hrvatski

Implant-prosthodontic treatment in a patient with facioscapulohumeral muscular dystrophy

A thirty-year-old male patient with a facioscapulohumeral muscular dystrophy came to a dental office due to a horizontal crown fracture of the tooth 11. Patient came in a wheelchair, has a reduced manual dexterity, untreated oral cavity and poor oral hygiene. Facioscapulohumeral muscular dystrophy is a rear genetic disorder which manifests with progressive muscle weakness. Primarily, it affects facial, upper arm and shoulder muscles. Afterwards, it can affect pelvic and leg muscles and thereby some patients can end up in a wheelchair. Life expectancy is normal. Teeth extractions, periodontal treatment, new fillings and root canal treatments were performed. Oral hygiene demonstration and education was carried out. The patient was re-evaluated after six months and despite the reduced manual dexterity, the patient was able to maintain good oral hygiene (using electric toothbrush). He was motivated and aware of the importance of good oral hygiene. Two Ankylos® implants were placed in positions 14 and 16. After five months of submerged healing gingiva formers were placed. After soft tissue contouring, impression was made using an open tray technique with transfer posts. Two individual Atlantis® Ti abutments and temporary PMMA bridge were placed for the next 3 weeks. After evaluating the occlusion, bridge design, zirconium oxide ceramic bridge was made and permanently cemented.

implant-prosthodontic treatment ; dental implants ; facioscapulohumeral muscular dystrophy

nije evidentirano

engleski

Implant-prosthodontic treatment in a patient with facioscapulohumeral muscular dystrophy

A thirty-year-old male patient with a facioscapulohumeral muscular dystrophy came to a dental office due to a horizontal crown fracture of the tooth 11. Patient came in a wheelchair, has a reduced manual dexterity, untreated oral cavity and poor oral hygiene. Facioscapulohumeral muscular dystrophy is a rear genetic disorder which manifests with progressive muscle weakness. Primarily, it affects facial, upper arm and shoulder muscles. Afterwards, it can affect pelvic and leg muscles and thereby some patients can end up in a wheelchair. Life expectancy is normal. Teeth extractions, periodontal treatment, new fillings and root canal treatments were performed. Oral hygiene demonstration and education was carried out. The patient was re-evaluated after six months and despite the reduced manual dexterity, the patient was able to maintain good oral hygiene (using electric toothbrush). He was motivated and aware of the importance of good oral hygiene. Two Ankylos® implants were placed in positions 14 and 16. After five months of submerged healing gingiva formers were placed. After soft tissue contouring, impression was made using an open tray technique with transfer posts. Two individual Atlantis® Ti abutments and temporary PMMA bridge were placed for the next 3 weeks. After evaluating the occlusion, bridge design, zirconium oxide ceramic bridge was made and permanently cemented.

implant-prosthodontic treatment ; dental implants ; facioscapulohumeral muscular dystrophy

nije evidentirano