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At least 91 records · Page 5Linked to original sources
PubMedDate not supplied

Parents' self-reported compliance with preventive practices after witnessing their child undergo intravenous sedation for dental treatment.

The purpose of this study was to evaluate the self-reported compliance of parents with preventive dental care measures after witnessing their child undergo full-mouth rehabilitation under i.v. sedation. Records of 251 pediatric patients who underwent full-mouth rehabilitation under i.v. sedation between 1995 and 1999 at the University Children's Dental Center in Los Angeles, California were evaluated. Demographic data and rates of post sedation follow-up preventive visits were collected. In addition, seventy-five parents participated in a telephone interview and answered five multiple-choice questions that focused on the following areas: nursing habits, diet, hygiene, and follow-up preventive visits pre and post sedation. Parental attitude towards the experience was also assessed. Only 47 percent of the patients returned for at least one post-op/recall visit at the Children's Dental Center. Seventy-six percent of parents interviewed stated they made improvements in their child's hygiene post sedation. Only 45 percent of parents stated they made improvements in their child's diet and only 47 percent stated that they increased their child's dental recall visits post sedation. Eighty-eight percent of parents stated that they would be willing to have their children undergo i.v. sedation again if necessary for dental treatment. Parental presence during a child's dental rehabilitation via i.v. sedation does not change the preventive behaviors of these parents post sedation when compared to results of other studies.

Anesthesia, Dental↗
PubMed2001

Oral rehabilitation of a bulimic patient: a case report.

Bulimia nervosa is among the most common health problems in contemporary society. It is a self-induced weight loss syndrome associated with distinct dental manifestations involving physical and psychologic symptoms. It is characterized by recurrent binge-purge episodes that occur at least once a day. This article describes the complete-mouth rehabilitation of a bulimic patient with a generalized enamel erosion of her dentition and a poor esthetic appearance. Porcelain-fused-to-metal restorations were used as the definitive treatment. Good esthetics and high self-esteem were the final results. Comprehensive restorative therapy was applied in this clinical case report to achieve both function and esthetics in a demanding situation.

Adult↗
PubMed2006

Increasing occlusal vertical dimension--why, when and how.

Cosmetic dentistry has evolved with the advent of more robust porcelain materials and ever-stronger bonding agents. This series of three articles aims to provide a practical overview of what is now possible both functionally and cosmetically from the preparation of a small number of teeth, through a whole smile, to full mouth rehabilitation. A complete diagnosis is the starting point to planning any cosmetic or functional changes. Guidance is given on the techniques used but adequate training must be considered essential before embarking upon modification in occlusal schemes or even minor adjustments in smile design. Understanding vertical dimension and how and when it can be changed has always been a challenging prospect for the general dental practitioner. This article aims to discuss the rationale behind changes in vertical dimension and demonstrate how it can be achieved in general practice assuming adequate hands-on postgraduate training has been completed.

Centric Relation↗
PubMed2006

[Rehabilitation of an abraded occlusion with Procera-ZrO2 all-ceramic crowns. A case report].

The rehabilitation of a patient with advanced tooth wear by means of Procera ZrO2 ceramic crowns is described. A healthy, 60 year old patient complained about front teeth esthetics and impaired function due to reduced tooth height. He was aware of bruxism and wished full mouth rehabilitation. The clinical examination showed that tooth wear was generalized, but most teeth could be maintained in both jaws. A staged procedure was planned, starting with a splint therapy and a provisional fixed prosthesis to reestablish correct vertical dimension of occlusion (VDO) and stable occlusal contacts. The new ZrO2 material with the Procera technique was chosen to restore all teeth in both jaws, except the mandible front teeth. In the second treatment phase, crown lengthening of the maxillary front teeth was performed and one implant placed to replace a maxillary premolar. After final tooth preparation, impression taking and bite registration the ZrO2 crown-copings were scanned, processed and completed by veneering. A flat occlusal scheme with stable front teeth guidance was established. The advantage of the presented treatment is the esthetic result in combination with a material of high mechanical and biological quality.

Bruxism↗
PubMedDate not supplied

Future caries susceptibility in children with early childhood caries following treatment under general anesthesia.

PURPOSE: The purpose of this study was to assess the susceptibility of children to the future development of caries following comprehensive treatment for early childhood caries (ECC) under general anesthesia. METHODS: The patients selected for this retrospective study were identified by analyzing dental records of children receiving treatment at the Franciscan Children's Hospital & Rehabilitation Center, Boston, MA (FCH & RC). In total, 4,143 records were reviewed. Of these, ECC was diagnosed in 42 patients before their admission to the operating room. Thirty-one control children were selected randomly from the dental records reviewed at FCH & RC. The control group was initially caries-free. The caries status of the children diagnosed with ECC was evaluated and compared with the control group. Children in both groups were seen for recall at intervals of six to nine months over a two-year period. The carious lesions were recorded in two categories; new smooth surface caries (NSSC) and new pit and fissure caries (NPFC). RESULTS: Thirty-three of 42 (79%) ECC children compared to nine of 31 (29%) control children had detectable carious lesions at subsequent recall visits. Children with ECC demonstrated a mean number of 3.2 +/- 3.3 new carious lesions compared to a mean of only 0.8 +/- 1.6 carious lesions in the control group. These differences were statistically significant (t71 = 3.8; P < 0.001). In addition, of the 42 patients treated for ECC under general anesthesia, seven (17%) required retreatment under general anesthesia within two years following their initial full-mouth rehabilitation. The prevalence of NSSC in the ECC group was significantly higher than the control group (t71 = 3.5; P < 0.001). CONCLUSIONS: Despite increased preventive measures implemented for children who experienced ECC, this study concluded that this group of children is still highly predisposed to greater caries incidence in later years. These findings strongly suggest that more aggressive preventive therapies may be required to prevent the future development of carious lesions in children who experienced ECC.

