CURS 19 O5 EPI
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Transcript of CURS 19 O5 EPI
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VARIANTE
TERAPEUTICE
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Diagrama statică şi dinamică a edentaţiei de clasa a II-a Kennedy
CLASA II KENNEDY
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1. Absenţa molarului de minte unilateral
2. Absenţa ultimilor doi molari pe aceeaşi hemiarcadă
Posibilităţi de tratament a edentaţiei terminale bimolare
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3. Absenţa a trei molari consecutivi pe o hemiarcadă a. Soluţia adjunctă de urgenţă şi cu caracter temporar
b. Soluţia adjunctă acrilică
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c. Soluţia adjunctă cu conector metalic
. Soluţii scheletizate şi compozite cu miniconector metalic
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Soluţii scheletizate
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Absenţa a trei molari şi a ultimului premolar
Fig. 14.8. Soluţia provizorie acrilică
Solutii provizorii acrilice
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Soluţii scheletizate şi compozite
Rezolvări protetice în cazul asocierii cu breşe suplimentare
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5. Absenţa a trei molari şi a celor doi premolari
Soluţii scheletizate pentru clasa a II-a
Kennedy cu modificări
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6. Absenţa a trei molari, doi premolari şi un canin la nivelul aceleiaşi hemiarcade
Soluţia acrilică
Soluţii scheletizate
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REZOLVAREA EDENTATIILOR CLASA II KENNEDY PRIN DIFERITE TIPURI DE PROTEZE SCHELETATE
CLASIC
MODERN
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REZOLVAREA EDENTATIILOR CLASA II KENNEDY CU MODIFICARI PRIN DIFERITE TIPURI DE PROTEZE SCHELETATE
CLASIC
MODERN
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Diagrama statică Diagrama dinamică
Clasa I Kennedy
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Torsiunea spre distal a dintilor stilpi
Edentatia clasa I Kennedy
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1. Absenţa molarului de minte bilateral
2. Absenţa molarului de minte şi a molarului de 12 ani de la nivelul aceleiaşi arcade
3. Absenţa molarului de minte şi a molarului de 12 ani la nivelul ambelor hemiarcade
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Soluţii acrilice
Soluţii de lungă durată
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4. Absenţa a trei molari pe un hemicadran şi a doi molari pe cadranul opus
Soluţie acrilică şi scheletizată
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5. Absenţa a trei molari consecutivi, bilateral.
a. Soluţia conjunctă cu extensia distală
b. Soluţia adjunctă acrilică
Soluţie acrilică
c. Soluţia adjunctă scheletizată
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Soluţii scheletizate
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6. Absenţa molară şi uni- sau bipremolară la nivelul ambelor hemicadrane
Soluţie scheletizată şi compozită
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Soluţii cu sisteme disjunctoare
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REZOLVAREA EDENTATIILOR CLASA I KENNEDY PRIN DIFERITE TIPURI DE PROTEZE SCHELETATE
CLASIC
MODERNMini AN attachments
Scheletul cu umerii de sprijin, finalizat si adaptat
Pozitionarea patricii calcinabile cu ajutorul tijei paralelografului
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ASPECTE MODERNE ALE REZOLVARII EDENTATIILOR DE CLASA I KENNEDY
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Edentaţia de clasa a III-a Kennedy
1. Absenţa unui singur dinte lateral pe acelaşi hemicadran
2. Absenţa a doi dinţi consecutivi pe o arcadă
ă
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Edentaţia tridentară
Fig. 14.24. Soluţie acrilică
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4. Edentaţia a patru dinţi consecutivi pe acelaşi cadran
5. Edentaţia de clasa a III-a Kennedy cu mai multe breşe pe acelaşi hemicadran
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REZOLVAREA EDENTATIILOR CLASA III KENNEDY PRIN DIFERITE TIPURI DE PROTEZE SCHELETATE
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REZOLVAREA EDENTATIILOR CLASA III KENNEDY PRIN DIFERITE TIPURI DE PROTEZE SCHELETATE
CLASIC
MODERN
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Edentaţia de clasa a IV-a Kennedy
Absenţa celor patru incisivi
Soluţie scheletizată şi soluţie compozită
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Absenţa a cinci-şase dinţi consecutivi
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REZOLVAREA EDENTATIILOR CLASA IV KENNEDY PRIN DIFERITE TIPURI DE PROTEZE SCHELETATE
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COMPLICATIILE EDENTATIEI PARTIALE INTINSE PROTEZATECOMPLICATIILE EDENTATIEI PARTIALE INTINSE PROTEZATE
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Alegerea incorecta a solutiei de tratament
In cazul folosirii culiselor extracorornare proteza se va sprijini pe dintii (dintele )stilp printr-un brat rigid plasat supraecuatorial
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Alegerea incorecta a solutiei de tratament
In cazul edentatiei biterminale sau uniterminale (edentatie clasa I, II Kennedy) proteza va fi prevazuta cu elemente antibasculante
Crosetul continuuPlacuta dento-mucosala linguala
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Solicitarea nefiziologica a caninilor mandibulari
Conservarea celor doua suporturi : muco-osos si dento-parodontal prin folosirea BAREI DOLDER
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Solidarizarea a cel putin 2 unitati odonto-parodontale in cazul aplicarii culiselor extracoronare
Suprasolicitarea dintilor restanti
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Plasarea pintenilor ocluzali in foseta distala in cazul unei edentatii biterminale determina transformarea protezei intr-o pirghie de gradul I
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Suprasolicitarea dintilor stilpi
Profilaxia resorbtiei osoase prin protezarea OVER-LAY
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Folosirea conectorului principal placuta mucosala maxilara
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Variante terapeutice-edentatia subtotala
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SOLUTIA TERAPEUTICA IMPLANTARE
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Caz clinic 2
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