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[Orthodontic and surgical aspects of cleft palate treatment].

The growth pattern of the face in cleft lip and palate patients is determined by intrinsic, functional and iatrogenic factors. Probably the iatrogenic factors are the most important. Orthodontic and orthognatic aspects of cleft palate treatment are described, being divided in five stages: 1. presurgical orthopedic treatment prior to lipclosure; 2. early orthopedic treatment of maxillary hypoplasia; 3. reconstruction of the alveolar cleft with bonegrafting and/or orthodontic treatment; 4. orthodontic treatment and 5. combined surgical/orthodontic treatment.

Adult↗

Skeletal type III abnormalities--a simplified treatment.

There are various forms of skeletal Type III abnormalities. The most common occurs when the maxilla is underdeveloped and the mandible grows ahead of it. In severe cases, skeletal Type III abnormalities are considered the most unattractive as well as being one of the most difficult to treat in orthodontics. A simplified approach is presented for using the Frankel III appliance to treat skeletal Type III abnormalities in young children.

Child↗

Closing diastemas and creating artificial gingiva with polymer ceramics.

A 40-year-old male patient elected orthodontic correction of his crowded anterior teeth, leaving multiple root exposures and spacing in the papilla areas. Connective tissue surgery did not satisfy the patient's expectations and led him to seek alternative treatments. An innovative technique was developed to achieve root coverage and fill-in spaces in the papilla areas. This noninvasive technique used a polymer ceramic material that was bonded to the crown and root surface of the individual teeth. The veneer restorations were inserted on the teeth as a solid unit, then separated into individual units. Clinically, the hygiene, which has been monitored since the placement of the restorations 24 months ago, has been satisfactory. This case illustrates an attenuation of a previously described noninvasive laboratory technique to close spaces between teeth. This conservative method can be used to cover denuded root surfaces that may exhibit sensitivity. Although the treatment has been successful for the short-term, the results are promising and deserve further case-controlled clinical assessment.

Adult↗

Outcome of orthodontic care in 19-year-olds attending the Public Dental Service in Sweden: residual need and demand for treatment.

The study analyses residual need and demand for orthodontic treatment in 19-year-olds attending the Swedish Public Dental Service (PDS). The general practitioners (GPs) had selected individuals for orthodontic specialist consultation and some were treated by GPs or specialists or not considered to be in need for treatment. Altogether 164 individuals were called for clinical investigation at the age of 19 years and also given a questionnaire asking for residual orthodontic treatment demand and satisfaction with information and orthodontic care. Ninety-one per cent of the individuals who had had an orthodontic consultation and 53 per cent of those who had not seen an orthodontist took part in the investigation. The study revealed that half of the 19-year-olds at the PDS clinic had received orthodontic consultations and one third had received orthodontic appliance treatment. Seven percent of the investigated individuals had a residual subjective demand for treatment. Several individuals with removable appliance treatment had overjet and deep bite and laterally forced cross-bite, but with little remaining subjective demand for treatment. Individuals with fixed appliance treatment showed few malocclusions. Nineteen-year-olds in general were uncertain about their present need for orthodontic treatment. The following conclusions were drawn: the total amount of orthodontic treatment in different areas in Sweden is comparable but the distribution between GP and specialist treatment differs. Interceptive treatment to reduce overjets seemed not successful. Fixed appliances seemed to reduce the majority of the malocclusion traits. The information given in connection with orthodontic consultation or treatment was clearly inadequate.

Adult↗

[Eruption disturbances].

Eruption disturbances of teeth should not be considered as a curiosity. Acquaintance with these phenomena should form a substantial component of the dentist's, orthodontist's and oral and maxillofacial surgeon's basic expertise. Early detection of these disturbances followed by treatment in due time, can minimise progressive negative effects, such as the development of severe malocclusion. Treatment modalities are described.

Child↗

Growth and development in the pediatric patient.

What is the most important aspect of children's dentistry? Some may argue that it is the restoration orprevention of decay and disease. Others may describe nutrition. The diagnosis and treatment of proper growth and development, I feel is the most important responsibility of our practices. What we do or don't do can affect the child for life. Unfortunately, many of us lack the abilities we need to affectively monitor or augment, if necessary, proper growth and development. The purpose of this paper is to provide us with some basic knowledge, tools and treatments.

Bottle Feeding↗

[Prevention of orodental injuries in athletic children: let us play!].

Prevention of traumatic tooth injuries during sports practice in children who are particularly at risk due to their dental and maxillary morphology is important when establishing a certificate of aptitude to sport. In some children this may provide an occasion to propose an orthodontal correction for dental protrusion. In any case, fitted protective mouth-pieces made by a competent dental surgeon should be recommended. They are preferable to the commonly available gum shields, which are not secure enough.

Athletic Injuries↗