Anesthesia, Dental↗
PubMed2006

Aesthetic changes with four anterior units.

Cosmetic dentistry has evolved with the advent of more robust porcelain materials and ever-stronger bonding agents. This series of three articles aims to provide a practical overview of what is now possible both functionally and cosmetically from the preparation of a small number of teeth, through a whole smile, to full mouth rehabilitation. A complete diagnosis is the starting point to planning any cosmetic or functional changes. Guidance is given on the techniques used but adequate training must be considered essential before embarking upon modification in occlusal schemes or even minor adjustments in smile design. Conservative use of porcelain laminate veneers can result in significant aesthetic improvements to a patient's smile and it is not always necessary to prepare all the teeth visible in a smile.

Cementation↗
PubMed2006

Smile lifts - a functional and aesthetic perspective.

Cosmetic dentistry has evolved with the advent of more robust porcelain materials and ever-stronger bonding agents. This series of three articles aims to provide a practical overview of what is now possible both functionally and cosmetically from the preparation of a small number of teeth, through a whole smile, to full mouth rehabilitation. A complete diagnosis is the starting point to planning any cosmetic or functional changes. Guidance is given on the techniques used but adequate training must be considered essential before embarking upon modification in occlusal schemes or even minor adjustments in smile design. Porcelain laminate veneers have a role in the restoration and rehabilitation of a wearing and functionally compromised dentition.

Dental Occlusion, Traumatic↗
PubMedDate not supplied

Surgical crown lengthening of the maxillary anterior dentition: aesthetic considerations.

Recent patient interest in aesthetic treatment has resulted in the development of advanced surgical and restorative procedures that are capable of conservatively addressing such objectives. While numerous materials and techniques have been developed accordingly, each must respect specific biological criteria in order to be successful. This article demonstrates the implementation of surgical periodontal plastic and restorative procedures that facilitate the full-mouth rehabilitation of a patient who presented with excessive wear of the natural dentition. The procedure described is specific for the maxillary anterior.

Adult↗
PubMed1999

Three-dimensional CT scan analysis for implant-supported fixed prostheses.

Rapid technological advances in dental implantology, computer imaging, and dental radiography in combination with traditional prosthetic concepts offer today's clinicians unprecedented possibilities in diagnosis and treatment planning. This article presents information on the use of three-dimensional computed tomography scan analysis to determine the quality (density), quantity, and location of bone to establish the most effective implant placement. In addition, this article analyzes the correlation of prosthodontic, periodontic, and technological concepts necessary for completion of a maxillary and mandibular fixed, full-mouth rehabilitation.

Aged↗
PubMedDate not supplied

Fiber reinforced composite resin systems.

The Targis/Vectris and Sculpture/FibreKor systems were devised to create a translucent maximally reinforced resin framework for fabrication of crowns, bridges, inlays, and onlays. These materials are esthetic, have translucency similar to castable glass-ceramics such as OPC and Empress, and have fits that are reported to be acceptable in clinical and laboratory trials. These restorations rely on proper bonding to the remaining tooth structure; therefore, careful attention to detail must be paid to this part of the procedure. Cementation procedures should involve silane treatment of the cleaned abraded internal restoration surface, application of bonding agent to the restoration as well as the etched/primed tooth, and finally use of a composite resin. Each manufacturer has a recommended system which has been tested for success with its resin system. These fiber reinforced resins are somewhat different than classical composites, so not all cementation systems will necessarily work with them. Polishing of the restoration can be accomplished using diamond or alumina impregnated rubber wheels followed by diamond paste. The glass fibers can pose a health risk. They are small enough to be inhaled and deposited in the lungs, resulting in a silicosis-type problem. Therefore, if fibers are exposed and ground on, it is extremely important to wear a mask. Also, the fibers can be a skin irritant, so gloves also should be worn. If the fibers become exposed intraorally, they can cause gingival inflammation and may attract plaque. The fibers should be covered with additional composite resin. If this cannot be accomplished, the restoration should be replaced. The bulk of these restorations are formed using a particulate filled resin, similar in structure to conventional composite resins. Therefore, concerns as to wear resistance, color stability, excessive expansion/contraction, and sensitivity remain until these materials are proven in long-term clinical trials. They do hold the promise of minimizing tooth reduction and may be particularly useful in preserving sound tooth structure. Although not the primary intended use, an excellent application is long-term temporization, such as for patients requiring full mouth rehabilitation. The belleGlass/Connect, Ribbond, and GlasSpan materials rely on nonimpregnated polyethylene fibers which have mechanical properties inferior to Vectris and FibreKor. These fibers may be used to greater success as splinting materials, in provisional restorations, and in repair of complete and partial removable dentures.

Composite Resins↗
PubMed2005

Treating complex cases using an interdisciplinary approach for predictable aesthetic and functional outcome.

UNLABELLED: The successful introduction of endosseous implants has significantly changed dental treatment planning and therapy. To date, implants can be utilized not only to convert removable prostheses into fixed restorations, but also to improve the overall functional and aesthetic outcome. The sequence of treatment involving the different disciplines in the comprehensive treatment of the patient is an important factor needed to achieve excellence in complex restorative cases. This article presents a comprehensive interdisciplinary approach to a complex full-mouth fixed reconstruction in the aesthetically and functionally compromised partially edentulous patient. LEARNING OBJECTIVES: This article describes a sequential approach to the interdisciplinary treatment of a partially edentulous patient. Upon reading this article, the reader should be able to: Understand the relevance of proper diagnosis and treatment planning on full-mouth rehabilitations. Identify the goals for the various sequences involved in treating complex restorative cases.

Crown Lengthening↗