Interactions entre résorption osseuse, esthétique et fonction en prothèse adjointe complète

Abstract : Physiological aging associated with loss of teeth inevitably induces bone resorption phenomena, in the maxillary and mandible. These phenomena lead to a decrease in the volume of bone and mucosal bearing surfaces, which causes aesthetic and functional disturbances that, are particularly important in prosthetic rehabilitation treatments in total edentulous patients. The morphological consequences of this resorption process are very variable and in some cases require a personalized therapeutic approach to adapt to each situation, where conventional methods and techniques are sometimes limited. The aim of this thesis is to highlight the impact, both aesthetically and functionally, of bone resorption during complete denture treatments, but also the way in which it will influence the therapeutic management. To do this, we will first detail the aesthetic and functional imperatives that a prosthesis requires and we will define the bone resorption process, its etiologies, its different clinical aspects and its consequences on the physical and prosthetic planes. In a second time, we will discuss several techniques and methods of custom fitting to adapt to these complex clinical situations. Finally, we will expose surgical and implant means to manage, correct and optimize the morphology of the oral site, thus ensuring better prosthetic conditions.
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Master Thesis
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Submitted on : Friday, July 19, 2019 - 12:23:22 PM
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Alexandre Giffon. Interactions entre résorption osseuse, esthétique et fonction en prothèse adjointe complète. Chirurgie. 2019. ⟨dumas-02189320⟩

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