Minimalnie inwazyjne leczenie protetyczne przy użyciu różnych materiałów ceramicznych. Kompleksowa rehabilitacja stomatologiczna pacjenta z agenezją zębów
In cases where a full mouth reconstruction is required, it is essential to follow a systematic procedure and use carefully coordinated materials. The following case study describes the treatment of a patient with tooth agenesis.
New materials and innovative techniques for modern esthetic and minimally invasive dentistry are coming to the market every day. As a result, patient-focused treatment protocols are continuously improving. If complex treatment is indicated, however, personal aspects in addition to the functional and esthetic requirements of the patient need to be addressed – for example, psychological stress or financial constraints. In this article, we will explore the possibilities of providing minimally invasive treatment, taking these factors into consideration.
Case study
The twenty-three-year-old patient showed severe hypodontia (tooth agenesis) with a total of 14 missing teeth (Fig. 1). Seven teeth were missing in both the upper and the lower jaw. Severe hypodontia of this kind usually results in a very low vertical dimension of occlusion. In some cases, it disturbs the chewing function. At the beginning of this type of treatment, psychosocial aspects have to be taken into consideration. In the present case, the patient did not smile during the first appointment, and he covered his mouth with his hand when he spoke. Due to the financial constraints of the young candidate and his fear of an operative intervention (treatment with implants), it was decided to pursue a conventional prosthetic treatment approach. According to the treatment plan, the upper anterior teeth would be restored by means of an all-ceramic bridge and the lower anterior teeth with lithium disilicate veneers. The decision was taken to treat the posterior teeth with metal-ceramic restorations.
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