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At least 415 records · Page 23Linked to original sources
PubMed1994

Use of the CO2 laser in soft tissue and periodontal surgery.

The use of laser energy is by now established in some areas of the medical and dental professions. This article reviews the history of the carbon dioxide laser and discusses the advantages, indications, and contraindications of laser in soft tissue and periodontal surgery. Four clinical cases are presented to illustrate laser techniques in excisional biopsy, gingivectomy, coagulation of graft donor site, and a frenectomy procedure. The learning objective of this article is to familiarize the reader with this relatively new addition to oral surgical procedures.

Adolescent↗
PubMed1994

Minor preprosthetic surgical procedures.

Minor preprosthetic surgical procedures used in correcting an existing problem or in preparing the mouth for prostheses must be based on an exact diagnosis and carefully planned and executed to satisfy clearly definable goals. This article emphasizes that philosophy and includes surgical techniques for managing commonly encountered problems as well as those problems associated with placement of immediate dentures. Predictable results with minimal complications can be expected when one adheres to these guidelines.

Denture, Complete, Immediate↗
PubMed1996

[The functional and esthetic aspects in the orthodontic treatment of partial anodontia (anodontia 2/2)].

Rehabilitation of a female patient with adentia of the upper lateral incisors is described. An alternative method has been resorted to, including plasty of the upper lip frenulum followed by orthodontic treatment. The authors emphasize that the choice of such treatment strategy for this patient requires profound diagnostic studies in order to correctly design the prosthesis and plan the treatment scheme. Clinical assessment of individual occlusion is of primary importance, particularly in the lateral areas of dentition.

Adolescent↗
PubMed1996

Orofaciodigital syndrome I: a case report.

Orofaciodigital syndrome I is a syndrome, which affects the maxillofacial region. Abnormally developed vestibular frenulum, cleft tongue, asymmetric cleft palate, pseudocleft of the upper lip and hypoplasia of the nasal cartilages are some of the other features. There are some malformations in foot and hand fingers and also mild mental deficiency is present. OFD I syndrome follows an chi-linked dominant mode of transmission trait limited to females and lethal in males. Because of the esthetic and functional manifestations in the maxillofacial region, the syndrome has great importance for pediatric dentistry.

Child↗
PubMedDate not supplied

Perceptions associated with dentists' decisions to report hypothetical cases of child maltreatment.

The purpose of this study was to examine case-specific perceptions associated with dentists' decisions to report hypothetical cases suggestive of child maltreatment. Surveys were mailed to 500 general dentists (GDs) in Georgia and all 200 pediatric dentists (PDs) in Georgia and Florida. The GDs were chosen from a pool of 1500 by a stratified randomization scheme. Each survey contained two brief vignettes suggestive of, but not conclusive for, child neglect and abuse. Identical questions followed each vignette that were designed to assess five perceptions of the incident and whether the respondent would be likely to report the case. Responses were received from 185 GDs (37%) and 103 PDs (51.5%), for a total of 288 (41.1%). A majority of respondents considered each vignette to be serious, but only a minority believed that they were required to report the neglect (7.3%) and the abuse (33.7%) vignettes. The percentages of likely reporters of the neglect (n = 28) and abuse (N = 103) vignettes were 9.7 and 36%, respectively. No significant differences were noted in the response patterns of GDs and PDs. Decisions to report child maltreatment described in the vignettes were associated with perceptions of 1) the seriousness of the incident, 2) the incident being defined as neglect or abuse, and 3) a requirement to report. The possibility that a maltreatment report would have a negative impact on the child was associated with a decision not to report. The perception that a report would have a negative impact on the family was common among likely reporters and nonreporters.

Attitude of Health Personnel↗
PubMed1998

Oral manifestations of Ellis-van Creveld syndrome: report of two siblings with unusual dental anomalies.

Ellis-van Creveld syndrome (EvC), also called chondroectodermal dysplasia, is a rare occurrence inherited as an autosomal recessive disease. Despite the fact that oral manifestations play an important role in the diagnosis criteria for EvC, few detailed reports have been published in the dental literature. This articles presents two siblings with EvC, a boy aged 9 years and a girl aged 7 1/2 years, a product of unaffected first cousin parents. The patients manifests: chondrodysplasia of tubular bones resulting in disproportionate dwarfism, polydactyly and syndactyly of hands and feet, severe dystrophic nails, multiple broad labial frenula with abnormal attachments, congenital missing incisors, anomalous teeth, bilateral partial clefts of the alveolar bone, and malocclusion. Other features noted in either cases are: congenital heart defect, median notch of the upper lip, shovel-shaped incisors and taurodontism. Of the unusual dental findings observed in our patients are talon cusp, reduced crown size, supernumerary tooth, and early eruption of teeth. Because half of the cases with EvC have cardiac malformation, dental treatment must be performed under prophylactic antibiotic coverage. Dentists play an important role in early diagnosis and control of dental problem of this condition.

