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Implantologia nei settori estetici mediante l’uso di abutment personalizzabili

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Implantologia nei settori estetici mediante l’uso di abutment personalizzabili
Il paziente di anni 22 si è presentato alla mia osservazione nel mese di settembre 2007 a 2 mesi da un trauma facciale avuto cadendo dalla bicicletta, con conseguente frattura del condilo destro, avulsione dell’elemento, lussazione degli elementi, nonché frattura coronale a livello degli elementi.

La riduzione chirurgica del condilo e il bloccaggio mandibolare sono stati effettuati in ospedale subito dopo l’incidente, mentre la richiesta del paziente al momento della prima visita è stata quella di ottenere una corretta restitutio ad integrum degli elementi dell’arcata superiore.

Dopo l’esame clinico, l’elemento non risponde a nessun test di vitalità, mentre una risposta positiva è pervenuta dagli altri denti che avevano subito il trauma.

L’occlusione evidenzia un morso aperto anteriore con chiara assenza dei contatti occlusali soprattutto a livello del secondo quadrante, dall’incisivo centrale al primo premolare compresi, il paziente riferisce di non aver riscontrato differenze sostanziali all’occlusione dopo l’intervento di riduzione chirurgica del trauma, ormai avvenuta due mesi prima, ma lamenta la mancanza dell’elemento e le fratture coronali del margine incisale a livello degli elementi.


Read more on dental-tribune.com




Source: www.dental-tribune.com

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