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A prosthetic management technique for osteopetrosis affecting the maxilla
Karun Dewan1, Karl Bishop, David Hollisey-Mclean
1Department of Restorative Dentistry, Morriston Hospital, Swansea, UK. karun.dewan@swansea-tr.wales.nhs.uk
Summary
Managing irregular alveolar bone in osteopetrosis patients presents challenges for complete maxillary removable prostheses. This study highlights using flexible base plate materials for improved prosthesis construction and wear.
Area of Science:
- Dentistry
- Prosthodontics
- Oral and Maxillofacial Surgery
Background:
- Bony anatomical anomalies can significantly complicate the fabrication and function of removable prostheses.
- Osteopetrosis, a group of rare genetic diseases, impairs bone remodeling, leading to irregular alveolar bone morphology.
- Irregular alveolar bone presents a recognized obstacle in achieving successful removable prosthesis outcomes.
Observation:
- This paper details the clinical management of a patient with extreme alveolar irregularity due to osteopetrosis.
- The challenges encountered in constructing a complete maxillary removable prosthesis for such a patient are emphasized.
- A specific technique utilizing a flexible base plate material is presented as an alternative to conventional materials.
Findings:
- The flexible base plate material demonstrated potential in managing extreme alveolar irregularity.
- This approach offers a viable solution for overcoming obstacles in removable prosthesis construction.
- The described technique may be adaptable for managing less extreme, commonly encountered bony irregularities.
Implications:
- Flexible materials offer a promising alternative for fabricating removable prostheses in patients with complex bony anomalies.
- Improved prosthesis fit and function can be achieved, enhancing patient quality of life.
- The findings suggest broader applicability of this technique in routine prosthodontic practice for managing irregular alveolar ridges.
