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At least 433 records · Page 24Linked to original sources
PubMed2001

Orthodontically assisted restorative dentistry.

As treatment expectations of dental patients continue to escalate we, as restorative dentists, must provide an interdisciplinary treatment approach to ensure optimum results for our patients. In recent years the disciplines of periodontics, endodontics and oral surgery have continued to develop closer working relationships with the field of restorative dentistry. Unfortunately, this is not the common relationship that exists with the discipline of orthodontics. Most orthodontic therapy is directed at the treatment of malocclusion and is conducted with limited or no input from the restorative dentist. Orthodontics offers countless ways of assisting the restorative dentist in achieving treatment goals. Several of these orthodontic opportunities to enhance the restorative treatment plan are reviewed.

Dental Occlusion↗
PubMed2001

Adjunctive orchestrated orthodontic therapy.

The altruistic goal of any cosmetic dental rehabilitation is the re-establishment of a healthy maintainable aesthetic functional interface from an otherwise damaged dentition. To this end, a multi-disciplinary treatment plan is necessary to fulfill the periodontal, orthodontic, maxillofacial and cosmetic requirements for a healthy, stable dentition that has a favorable long-term prognosis. This comprehensive treatment approach strives for the constituent components of the dentition to have a proper occlusal scheme with properly aligned and positioned teeth prior to prosthetic therapy. This can easily be achieved by the cosmetic dentist in office through the process of adjunctive orchestrated orthodontic therapy, using socially acceptable aesthetic appliances.

Adult↗
PubMed2001

An assessment of orthodontic treatment using occlusal indices.

This retrospective study was carried out to assess the need for orthodontic treatment and the standard of treatment provided by the Government Dental Clinic in Singapore. The materials for this study comprised the pre-treatment and post-treatment study models as well as the clinical notes of 194 patients who were consecutively debanded over a three-month period in 1996. The pre- and post-treatment models were assessed using the Index of Orthodontic Treatment Need (IOTN) and the Peer Assessment Rating (PAR) index. The results indicated that a large proportion (81.4%) of the cases were treated with extractions. The majority of the cases were treated by upper and lower fixed appliances. Treatment was completed, on average, in 21 visits spread over 2.1 years. The result also demonstrated that the majority of the patients had genuine need for treatment for both dental and aesthetic reasons. Eighty-two percent of patients fell into the category of "need" for treatment based on dental health grounds. The mean PAR score reduction was 77%, indicating a high standard of treatment.

Adolescent↗
PubMed2000

Management of drug-induced gingival enlargement with orthodontic complications.

Gingival enlargement (GE) may be induced by cyclosporin A, phenytoin or calcium channel blockers, used either singly or in combination. The lesion can cause significant disfigurement and functional difficulty as it interferes with eating and speech, impedes effective plaque control, and disturbs occlusal relationships. Orthodontic problems may originate independently of the soft tissue lesion or they may develop secondary to the GE. Management of drug-induced GE with orthodontic complications requires co-operative teamwork. This will be discussed in the management of cases with medical, orthodontic and periodontal interventions.

Anticonvulsants↗
PubMed2000

Pre-prosthetic surgery options for fixed dental implant reconstruction of the atrophic maxilla.

Four different treatment scenarios exist when considering fixed dental implant restoration of the atrophic maxilla. This paper discusses the use of pre-prosthetic surgery for the increasingly large section of the edentulous population who demand a natural intra- and extra-oral post-operative appearance. Based on residual ridge position, resorption pattern and lip support the treatment modalities must be appropriate for each diagnosis. Sinus augmentation, onlay bone grafting and orthognathic surgical techniques can be employed singly or in combination to adequately address hard and soft tissue deficiencies.

Alveolar Ridge Augmentation↗
PubMed2002

Anterior retention with a reinforced composite resin splint after cosmetic orthodontic treatment.

Even in the most stable types of orthodontic treatment, any relapse at all may be unacceptable cosmetically. Through the placement of a reinforced composite splint, the teeth can be held in position and more significantly recontoured, thus augmenting the final result. Subsequent splint removal can be done incrementally 3 to 5 years after placement as the patient desires.

Acid Etching, Dental↗
PubMed2002

Predictors of Norwegian dentists' decisions to recommend replacement of teeth at the time of extraction.

OBJECTIVE: To study predictors of dentists' recommendations to replace the teeth which they extracted for adult patients in Norway in 1998. DESIGN: Cross-sectional postal questionnaire survey. PARTICIPANTS: A systematic random sample of 1,500 Norwegian general dental practitioners and response rate of 67% after two reminders. After exclusions, 302 dentists who had extracted 822 permanent teeth for 587 patients (16-92 years old) over a period of two weeks, were accepted for the study. RESULTS: According to the dentists, 30% of the patients were in definite need of a replacement for the extracted tooth or teeth, 29% were cases open to question and 41% had no need for a replacement. Model I: Tooth type extracted and the number of teeth extracted per patient were the most important predictors of the dentists definitely recommending a replacement after tooth extraction. Model II: When including the group of patients for whom a replacement was open to question, the odds of the dentists recommending a replacement for having an extracted anterior tooth or premolar increased from 13 (95% CI 6.16, 26.07) to 21 (95% CI 10.51, 40.69). Demographic characteristics had no significant effect on the dentists' decision. CONCLUSIONS: The two most important predictors for recommending a replacement after extraction were the position of the tooth or teeth and the number of teeth extracted. The reason why the number of remaining teeth had no significant independent effect was possibly because this group of patients had a relatively high number of natural teeth.

Adolescent↗
PubMed1999

Variations in treatment need using four screening methods.

The study models of 100 Grade Seven students were used to compare the Dental Aesthetic Index (DAI), the Dental Health Component (DHC) and the Aesthetic Component (AC) of the Index of Orthodontic Treatment Need (IOTN), and the Danish Ministry of Health (DMH) screening system. The basis for comparison was the agreed subjective assessment of two orthodontists for each subject. Disagreements between the subjective assessment and each screening method were further analysed in an attempt to identify the specific occlusal traits responsible for the disagreement. The DAI under-estimated treatment need in cases with displaced canine teeth, incisor crowding or rotations and increased overbite. The DAI over-estimated treatment need in cases with increased overjet in otherwise well-aligned arches. The DMH guidelines over-estimated treatment need in cases with increased overjet and crowded arches. The DHC was found to be over-sensitive in cases with increased overjet and contact point displacements greater than 2 mm. The AC under-estimated treatment need in cases with excessive overjet and buccally displaced canines, and over-estimated treatment need in cases with spaced arches and deep overbite.

Adolescent↗