Planejamento reabilitador por professores de prótese dentária para pacientes com seqüela de doença periodontal
Abstract
A doença periodontal avançada destrói os tecidos de suporte dentário e pode levar a perda dentária o que torna necessária uma reabilitação protética que devolva função e estética. Objetivo: Analisar o planejamento reabilitador selecionado por professores de Prótese Dentária de faculdades de Odontologia brasileiras para dois Casos Clínicos de pacientes parcialmente edentados e com experiência anterior de doença periodontal avançada. Materiais e métodos: Foram enviados para 45 professores selecionados aleatoriamente, via carta, dois relatos de Casos Clínicos acompanhados de fotografias intrabucais, modelos articulados e levantamento radiográfico periapical. Por meio de um questionário estruturado, foram dadas opções de tratamento que incluíam desde a reabilitação com próteses fixas e removíveis convencionais até implanto-suportadas, desconsiderando os aspectos econômicos. Resultados: Quinze professores consentiram em participar do estudo (33,3% de taxa de resposta). As opções protéticas frente aos Casos Clínicos foram as seguintes: para os arcos superiores e inferiores, 50% dos professores participantes sugeriram a reabilitação por próteses convencionais e 50% sugeriram próteses implanto-suportadas. Conclusões: Várias alternativas de planejamento foram apresentadas para ambos os Casos Clínicos, mostrando a diversidade de técnicas escolhidas para pacientes parcialmente edentados e com seqüelas de doença periodontal.
UNITERMOS: prótese periodontal; implantes dentários; reabilitação bucal.
SUMMARY
Advanced periodontal disease destroys the supporting dental tissues and may lead to tooth loss raising the need for esthetics and oral function rehabilitation. Objective: To analyze the oral rehabilitation planning selected by Prosthodontics faculty of Brazilian dental schools for two clinical cases of partially dentate patients with previous experience of periodontal disease. Materials and methods: Forty-five Prosthodontics faculty members were randomly selected and received by mail the documentation of two clinical cases including intraoral pictures, articulated models, and periapical radiographies. Using a structured questionnaire they were given treatment options with conventional removable and fixed prostheses and implant-supported prostheses. The economic aspects were not considered for planning. Results: Fifteen faculty agreed to participate in this survey (response rate 33.3%). The selected prosthetic options were: for the maxillary and mandibular arch, 50% indicated oral rehabilitation with conventional prostheses and 50% suggested implant-supported prostheses. Conclusions: Many alternatives were offered for both clinical cases of partially dentate patients with sequela of periodontal disease.
UNITERMS: periodontal prosthesis; dental implants; mouth rehabilitation.
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