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At least 1,603 records · Page 89Linked to original sources
PubMed1992

A study of dental problems in diabetic patients.

A survey was done in a sample of 105 patients, 45 females and 60 males, from October 1989 to January 1990, in the Diabetes Clinic of Mekane Hiwet Hospital, Asmara, Ethiopia. The objective was to assess the incidence of dental and periodontal problems among diabetic patients. Dental caries was found in 79%, with no significant relation to age of patient or duration of illness. Gingival recession was found in 70.5%, gingival inflammation in 65.7% and loss of attachment in 73.3%; none of them related to age of the patient or duration of diabetes. However, 63.5% of the gingival recession and 78.3% of the gingival inflammation was moderate to advanced, indicating the seriousness of the problem. Females had a significantly higher loss of teeth. These findings show a high incidence of dental and periodontal problems among diabetic patients (in comparison to other observations in Ethiopian non-diabetics), and is suggestive of the adverse influence of diabetes on dental health. Considering the seriousness of the problem, education on oral hygiene and dental care need to be strengthened for diabetic patients.

Adolescent↗
PubMed2005

The use of a resin-bonded fixed splint in periodontally compromised mandibular anterior teeth: a case report.

In the treatment of patients with severe periodontal disease, it is becoming possible to re-establish a healthy and well-functioning dentition through interdisciplinary dental teamwork. This article presents a case using a resin-bonded splint for stabilizing periodontally compromised mandibular anterior teeth after orthodontic treatment. A 30-year-old woman came to the authors with severe periodontitis, which had resulted in spacing of the anterior teeth and tipping of the posterior teeth. Periodontal-orthodontic treatment was combined with prosthodontic reconstruction, and a resin-bonded splint extending from canine to canine was placed for postorthodontic stabilization of the periodontally compromised teeth. No debonding of the splint occurred, and no further periodontal invasion was found in this case after 4 years of follow-up.

Adult↗
PubMed2005

Orthodontic approach for patients with severe periodontal disease.

Although comprehensive orthodontic treatment cannot preclude the possibility of periodontal disease developing later, it can be a useful part of the overall treatment plan for a patient who already has periodontal involvement. A careful clinical examination must determine the patient's dental health status, including any existing destruction or deficiencies of the teeth and their support, as well as the patient's ability to achieve and maintain good overall oral hygiene. Two major criteria should be considered in the treatment of these patients: (1) the patient should be seen frequently for periodontal maintenance and (2) minimal orthodontic forces should be applied. Segmented archwires could be used for the treatment mechanics. After treatment, splinting of the teeth is necessary both short- and long-term. With this orthodontic approach, both dental esthetics and function improve and can be maintained. A male patient, 50 years of age, with severe periodontal involvement was referred to the authors' clinic, from the periodontal department, for treatment. The mandibular incisors were intruded by using segmental archwires. At the end of treatment, permanent retention was required due to the severe bone loss.

Cephalometry↗
PubMed2005

[Periotest-analysis in penradicular surgery: preliminary results of a clinical-prospective study].

The two objectives of the present study were: to assess the healing after periradicular surgery using the Periotest device, and to compare the recorded Periotest values with the healing category determined after a one-year follow-up using radiographic and clinical criteria. In 43 patients with periradicular surgery, Periotest values could be recorded pre- and postoperatively, as well as after six and twelve months. Cases with a successful healing, as determined at the one-year follow-up, demonstrated a continuous decrease of the Periotest values over time, whereas one-year failures showed increasing Periotest values over the study period. In control teeth, the Periotest values remained unchanged for the whole study period. It appears that the Periotest measurements correlate with the postoperative healing mode following periradicular surgery, and therefore, allow an additional assessment of the healing outcome.

Adult↗
PubMedDate not supplied

Periodontal diseases and awareness among patients.

Awareness of periodontal problems and how they interpret this and their timely intervention affects periodontal health. Many people neither recognize the symptoms of periodontal disease nor do they associate existing symptoms with the disease. Hence one should ensure that the routes of science transfer are open so that the appropriate knowledge regarding the prevention and control of periodontal diseases are available to the public.

