Enfilados atípicos en pacientes edéntulos totales. Reporte de 2 casos clínicos

Abstract

Rehabilitating a fully edentulous patient requires biofunctional dentures that return the relationship of vertical and horizontal components, restoring aesthetics, phonetics and chewing function. When there are discrepancies in the size of the maxilla and mandible, a threading must be guaranteed to ensure greater axialization in chewing forces, while maintaining the stability and retention of the prostheses. Two clinical cases are reported. The first one is a rehabilitation in Class II that showed an angle greater than 90 degrees with respect to the interalveolar junction line of a 65- year-old male patient who attended the Integral Adult Clinic III. The second case is a 76-year-old female patient with Class III who had an angle of less than 90 degrees in relation to the occlusion plane. In both cases, the aesthetics were achieved using different formulas of acrylic teeth and wearing down on the mesial or distal faces of them, allowing to locate the support cusps in areas of prosthetic stability through the projection of the interalveolar line, thus determining that the aesthetics and function were combined to successfully rehabilitate both patients.