6 Philosophies in Full Mouth Rehabilitation a Systematic Review

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Int J Dent Case Reports 2013; 3(3): 30-39 © IJDCR 2013. A ll rights reserved www.ijdcr.co m

PHILOSOPHIES IN FULL MOUTH REHAB ILITATION – A S YSTEMATIC REVIEW Bharat Raj Shetty 1 , Manoj Shetty2 , Krishna Prasad D.3 , S. Rajalaksh mi4 , Raghavendra Jaiman 5 1

Lecturer, Depart ment of Prosthodontics, A.B. Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka,

India 2

Professor, Depart ment of Prosthodontics, A.B. Shetty Memorial Institute of Dental Sciences, Mangalore,

Karnataka, India 3

Professor & HOD, Depart ment of Prosthodontics, A.B. Shetty Memo rial Institute of Dental Sciences, Mangalore,

Karnataka, India 4

P.G. Student, Department of Prosthodontics, A.B. Shetty Memorial Institute of Dental Sciences, Mangalore,

Karnataka, India 5

P.G. Student, Department of Prosthodontics, A.B. Shetty Memorial Institute of Dental Sciences, Mangalore,

Karnataka, India

Address for Correspondence Dr. Manoj Shetty Professor Depart ment of Prosthodontics A.B. Shetty Memorial Institute of Dental Sciences Mangalore, Karnataka, India Email id : [email protected] Contact: 09845267087

ABSTRACT Co mplete mouth rehabilitation is a dynamic functional endeavour and it embodies the correlation and integration of all co mponent parts into one functioning unit. Over time have evolved various concepts and philosophies to attain reconstruction and rehabilitation of the entire dentit ion, satisfying all the related factors. This case series describes cases requiring full mouth rehabilitation t reated following Twin Table Philosophy and Twin Stage Philosophy by Sumiya Hobo and Pankey Mann Schuyler Philosophy considering the requirements of the rehabilitation. It also describes briefly the principle behind each philosophy as well as the various pros and cons of each and its application in various scenarios. Keywords: hobo; full mouth rehabilitation; pankey- mann

Shetty, Shetty, Prasad, Rajalakshmi, Jaiman

Full Mouth Rehabilitation

INTRODUCTION

1.

As the goal of medicine is to increase the life span of

The restoration of mu ltiple teeth which are missing, worn, bro ken down or decayed.

the functioning individual, the goal of dentistry is to

2.

increase the life span of the functioning dentition.

To

replace

imp roperly

designed

and

executed crown and bridge framework.

Dentistry uses its knowledge, skill and all the

3.

resources at its command in both maintenance work

Treat ment of temporo mandibular d isorders is also advised, though caution is advised.

and rehabilitation to achieve its goal. (1) Occlusal Reorganization of the occlusion can be considered if

rehabilitation is defined as the restoration of

the existing intercuspal position can be considered

functional integrity of dental arch by the use of inlays,

crowns,

bridges

and

partial

unsatisfactory for various reasons - Repeated failure

dentures.

or fracture of teeth or restorations, Severe attritional

Successfully treat ing patients requires a thoughtful

wear, Lack of interocclusal space for restoration,

combination of many aspects of dental treatment such

Affected

as patient education, sound diagnosis, periodontal

treatment

and

achieving

Unacceptable

function,

Unacceptable esthetics, Sensitive teeth, Painful

therapy, operative skills, occlusal considerations, endodontic

dentition,

musculature due to disharmony between occlusion

harmony