The Elderly Patient: New Perspectives and Therapeutic Options in Clinical Dentistry

A special issue of Prosthesis (ISSN 2673-1592).

Deadline for manuscript submissions: closed (31 January 2023) | Viewed by 22263

Special Issue Editors


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Guest Editor
Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, 44121 Ferrara, Italy
Interests: dental prosthesis; dental materials; gnatology and TMD

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Guest Editor
Department of General Surgery and Medical-Surgical Specialties, University of Catania, 95124 Catania, Italy
Interests: dental prosthesis; dental materials; implantology; restorative dentistry

E-Mail Website
Guest Editor
Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, 44121 Ferrara, Italy
Interests: dental prosthesis; dental materials; gnatology and TMD

E-Mail Website
Guest Editor
Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, 44121 Ferrara, Italy
Interests: dental prosthesis; dental materials; implantology; oral surgery

Special Issue Information

Dear Colleagues,

In this Special Issue, we aim to provide a global overview of the new technologies, therapeutic approaches and advances relatively to the rehabilitation of elderly patients, underlining the aspects of all innovative solutions. Nowadays, the elderly individual is becoming the most common patient in clinical practice due to the increasing average life span. Furthermore, the current elderly patient usually has an active social life and also high expectations. However, sometimes they cannot afford some types of treatment because of their limited financial resources. Then, in this issue, we want to highlight the new different strategies of treatment for elderly patients in relation to these factors, providing new advances in the field of prosthesis.

Prof. Dr. Santo Catapano
Dr. Luca Ortensi
Dr. Nicola Mobilio
Dr. Francesco Grande
Guest Editors

Manuscript Submission Information

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Keywords

  • prosthesis
  • elderly patient
  • digital prosthetic planning
  • treatment strategies

Published Papers (7 papers)