Anodontia↗
PubMedDate not supplied

Frenotomy and keratinized tissue augmentation.

Aberrant frenula can be an important etiological factor in progressive gingival recession. When separating or removing frenula, augmentation with keratinized tissue is the treatment of choice in most circumstances. A case is described as a mandibular labial frenotomy in combination with a free gingival graft.

Adult↗
PubMedDate not supplied

Pre-prosthetic surgery.

This paper deals with surgical procedures that can be routinely used in a hospital dental clinic to improve the function of the final prosthesis. This report will discuss alveoplasty, Vestibuloplasty, Fibrous Tuberosity Reduction, Denture Fibrosis, Tori and Exostosis, Labial and Lingual Frenum and Oro-Antral Opening (Table 1).

Exostoses↗
PubMed1977

The trial denture.

1. Many difficult situations can be avoided if the dentist keeps constantly aware of the physiologic, the psychologic, and the artistic factors involved in the construction of dentures, whether they be partial or complete. 2. No one would think of buying an automobile without getting adequate instruction in how to drive; neither should a patient expect to wear artifical restorations without training and practice. 3. The dentist at the try-in should check: a. The bases for fit and extension. b. Thin labial flange at frenum area. c. Posterior palatal seal and length of upper. d. Posterior tooth poisition for height of plane, relation of plane to alatragus line, tongue room, and ridge relation. e. Anterior tooth position for lip support, length, and relation to lower lip. f. Entire setup for vertical dimension of the face, test balance and simultaneous tooth contacts in all desired positions. If discrepancies exist between the articulator and the mouth, make new jaw relation records. g. Check palatal contour and incisor positions in speaking. "F" and "V" sounds to test the upper incisor, sibilant sounds for vertical dimension and lower-to-upper incisal relationships. h. Wax-up for support and proper external form. If tori exist on upper or lower, be sure there is sufficient thickness to allow relief later on. i. Be sure to repeat and continue instruction of the patient in his understanding and handling of the new dentures. Now, in addition to all these checks to dentist makes, he must constantly anticipate the thoughts and attitudes of the patient and interpret them for better rapport and ultimate patient understanding. No stage in complete dentures is anticipated with such mixed emotions as is the try-in. No stage is so significant to the future success or failure of the patient to take dentures in his stride. No stage has so much potential for making the person happy or sinking him into the depths of despair. The return of self-confidence, the pride in appearance, the sparkle and drive that return to a patient when the restorations are enthusiastically accepted are a wonderful reward for dentistry well done.

Color↗
PubMed1977

Frenum surgery. I. A comparison of three surgical methods.

The present study was undertaken to evaluate and compare three surgical methods to relocate labial frena to a more apical position. Thirty patients with frenum insertion at the gingival margin were selected for the study. All had been peridontally treated prior to frenum surgery. Stone casts from rubber base impressions in individual trays were used to measure the differences in frenum insertion before surgery and 2, 12, 26 and 52 weeks afterwards. The surgical methods, each carried out in 10 cases, consisted of frenum excision, vestibular extension of Z-plasty. The results showed that a significant reduction of the frenum was obtained with all three methods used, although after 52 weeks, the difference between the pre- and postoperative status were most marked where Z-plasty had been carried out and least so after frenum excision. Post-surgical symptoms were most frequent after vestibular sulcus extension and fewest after frenum excision.

Adult↗
PubMedDate not supplied

Early creeping attachment after frenectomy: a case report.

An abnormal labial frenutomy is capable of causing retraction of gingival margins, formation of diastema and inhibition of lip and tongue movements. When aberrant frenula are present traditional frenectomy procedures are very successful. Often mucogingival procedures are needed to correct the defects that result from harmful frenum pulls. In this case presentation, an aberrant frenum was diagnosed to be associated with an area of recession on a mandibular left central incisor. Surgery was planned as a staged approach. The first phase of care was a simple frenectomy. A follow-on procedure consisting of a connective tissue graft for root coverage was planned. After only four weeks of healing from the frenectomy, creeping attachment of 1.0 mm was appreciated and the patient was able to avoid the secondary corrective surgery.

Adult↗