the biological and clinical indices of the prosthetic area. The decisional processes are dealing with a great number of variables which need beeing evaluated and correlated with clinical factors, technological solutions, financial costs and patients’ demands.

Keywords

• fixed metal ceramic bridges
• intercalated edentation
• therapeutic variants