Contemporary prosthetic treatment for challenging patients with multidisciplinary approach

INTRODUCTION: Challenging patients are in need for complex dental treatment. Sometimes these patients need orthodontic treatment, or pre-prosthetic surgery, or therapy with splints before we proceed contemporary prosthetic treatment. AIMS: To present the contemporary prosthetic treatment for challenging patients with multidisciplinary approach. MATERIALS AND METHODS: Series of patients were treated with different types of prosthetic devises. Before beginning with prosthetic treatment, because these patients were challenging, multidisciplinary approach, was inquired. For young adult patients orthodontic treatment plan (class Angle II) and crown lengthening was performed, after which fixed dental constructions were manufactured. For patients that had temporomandibular dysfunctions and pain in the orofacial area, computer tomography was performed. Then splint was manufactured before the prosthetic rehabilitation, so that the maximum optimal treatment plan was provided. RESULTS: There is no definite contemporary prosthetic treatment plan that can be suitable for every patient. Sometimes other protocols from different specialties must be involved. CONCLUSIONS: With the treatment protocol provided, the deduction is that every patient must be treated individually. This includes the pre-prosthetic treatment, so that the dental prosthetic appliance will be suitable and will be designed on the mutual satisfaction of both the patient and the multidisciplinary dental team. Keywords: contemporary prosthetics, challenging patients, pre-prosthetic treatment, multidisciplinary approac