Open your vertical and smile, Part 2: Porcelain-fused-to-gold, full-mouth rehabilitation.
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The surgical treatment of malformations of jaws offers actually many possibilities. Basic principles of this specialized surgery are exposed: an exact diagnosis, the problem of incisions which must be hidden, age upon operation and association with other specialties. In the oral rehabilitation, this type of surgery permits total correction of complex malformations, which are impossible to treat completely by other methods.
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Prosthetic treatment of patients with dentinogenesis imperfecta is a challenge for the dental practitioner because numerous factors have to be considered. The use of all-ceramic restorations to rehabilitate the dentition of a young patient with dentinogenesis imperfecta is reported. Clinical and laboratory procedures are described.
AIM: The aim of the present study was firstly to assess the persistence of pain related behaviours of the Dental Discomfort Questionnaire (DDQ) and secondly to complete a follow-up study to assess the effect of dental treatment on pain related behaviours in preschool children. METHODS: The 9-question DDQ instrument was used to assess dental pain related behaviours in a group of preverbal children. The test-retest analysis questionnaire was filled out twice by 44 parents on behalf of their referred child. For the follow-up study the questionnaire was filled out by 71 parents before and after all dental disease was completed. RESULTS: A strong correlation for the test-retest was found over a 2 month period before treatment. When the behaviour items were compared independently before and after treatment it appeared that after treatment all but one behaviour (i.e. bite with molar instead of teeth) was displayed less often. Overall, after treatment all children had a lower mean DDQ score. CONCLUSIONS: Dental treatment of children leads to reduced toothache related behaviours and subsequently to a better quality of life. The DDQ is a sensitive instrument to measure dental discomfort before and after restorative treatment if and when the follow-up period is short. The DDQ can possibly support healthcare providers, teachers and parents in their assessment of toothache in young children.
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Fifty-seven patients underwent a full-mouth dental rehabilitation under general anesthesia at Texas Scottish Rite Hospital for Crippled Children. Thirty-eight subjects had complete data collected to monitor for temperature elevation. Nineteen subjects were discarded from the study due to incomplete data. The results showed 45 percent (seventeen subjects) had a significant temperature elevation to 38 degrees C or above. Sex of the subject made no difference. The significance temperature elevations occurred in the younger age-groups, especially in the one- to-five-year age-group. In the subjects with a significant temperature elevation after surgery, no definite pattern was evident as to when it would occur or how long it would last. The study population was divided into two groups, one with a significant temperature elevation to 38 degrees C or above, and the control group with temperatures below 38 degrees C. These groups were then compared to see whether their preoperative Oral Hygiene Index, Gingival Index, and soft tissue trauma or extraction of teeth showed a difference. No significant difference was found. This study is the first designed specifically to monitor temperature. It reported the highest percentage of subjects (45 percent) to have a postoperative temperature elevation, in comparison to other studies. Although no single factor could be found as the cause of the postoperative temperature elevation, combinations of the factors mentioned or the effects of anesthetic may have caused the elevations.
The understanding and development of cosmetic choreography as both an art and a science has enabled clinicians to restore structure and function to damaged dentitions while restoring aesthetic harmony to their patients' oral and facial appearance. This review presents a case of full-mouth, all-porcelain rehabilitation, embracing the interplay between diagnosis, treatment planning, material selection, and cosmetic choreography.
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