Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry · 2026
The Utility of Intraoral Scanning and a Modifiable Milled Trial Denture in Treating Complete Edentulism in a Patient With Special Care Needs: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Curtis Joseph, Marchini Leonardo
Аннотация
INTRODUCTION: This case report documents the prosthodontic treatment of a 43-year-old male with special care needs who presented with a 13-year history of complete edentulism and prosthodontic diagnostic index (PDI) type IV. The patient was unable to tolerate his previous dentures. The purpose of this report is to highlight the advantages of intraoral scanning and a modifiable milled trial denture in the care of completely edentulous patient requiring special care.
CASE DESCRIPTION: The treament sequence selected for this patient included (1) intraoral scan to fabricate custom trays (2) border molded PVS master impressions (3) completed denture bases and wax occlusion rims (4) milled polymethylmethacrylate (PMMA) trial dentures (5) injection-processed PMMA gingiva and incorporation of posterior denture teeth onto trial dentures, and (6) follow-up appointments.
CONCLUSION: The patient reported he could wear this new set of dentures and was successful in learning to eat with them. However, the prognosis remains guarded due to PDI classification and advanced mandibular resorption.
CASE DESCRIPTION: The treament sequence selected for this patient included (1) intraoral scan to fabricate custom trays (2) border molded PVS master impressions (3) completed denture bases and wax occlusion rims (4) milled polymethylmethacrylate (PMMA) trial dentures (5) injection-processed PMMA gingiva and incorporation of posterior denture teeth onto trial dentures, and (6) follow-up appointments.
CONCLUSION: The patient reported he could wear this new set of dentures and was successful in learning to eat with them. However, the prognosis remains guarded due to PDI classification and advanced mandibular resorption.