[Esthetic effect of dental prosthesis].
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Dental esthetics are often impaired by a disharmonious contour of the gingival margin in the anterior region. However, the soft tissue contour can be improved by orthodontic eruption of the relevant teeth prior to prosthodontic treatment. The successful use of an orthodontic microscrew implant as anchorage for the eruption appliance is demonstrated in a case report.
Among the goals of orthodontic therapy is the establishment of optimal facial form, occlusal function, and dental esthetics. Orthodontic treatment of patients with congenitally missing teeth, especially maxillary lateral incisors, can be accomplished best by positioning the remaining natural dentition in the anatomically correct location and closely coordinating therapy with the osseointegration team members. Special divergence of adjacent root tips is essential to provide space for the implant. The Brånemark system of implant therapy is the treatment of choice for the permanent replacement of congenitally missing teeth.
CASE REPORT: Aligning a displaced maxillary canine into the dental arch is one of the most complicated problems in orthodontics. In cases of extremely high displacement, the tooth is frequently removed surgically. Because of the upper canines' significance to dental esthetics and functional occlusion, such a decision is a very serious one. This case report illustrates the treatment of an extremely high displaced maxillary canine. CLINICAL FINDINGS: The main diagnosis was the displacement and the retention of tooth 13 (in nearly horizontal position, apical to the neighboring teeth); further diagnoses were: transversal maxillary deficiency with frontal crowding and a distal bite of one premolar in width, a deep bite of 6 mm with contact in the palatal mucosa, mandibular midline deviation of 2.5 mm to the right, lingual eruption of teeth 32 and 42, retroinclination of the maxillary incisors, and retarded eruption of the permanent teeth. THERAPY: Initial treatment with active and functional appliances to correct the distal bite, midline deviation and deep bite. Surgical exposure of the high displaced canine at the age of 14. Onset of cuspid elongation with removable appliances and elastics, further movement with a transpalatinal bar and welded arm, and full alignment of the upper and lower arches with fixed appliances in both jaws. Stabilization of the orthodontic treatment results with retention devices. Duration of treatment: 5 years and 8 months. For the alignment of tooth 13, 2 years and 10 months were required; 1 year and 4 months were necessary with complete fixed appliance. CONCLUSIONS: The aim of this case report was to demonstrate the potential of aligning an extremely displaced canine. Because of the esthetic and functional importance of the upper canines, therapeutic alignment should be initiated, provided there are no indications to the contrary.
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There is an ever-growing demand for esthetic dental treatment. Treatment modalities include crowns, bleaching, and ceramic or composite veneers. A more conservative treatment option, enamel microabrasion, may be indicated in certain clinical scenarios. The purpose of this clinical report is to describe the use of enamel microabrasion for a patient with discolored anterior teeth.
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Clinicians may acquire biased perceptions during their dental education that can affect decisions about treatment/management of dental decay. This study established explanatory models used by students to interpret clinical features of patients. It employed a stereotypical dental patient under standardised consultation conditions to identify the interpretation of oral health/disease features in the eyes of student clinicians. The study aimed to establish the perceptions of the patient as a client of the university dental clinic, as seen through the ideological lens of a formal Dental Education system. The discourse during simulated clinical consultations was qualitatively analysed to interpret values and concepts relevant to the assessment of restorative treatment needs and oral health status. Three constructs during the consultation were identified: the Dual Therapeutic Realms, the Choices Underlying Treatment Options, and the High-Risk Triad. Comparing these discourse components, the Patient Factors of the Bader and Shugars model for treatment decisions supported the existence of a core set of themes. It was concluded that certain consultation circumstances influenced the adequacy of diagnostic strategies, mainly by introducing loosely defined but highly specific socio-cultural biases ingrained in the Dental Education concepts and diagnostic/treatment needs systems.
The ultimate goal of orthodontic therapy is to establish functional and esthetic dental relationships in a balanced facial pattern. In patients with compromised periodontal support, the use of multidisciplinary treatment plans is essential in attaining these goals. This case report includes a thorough documentation of the orthodontic and periodontal treatments to demonstrate the effectiveness of guided bone regenerative procedures combined with a bone allograft to aid in correcting a dental malocclusion.
Current computer systems improve the health professional's ability to store, retrieve, and present visual data in a way never before possible. Health professionals in general are beginning to use computer-based digital imaging to improve the diagnosis and treatment planning of disease processes. The use of computer-based networks to transmit medical and dental data is in its infancy but promises to be the main form of data transmission of the future. This article outlines a few applications presently being used and developed at the Ohio State University College of Dentistry in the preclinical and clinical courses in prosthodontics.
Inadequate saliva can have devastating consequences for a patient, including oral discomfort, rampant caries, increased candida infections, and desiccation of restorative and esthetic dental treatment. Diagnosis of the cause of xerostomia is imperative to treating the condition, and multiple causes should be considered. Treatment options for xerostomia consists of treatment for hyposalivation, palliative and preventive care to combat the results of long-term dry mouth. Treatment of xerostomia should be based on the etiologic factors of the disease, with prevention of further oral destruction and comfort being the primary goals of treatment.
The purpose of this study was to test the effects of dental education on the values of dental students and dental faculty. This was accomplished by testing five hypotheses. The results of the study indicate no significant differences between freshmen and senior students' values; infer no apparent changes in student values during a dental education; indicate no significant differences between part-time faculty and full-time faculty; support a positive association among all groups, i.e., freshmen, seniors, full- and part-time faculty; rank-order the values for all groups from highest to lowest (theoretical, aesthetic, political, economic, social, and religious); and show some significant differences between students as a group and faculty as a group. If a more objective means of choosing dental students is desired, then further research will be needed to determine the characteristics of the type of practitioner that is needed. The presented data help in defining one aspect of the collective personality of dental students and dental faculties.
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OBJECTIVES: To provide an overview of the use of non-clinical outcome measures in dentistry and to identify trends and strengths and weaknesses in existing research. METHODS: Literature searches using medical and social sciences databases and stated inclusion and exclusion criteria. Categorisation and coding of accepted studies according to: concept of outcome, study design and standardisation of outcome measures used. Simple graphical and statistical analysis used to identify trends in outcome measurement and strengths and weaknesses. RESULTS: There has been a steady growth in non-clinical outcome measurement research in dentistry over the last 10 years. Most studies have addressed dental knowledge, attitudes or behaviours (KAB), socio-dental indicators or anxiety. Two-thirds of all studies have used non-standardised outcome measures. Different concepts of outcome are associated with different study designs and standardisation status of outcome measures used. Studies addressing dental "satisfaction" and KAB are more likely than average to use non-validated measures. CONCLUSIONS: There needs to be more focus on the development of methods to assess the validity of non-clinical outcome measures in dentistry. In addition more conceptual studies need to be undertaken on the theoretical links between the different concepts of outcome found in the current study.
Adhesive techniques play an important role in almost every discipline of dentistry. Compared to conventional direct and indirect techniques, the direct adhesively bonded composite restoration offers many advantages. This article summarizes and illustrates some of them.
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