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3ECUENCIA CLNICA EN LA REHABILITACIN
PROTSICA DE PACIENTES BRUXISTAS CON ATRICIN
DENTAL SEVERA A PROPSITO DE UN CASO
2%35-%.
,A ATRICIN DENTAL ES UNA MANIFESTACIN FRECUENTE
DENTRO DE LAS SECUELAS QUE EL BRUXISMO ORIGINA EN EL
APARATO ESTOMATOGNTICO %N LOS CASOS AVANZADOS
LA DESTRUCCIN CORONARIA PUEDE ALCANZAR UNA
GRAN SEVERIDAD %XISTEN MUCHAS SISTEMTICAS
PARA LA REHABILITACIN ORAL TOTAL CON PRTESIS
FIJA EN ESTOS PACIENTES %N EL PRESENTE TRABAJO SE
PLANTEA UNA AL ALCANCE DE CUALQUIER PROFESIONAL
ESPECIALISTA EN PRTESIS QUE NO EXIGE ARTICULADOR
TOTALMENTE AJUSTABLE %L OBJETIVO DE ESTE TRABAJO
ES EXPONER UNA SISTEMTICA CLNICA PARA REHABILITAR
A ESTE TIPO DE PACIENTES 3E PROPONEN UNA
SERIE DE PAUTAS DE TRATAMIENTO QUE COMIENZAN
CON LA LOCALIZACIN DEL EJE REAL DE BISAGRA Y EL
MONTAJE DE MODELOS DIAGNSTICOS EN ARTICULADOR
SEMIAJUSTABLE 0OSTERIORMENTE SE CONFECCIONA UNA
PLACA OCLUSAL CON AUMENTO DE DIMENSIN VERTICAL
TENTATIVO Y VERIFICADA STA SE REALIZA UN ENCERADO
DIAGNSTICO Y DE TRABAJO 0ARA LA REALIZACIN DE LAS
RESTAURACIONES TEMPORALES SE CONFECCIONAN DOS
JIGS ANTEROINFERIORES QUE TAMBIN NOS AYUDARN
A LA REALIZACIN DE LAS PREPARACIONES DENTARIAS
0OSTERIORMENTE SE TRANSFIEREN LOS MODELOS DE
TRABAJO A UN ARTICULADOR SEMIAJUSTABLE PREVIA
LOCALIZACIN DEL EJE REAL DE BISAGRA ! CONTINUACIN
SE REALIZAN LOS TRABAJOS DE LABORATORIO HACIENDO
PRUEBAS EN EL PACIENTE CON LAS RESTAURACIONES EN
METAL Y EN BIZCOCHO 3E TERMINA PROCEDIENDO AL
REMONTAJE AJUSTE OCLUSAL GLASEADO Y CEMENTADO
DE LAS RESTAURACIONES 0OR LTIMO SE CONFECCIONA
UNA PLACA OCLUSAL SUPERIOR DE PROTECCIN
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"RUXISMO DESGASTE DENTARIO DISFUNCIN CRNEO
MANDIBULAR REHABILITACIN PROTSICA
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#LINICAL PROCEDURES IN PROSTHETIC
REHABILITATION OF SEVERE DENTAL
ATTRITION BRUXISM PATIENTS A CASE
REPORT
!"342!#4
$ENTAL ATTRITION IS A FREQUENT MANIFESTATION WITHIN
THE SEQUELS THAT THE BRUXISM ORIGINATES IN THE
STOMATOGNATIC APPARATUS )N ADVANCED CASES
CORONARY DESTRUCTION CAN REACH A GREAT SEVERITY
4HERE ARE MANY FIXED PROSTHETIC TOTAL REHABILITATION
SYSTEMATICS )N THE PRESENT WORK ONE IS CONSIDERED
WITHIN REACH OF ANY PROSTHODONTIST THAT DOES NOT
DEMAND FULLY ADJUSTABLE ARTICULATOR 4HE OBJECTIVE
OF THIS WORK IS TO DETERMINE A CLINICAL SYSTEMATICS
IN ORDER TO REHABILITATE THESE PATIENTS ! SERIES
OF TREATMENT GUIDELINES SETS OUT BEGINNING WITH
THE LOCATION OF THE REAL HINGE AXIS AND MOUNTING
CASTS IN SEMIADJUSTABLE ARTICULATOR ,ATER AN
OCCLUSAL SPLINT WITH TENTATIVE INCREASE OF VERTICAL
DIMENSION IS MADE AND VERIFIED THIS ONE A
DIAGNOSTIC AND WORK WAX
UP IS ELABORATED &OR
THE ACCOMPLISHMENT OF TEMPORARY RESTORATIONS
TWO ANTERO
INFERIORS JIGS ARE MADE THAT ALSO WILL
HELP LATER THE DENTAL PREPARATIONS 4HEN WORKING
CASTS ARE MOUNTED IN SEMIADJUSTABLE ARTICULATOR
WITH TERMINAL HINGE AXIS LOCATION .EXT THE WORKS
OF LABORATORY ARE MADE DOING TESTS IN THE PATIENT
WITH THE RESTORATIONS IN METAL AND IN BISQUE BAKE
CERAMICS )T IS ENDED UP COMING TO THE REMOUNTING
OCCLUSAL ADJUSTMENT GLAZING AND LUTING OF THE
RESTORATIONS &INALLY A SUPERIOR OCLUSAL SPLINT
PROTECTION IS MADE
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