Multidisciplinary Therapy of Upper and Lower Jaws Defects

Abstract

The aim of this study was to evaluate the possibility of multidisciplinary therapy of injury and other defects of the upper and lower jaws. The imperfections originate primary (cleft, oligodontia) or secondary (cysts, accidents, tumors, inflammation etc.).The incidence in the Czech Republic is criminal in 28 %, sports in 12 %, and home accidents in 9 %. The cleft genetic register includes at the present time more than 4500 families from Bohemia. The multidisciplinary therapy involves the following disciplines: prosthodontics, maxillofacial surgery, plastic surgery, orthodontics, speech pathology, psychology, otorhinolaryngology, genetics, and social work. Dental care of adult patients is not simple. The five case reports demonstrate the prosthetic treatment of adult patients by multidisciplinary therapy: surgeon, orthodontist and prosthodontist. The aim of our therapy is to receive the integration oforthodontic treatment or surgi cal prerestorative therapy with prosthodontic restoration, to enable esthetic harmony and functional efficiency of dental arches. The case reports describe: • unfitting orthodontic treatment with central incisor extrusion, • bone defect after implant disintegration, • polytrauma after traffic accident, • status post partial resection of the right upper jaw after fibrosarcoma - rest oroantral communication and total bilateral cleft, • hypertelorism, hands and feet malformation, left side oronasal communication from palate to fornix. The methods of reconstruction are unusual and some of them are presented in the 5 clinical cases