FROM PERIODONTOLOGY TO PROSTHESIS
Pubblicato nel Giugno 1987
LA RIABILITAZINE ORALE COMPLETA
GUSTAVO PETTI
Physician and Surgeon specializing in Dentistry. Periodontist.
Piazza Repubblica 4, 09129 Cagliari, Italy.
tel ++39 070 498159, fax ++39 070 400164
web site www.gustavopetti.it

BONE REHABILITATION OF INCISORS

PERIODONTAL TREATMENT PRIOR TO PROSTHESIS

REALIGNMENT OF INCISORS

COMPLETE REHABILITATION OF HALF AN ARCH

Summary
Gustavo Petti

From periodontology to prosthetic restoration.
Complete oral rehabilitation

Key words: oral rehabilitation, periodontology, preprosthesic dentistry.
In complete oral rehabilitation, the dentist must follow a periodontal approach in order to deal not only with any periodontal disease that may be present, but above all with the question of restorative treatment and prostheses, without damage to the periodontium. In the cases reported here, periodontology was the starting point for treatment involving conservative and endodontic treatment or prostheses and gnathology. The author concludes (inter alia) that periodontology is "the conscience of the dental profession".

BONE REHABILITATION OF INCISORS
GUSTAVO PETTI

OBJECTIVES:

  • Treatment of bone defects of an upper right half-arch
  • Elongation of the clinical crown of 4.4 and 4.5
  • Prosthesic exploitation of 4.4 and 4.5
  • Follow-up on the efficacy of treatment

 
Fig. 1 Initial case
Fig. 2 Making of cores with Duralay
Fig. 3 Cementing of cast gold cores in the entire upper arch.
OBJECTIVE
To treat bone defects in the upper left half-arch

 
Fig. 4 Gingival plastics performed on 1.3. Curettage and scaling are then performed on 1.7. Fig. 5 Mesial gingival plastics at 2.4
Fig 7 Creation of a plane sloping towards the palate for the resective correction of a mesial crater at 2.6.
Fig. 6 Mucoperiosteal flap with internal chamfer; on raising it the granulation tissue is revealed.
Fig. 8 Osteotomy and osteoplastics performed and highlighting of a complex bone defect with several mesial and palatal walls at 2.1 Fig. 9 Interpore 200 implant made and shaped. It is then closed with single stitches.
Fig. 10 Appearance of tissues 30 days after the operation.
Fig. 11 Cavity in 4.5 extending below the gingival margin and irrational subgingival filling of 4.4, both in presence of a zone of insufficient adhering gum.
OBJECTIVE
To obtain the elongation of the clinical crown of 4.4 and 4.5.
Fig. 12 Lingual gingivectomy. A vestibular mucoperiosteal flap will then be created. Fig. 13 Osteotomy and osteoplastics with a rotating instrument (then by hand).
Fig. 14 Vertical incision. Fig. 15 Apically repositioned flap sutured with single stitches.