Edentulism is most frequently associated with alteration of the morphological and functional equilibrium of the stomatognate system, which requires, from the part of the stomatologist, not only a simple rehabilitation of the dental arch with fixed or mobile prostheses, but the elaboration of a complex therapeutical scheme capable of solving both the morphological and functional disorders of the stomatognate system, as well as the edentulsim condition itself. Materials and methods. The authors describe the manner of solving edentulism in patients with complex, general, morphological and functional local disorders, which necessitates a therapy based on a holistic approach of the situation. Considered for the study were 99 clinical cases submitted to all diagnostic and therapeutical stages, up to final rehabilitation. Results. The patients forming the experimental group were analyzed as to their general health condition and maladies influencing or not the treatment of morphological and functional reconfiguration. Discussion. The factors influencing the hierarchization and prioritization of certain therapeutical stages, aimed at assuring a good general and local health status, are analyzed. Conclusions. Application of such a therapeutical strategy requires a thorough knowledge of the basic gnatoprosthetic aspects and a prolongued clinical experience, viewed as elements permitting an interdisciplinary approach. Utilization of the modern technologies of diagnosis, planification and therapeutical simulation assure the longevity of the applied therapy.
Keywords:- cranio-mandibular repositioning
- edentulism
- implant-supported denture.
- morpho-functional rehabilitation
- occlusal reconfiguration