Attitude to Health↗
PubMed2005

The effect of occlusal contacts on adjacent tooth.

PURPOSE: The purpose of this study was to clarify the influence of changes of occlusal contacts on adjacent tooth displacement during articulation. MATERIALS AND METHODS: The amount and direction of displacement of the maxillary left first molar and adjacent teeth were measured using a displacement transducer, Type M-3. Seven subjects were included in this study. On the maxillary left first molar, 8 experimental occlusal contact points were established using platinum foil and these were divided into 2 groups, the buccal and lingual groups, which corresponded to the buccal and lingual cusps, respectively. RESULTS: During clenching, the buccal group showed differences in the direction of the tooth displacement paths among the 3 teeth (second premolar, first and second molar), but there was no difference in the lingual group and the direction of displacement of these 3 teeth was similar to the natural teeth. CONCLUSION: It is necessary to make at least one lingual occlusal contact point to obtain displacement of not only the abutment tooth but also the adjacent teeth.

Adult↗
PubMedDate not supplied

Bizarre pathologic tooth migration.

An extreme example of pathologic tooth migration associated with bruxism and severe periodontitis is presented. The prognosis of the tooth was deemed hopeless; it subsequently was extracted. Various etiological factors of abnormal tooth displacement are discussed.

Bruxism↗
PubMed2006

[A schizophrenic patient with loss of teeth].

A 53-year-old woman, known with a schizophrenic disorder and a history of drug addiction, was referred because of progressive hematomas of the lower extremities and fatigue. Her medical history included hyperplastic gums, tooth hypermobility and anaemia. Scurvy was diagnosed as a result of an insufficient diet due to drug addiction and a paranoid psychosis. After suppletion of vitamin C and starting highly nutritious food a rapid amelioration of the scurvy related complaints was observed. While dreaded and often fatal in earlier eras, in the 21st century scurvy is easily treatable if this diagnosis is recognised.

Anemia↗
PubMedDate not supplied

Oral rehabilitation of a patient with diffuse lymphangiomatosis affecting the maxilla: a case report.

A case is presented in which diffuse lymphangiomatosis resulted in the complete loss of the maxillary dentoalveolar complex and underlying basal bone. The complex investigation and treatment of this patient over a 10-year period is presented, and the importance of a multidisciplinary team approach in providing a functional and esthetic rehabilitation is highlighted. The use of a vascularized bone graft based on the deep circumflex iliac artery and subsequent restoration with an implant-supported prosthesis is described.

Adolescent↗
PubMed2006

[Natal and neonatal teeth].

Natal teeth have been defined as teeth which are present at birth, while neonatal teeth erupt during the first 30 days. Their occurrence is rare, the prevalence ranges from 1:2000 to 1:3000 with a higher frequency in the lip and palate clefts and syndroms. In about 85% natal or neonatal teeth are lower central incisors (60% in pairs), rare are upper teeth, molars and multiple teeth. In almost 90% they are part of the deciduous dentition. A lot of possible causes of early eruption are discussed, but only the relation to hereditary factors seems to be evident. An autosomal dominant trait is often described. The appearance of these teeth is dependent on the degree of maturity, but most of the time it is loose, small, discoloured and hypoplastic. Histologically, enamel hypoplasia with normal prism structure is apparent. No significant disturbances of the dentin structures are observed, only cervically dentin becomes atubular with spaces and enclosed cells. A large vascular pulp and failure of root formation are further investigations. Our microhardness measurements showed values from 24.3-32.4 KHN for enamel and 48.3-62.2 KHN for dentin, while normal deciduous teeth have an enamel hardness of 322.0 +/- 17.5 KHN. The thickness of enamel was never more than 280 microm compared to up to 1200 microm in normal teeth. This shows the retarded development of natal and neonatal teeth, because mineralization has not finished at the time of birth. In accordance with developmental age tooth structure and appearence are normal. In consideration of complications as Riga-Fede-disease, feeding problems, possibility of infection and hypermobility most of the time extraction is the treatment of choice, but in the interest of protecting the child this decision should be made carefully.

Breast↗