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Research

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14 pages, 1152 KiB  
Article
Resin-Bonded Prosthesis in Posterior Area to Prevent Early Marginal Bone Resorption in Implants Placed at Tissue Level
by Carlo Prati, Fausto Zamparini, Arash Azizi, Andrea Spinelli and Maria Giovanna Gandolfi
Prosthesis 2022, 4(4), 575-588; https://doi.org/10.3390/prosthesis4040047 - 14 Oct 2022
Cited by 2 | Viewed by 1625
Abstract
Aim: To evaluate the effect of the resin-bonded prosthesis (Maryland bridge) on marginal bone remodeling of implants placed at the tissue level in the posterior region. Methods: Consecutive healthy patients (n = 46) were included in this clinical study. Flapless not-submerged implants were [...] Read more.
Aim: To evaluate the effect of the resin-bonded prosthesis (Maryland bridge) on marginal bone remodeling of implants placed at the tissue level in the posterior region. Methods: Consecutive healthy patients (n = 46) were included in this clinical study. Flapless not-submerged implants were placed with cover screws exposed and positioned approximately 0.5 mm above tissue level. Patients received the implant and a temporary resin-bonded prosthesis (RBP) (n = 22) or only the implant (n = 24). The RBPs were kept in place for 3 months and removed before impressions. The implants received a custom-made abutment and provisional resin crowns followed by definitive cemented metal–ceramic crowns after 2–3 weeks. The marginal bone level (MBL) was evaluated in a single-blind condition on scanned periapical radiographs and assessed mesially and distally (MBL-M/MBL-D). The bone levels of adjacent teeth (CEJ-M/CEJ-D) and the modification of the area between the implant and the mesial/distal teeth (Area-M/Area-D) were measured. All measurements were made at 1, 3 (pre-loading time) and 12 months (post-loading time). Linear regression models were fitted to evaluate the existence of any significant difference. Results: A total of 44 patients (20 Female, 24 Male; Mean age: 53.9 ± 10.3) completed the study. Two patients were excluded for fractured RBP or de-bonding. The drop-out was of 4.3%. After 12 months, all implants were free from complications. No peri-implantitis or mucositis were observed. The RBP group showed the most stable MBL at 12 months (−0.07 ± 0.41), statistically different from the non-RBP group (−0.67 ± 0.52). CEJ-M and CEJ-D were stable in both groups. Conclusion: The proposed approach of the use of RBP creates a more stable marginal bone level around implants placed at the tissue level, resulting in a reliable technique to protect bone tissue from mechanical and occlusal trauma during the healing period and osteointegration. Full article
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9 pages, 1335 KiB  
Article
Comparison of the Accuracy between Denture Bases Produced by Subtractive and Additive Manufacturing Methods: A Pilot Study
by Francesco Grande, Fabio Tesini, Mario Cesare Pozzan, Edoardo Mochi Zamperoli, Massimo Carossa and Santo Catapano
Prosthesis 2022, 4(2), 151-159; https://doi.org/10.3390/prosthesis4020015 - 28 Mar 2022
Cited by 12 | Viewed by 3943
Abstract
Today, two different types of CAD-CAM fabrication methods for complete denture bases are available besides the conventional protocols: a subtractive milling process from a prepolymerized block of polymethylmethacrylate and an additive manufacturing process that built the denture base using a light-cured liquid in [...] Read more.
Today, two different types of CAD-CAM fabrication methods for complete denture bases are available besides the conventional protocols: a subtractive milling process from a prepolymerized block of polymethylmethacrylate and an additive manufacturing process that built the denture base using a light-cured liquid in a VAT-polymerization process. The aim of this study was to evaluate and to compare the accuracy and precision of denture prosthetic bases made with subtractive and additive manufacturing technologies and to compare them with a denture base with the conventional method in muffle. From the results obtained, 3D printing dentures show a statistically significant higher accuracy than milled prosthetic bases. Milled prosthetic bases have similar accuracy than conventional fabricated dentures. Full article
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13 pages, 16924 KiB  
Case Report
Ageing-Oriented Prosthetic Treatment Plan: A Case Report
by Luca Ortensi, Tommaso Vitali, Raffaele Mirra, Marco Ortensi and Carlo Borromeo
Prosthesis 2023, 5(2), 496-508; https://doi.org/10.3390/prosthesis5020034 - 22 May 2023
Cited by 2 | Viewed by 1470
Abstract
Today, older adults are routinely classified into different categories based on their degrees of independence. However, due to the extreme heterogeneity of this group, and the fact that ageing is a progressive process, older adults may require customized prosthetic treatment. Older people, during [...] Read more.
Today, older adults are routinely classified into different categories based on their degrees of independence. However, due to the extreme heterogeneity of this group, and the fact that ageing is a progressive process, older adults may require customized prosthetic treatment. Older people, during ageing, may quickly pass into a frail condition, with loss of independence and of the manual skills necessary for proper hygiene maintenance. With this in mind, complete arch rehabilitations can make an important contribution to a patient’s quality of life. New treatment strategies are needed which take into account the priorities of ageing. The aim of this case report is to show an adaptable prosthetic treatment protocol that is useful for older adults. This protocol provides individual satisfaction and also aids forecasting of the patient’s future functional and maintenance needs. Full article
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11 pages, 4001 KiB  
Case Report
Full Digital Workflow for Prosthetic Full-Arch Immediate Loading Rehabilitation Using OT-Bridge System: A Case Report
by Marco Piscopo, Francesco Grande and Santo Catapano
Prosthesis 2022, 4(2), 213-223; https://doi.org/10.3390/prosthesis4020021 - 26 Apr 2022
Cited by 3 | Viewed by 3738
Abstract
Nowadays, digital technologies have brought very important advancements in clinical prosthetic dentistry. However, a full digital workflow is still considered to be challenging in the management of full-arch implant cases with immediate prosthetic loading. The aim of this case report is to show [...] Read more.
Nowadays, digital technologies have brought very important advancements in clinical prosthetic dentistry. However, a full digital workflow is still considered to be challenging in the management of full-arch implant cases with immediate prosthetic loading. The aim of this case report is to show a full-digital workflow for the fabrication of an implant-prosthetic fixed provisional prosthesis for immediate loading on seven implants in the upper maxilla. The static guided implant surgery and the OT Bridge prosthetic system were used to rehabilitate the patient. In this way, the combination of a well-known surgical technique with a peculiar prosthetic system that allows for a certain degree of tolerance resulted in it being useful for full-arch immediate loading. Future research and studies are necessary to prove the reliability of this full-digital protocol. Full article
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9 pages, 3130 KiB  
Case Report
Functional Removable Prosthetic Rehabilitation Using the Electronic Condylograph: A Case Report
by Eleonora Mangone, Enrico Cataneo, Leonzio Fortunato and Luisa Cresti
Prosthesis 2021, 3(4), 437-445; https://doi.org/10.3390/prosthesis3040039 - 20 Dec 2021
Cited by 3 | Viewed by 2470
Abstract
This article describes the design of complete removable prostheses following the Slavicek philosophy, which involves the integration between condylographic data and an individual cephalometric study of the patient. The electronic condylograph is a device that records the mandibular movements made by the patient. [...] Read more.
This article describes the design of complete removable prostheses following the Slavicek philosophy, which involves the integration between condylographic data and an individual cephalometric study of the patient. The electronic condylograph is a device that records the mandibular movements made by the patient. This case report shows how condylography data are useful not only in the individual articulator setting, but also for diagnostic completion and for planning a functional prosthetic rehabilitation. Full article
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9 pages, 6687 KiB  
Case Report
Construction of a Removable Partial Denture (RPD): Comparison between the Analog Procedure and the Selective Laser Melting Procedure
by Anthony Pugliese, Enrico Cataneo and Leonzio Fortunato
Prosthesis 2021, 3(4), 428-436; https://doi.org/10.3390/prosthesis3040038 - 14 Dec 2021
Cited by 9 | Viewed by 4506
Abstract
A partial removable denture is a device that allows the patient to recover from a partial edentulism. This case report describes the realization of a chrome–cobalt partial removable denture by using two different realization methods: (1) analogic framework and (2) hybrid framework. This [...] Read more.
A partial removable denture is a device that allows the patient to recover from a partial edentulism. This case report describes the realization of a chrome–cobalt partial removable denture by using two different realization methods: (1) analogic framework and (2) hybrid framework. This allowed us to compare the stability, retention as well as clasp quality of both the products and to highlight their respective advantages, disadvantages, and limitations. Full article
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6 pages, 660 KiB  
Perspective
The New Elderly Patient: A Necessary Upgrade
by Santo Catapano, Luca Ortensi, Nicola Mobilio and Francesco Grande
Prosthesis 2021, 3(1), 99-104; https://doi.org/10.3390/prosthesis3010010 - 15 Mar 2021
Cited by 6 | Viewed by 3010
Abstract
The elderly individual is becoming the most common patient in clinical practice due to the increasing average life span, especially in developed countries. The current elderly patients are different from those of some decades ago. They usually have an active social life, want [...] Read more.
The elderly individual is becoming the most common patient in clinical practice due to the increasing average life span, especially in developed countries. The current elderly patients are different from those of some decades ago. They usually have an active social life, want to be informed, and are actively involved in the current society with consequent high expectations for medical and dental treatment. However, not all the elderly patients are like this. Some of them show limited financial resources, reduced mental and manual skills, and poor motivation. The purpose of this communication is to make a brief characterization of the new elderly population in view of prosthetic and dental management. Full article
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