Ivo Marek
Palacky University
Czech Republic
Title: Clinical managment of multiple agenesis - Demanding procedure to goal
Biography
Biography: Ivo Marek
Abstract
Multiple agenesis is a rare kind of anomaly and its solution could be rather difficult – including setting up an ideal treatment plan and co-ordinating the whole treatment process – since several dental disciplines take part in the process of the treatment. When setting up the treatment plan, not only the number of teeth of agenesis, but also the sagital relation of jaws and vertical discrepancy have to be taken into account. Therefore, orthodontic therapy often consists of only adjusting the position of pillars and gaps in the place of agenesis, then the prosthetic reconstruction takes place. The age of the patient together with the plan of implantation are other important factors when planning the final prosthetic reconstruction with or without implants. The authors analyse the process of treatment plan formation on several cases, then possible complications, which can occur during the treatment, together with consequetial modifications. Resolving multiple agenesis is thus based on interdisciplinary co-operation of an orthodontist, prosthodontist and implantologist; in some cases an maxillofacial surgeon can be involved. The authors stress the importance of the therapy coordinator who manages individual phases of the treatment, who bears the responsibility for forming the team, as well as for the treatment results