Chestionar de Evaluare a Conditiilor de Echilibru La
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CHESTIONAR DE EVALUARE A CONDITIILOR DE ECHILIBRU LA
MAXILAR IN PROTEZAREA TOTALA
Student: Tudor AndreeaCoordonator: Dr.Ingrid
Pintilie(grupa 2,seria 1,anul 5)
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DATE PERSONALE:
• Nume: Dinu• Prenume: Niculae• Varsta: 74 ani• Sex: M• Profesie: maestru• Ocupatie: pensionar• Domiciliu: Bucuresti
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Fotografii din norma laterala:
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ANAMNEZA
• Motivele prezentarii:restabilirea functionalitatii ADM, pierduta odata cu instalarea edentatiei bimaxilare.
• Antecedente personale patologice generale: hipertensiune arteriala.
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Protezele vechi
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Medicatie:
• Betaloc: 60• Pentoxi retard: 90• Sortis: 30• Omez: 30• Tertensif: 60• Aspirina cardio: 30• Preductal: 30• Nitropector: 60• Prestans: 5/5 30• Sintrom: 30
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Edentatie totala maxilara:• Etiologia edentatiei:traumatisme si
parodontopatie marginala cronica;• Vechimea edentatiei:52 ani la maxilar,47 ani
la mandibula;• Ultimii dinti extrasi au fost molarii
mandibulari;• Experienta in protezarile anterioare:pacientul
a mai fost protezat anterior o data cu proteza totala mobilizabila;
• Atat proteza maxilara cat si cea mandibulara s-au fracturat dupa o perioada de 7-8 ani;
• Cauze posibile: alimente cu duritate marita;• Armari ale bazei: Nu
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• Proteza maxilara s-a fracturat de 2 ori si cea mandibulara de 7-8 ori;
• Traseul liniei de fractura:la maxilar s-a fracturat baza protezei antero-posterior stanga,la mandibula multiple linii de fractura in zona anterioara;
• Clasa scheletala: clasa a II-a;• Resorbtia crestei maxilare: Medie;• Purtarea protezelor permanent;• Status nutritional: prefera carnea;• Bea apa in cantitate mica;
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Proteze vechi
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EVALUAREA SPRIJINULUI
• Aspectul protezei existente: cu reparatii (3 p)
• Marimea maxilarelor: medii (2 p)• Mucoasa: normala (1 p)• Forma/adancimea boltii palatine: adanca
in U (3 p)• Torus maxilar: Nu• Fara zone dureroase la presiune• TOTAL PUNCTAJ: 9 p
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EVALUAREA STABILITATII• Creasta ca inaltime/contur: bune (1 p)• Relatia crestelor: clasa a 2 a (6 p),raport
normal in sens transversal• Paralelismul crestelor: paralele (1 p)• Arcada maxilara-in U (1 p)• Tuberozitati retentive• Decalaj al crestelor: sagital (3p)• Limba in pozitie joasa (2 p)• TOTAL PUNCTAJ: 14 p
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EVALUAREA MENTINERII• Inchiderea marginala-aria inchiderii
palatinale: larga (1 p)• Pozitia limbii: retrasa (6 p)• Insertiile marginale: departe de creasta (1 p)• Mobilitatea functionala a planseului: normala
(2 p)• Tonicitatea m.orbiculari: medie (1 p)• Caracterul salivei: vascoasa(3 p)• Cantitatea salivei: normala (1 p)• TOTAL PUNCTAJ: 15 p
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EVALUAREA FACTORILOR SUPLIMENTARI IN ECHILIBRU
• Spatiul interarcadic: suficient (1 p)• Marimea limbii: medie (1 p)• Limba in pozitie joasa (4p)• Buze: inactive (1 p) si lungi (2 p)• Creasta frontala maxilara
proeminenta: normal (1 p)• TOTAL PUNCTAJ: 10p
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FUNCTIONAL
• Confortul in timpul purtarii protezelor: bun (1 p)
• Stabilitatea si siguranta in purtare: buna (1 p)
• Stabilitatea in masticatie: buna (1 p)• Stabilitatea in fonatie: buna (1 p)• Senzatie de greata- nu• Intoleranta protezelor- nu• TOTAL PUNCTAJ: 4 p
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Scor• Punctaj total: 52 p • In concluzie, conditiile de echilibru
sunt medii.
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PREVIZIUNI SI PROGNOSTIC
• Pacientul este satisfacut de ambele proteze,atat din punct de vedere fizionomic cat si in ceea ce priveste stabilitatea,masticatia si fonatia.
• Asteparile pacientului corespund cu rezultatul final.
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Proteze vechi Proteze noi
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Va multumesc!