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The multidisciplinary approach of a patient with Sjögrenś Syndrome in the dental office - case report 多学科方法的病人Sjögrenś综合征在牙科诊所-个案报告
Pub Date : 2019-12-01 DOI: 10.2478/asmj-2019-0012
T. Coman, Anca-Diana Mănărăzan, A. Cirstea, Dorin-Ioan Cocoș
Abstract Introduction: Oral rehabilitation is based on establishing a correct diagnosis and designing a plan to give appropriate treatment to each clinical case. Patients’ aesthetic requirements show an increasing trend in current practice. Sjögren’s syndrome and obesity can have a negative impact on a person’s quality of life, and it is therefore imperative to identify and reduce these significant barriers to paving the way for better oral health and the overall well-being of the individual. Hypertension NYHA II type patients may present oral manifestations like ageusia, burning sensation, xerostomia, lichenoid reactions or gingival hyperplasia. Case presentation: This time, at our clinic, a 71-year-old man requested a complex oral rehabilitation. He presented partial edentulism at both arches. We are talking about a non-smoking patient, with chronical medication treatment for the mentioned pathology. Conclusions: A well-controlled hypertensive patient is not a risk in clinical practice. When choosing an implant based therapy, the old age of the patient can be considered a negative factor for successful results, but it is not a strict contraindication. This case report shows the most suitable treatment solution, regarding all the advantages and disadvantages of other treatment options, represented by implant supported fixed prosthetic restaurations.
摘要简介:口腔康复是建立在正确诊断和设计方案的基础上,对每个临床病例进行适当的治疗。在目前的实践中,患者的审美要求呈现出不断提高的趋势。Sjögren 's综合征和肥胖会对一个人的生活质量产生负面影响,因此,有必要识别和减少这些重大障碍,为更好的口腔健康和个人的整体福祉铺平道路。高血压NYHA II型患者可表现为衰老、烧灼感、口干、苔藓样反应或牙龈增生等口腔表现。病例介绍:这一次,在我们的诊所,一个71岁的男子要求一个复杂的口腔康复。他的双牙弓出现部分牙髓症。我们谈论的是一个不吸烟的病人,对上述病理进行了长期的药物治疗。结论:在临床实践中,控制良好的高血压患者不存在风险。当选择基于种植体的治疗时,患者的年龄可能被认为是成功结果的负面因素,但这不是一个严格的禁忌症。本病例报告展示了最合适的治疗方案,考虑到其他治疗方案的所有优点和缺点,以种植体支持的固定假体修复为代表。
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引用次数: 1
2020 The year of your choice between digital and conventional dentistry 2020年是您在数字牙科和传统牙科之间做出选择的一年
Pub Date : 2019-12-01 DOI: 10.2478/asmj-2019-0007
B. Oprea
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引用次数: 0
The importance of implant-supported overdentures in a bimaxillary complete edentulous patient – case report 种植覆盖义齿在双颌全无牙患者中的重要性-病例报告
Pub Date : 2019-12-01 DOI: 10.2478/asmj-2019-0011
Valentin Melchner, E. S. Bechir, Florentin-Daniel Berneanu
Abstract Introduction. Complete edentulism is escorted by various comorbidities, which affect an individual. The management of edentulous patients was approached since the early days of dentistry. The aim of this case report was to present the implanto-prosthetic rehabilitation of a bimaxillary complete edentulous patient with implant-supported overdentures, by using Straumann dental implants. Case presentation. This case report presents the applied treatment to a bimaxillary complete edentulous patient, where the predictable osseointegration and implant stability after the placement of implants was possible, with the purpose to support the overdentures. Conclusions. The oral rehabilitation of complete bimaxillary edentulism through implant-supported overdentures is a procedure with a predictive treatment that presents beneficial aspects in the quality of life of the patients.
摘要介绍。完全的全牙症伴随着各种影响个体的合并症。无牙患者的治疗从牙医学早期就开始探讨。本病例报告的目的是介绍种植种植覆盖义齿的双上颌全无牙患者的种植-修复康复,使用施特劳曼种植体。案例演示。本病例报告介绍了双颌全牙无牙患者的应用治疗,在种植体放置后可预测的骨整合和种植体稳定性,以支持覆盖义齿。结论。通过种植覆盖义齿对全双颌义齿进行口腔康复治疗是一种具有预测性的治疗方法,可以提高患者的生活质量。
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引用次数: 0
Statistical study on the degree of satisfaction of patients with fixed prosthetic dentures 固定义齿患者满意度的统计研究
Pub Date : 2019-06-01 DOI: 10.2478/asmj-2019-0006
Adriana-Elena Crăciun, Diana Cerghizan, M. Baloș, Vadim Gribincea, A. Albu, Adrian Muică
Abstract Introduction: Edentation is a major emergency and has an echo over the entire stomatognathic system. The treatment of partial edentation has undergone major changes in the last decades for multiple causes, including increasing the level of dental, medical education, introducing new techniques, methods, and materials, increasing the duration of retention of teeth on the arch. Aim of the study: The aim of this study is to determine the degree of satisfaction of patients with a fixed prosthetic denture, to highlight the importance of communication between doctor and patient with repercussions on the results of prosthetic treatment, and evaluate the degree of awareness of oral health and oral hygiene practices. Material and Method: For this study it was used a self-designed questionnaire, which explored both clinical and non-clinical dental services. The questionnaire consisted of three parts: first part (A) includes socio-demographic indices, part two (B) includes questions related to the doctor-patient relationship, and in the third part (C) the questionnaire asks questions regarding the general satisfaction of the patients with reference to the prosthetic tratament. The questionnaire also includes the material (s) from which the prosthetic denture is performed and the area of the edentation. Results: The present study was performed on a batch of 117 people, 48 female, and 69 males between the ages of 21 and 60. Our results show that the majority of patients present metallic-ceramic dentures, located in most cases in the lateral area, and the majority of patients are satisfied with the prosthetic tratament. There were no patients complaining about the result of the tratament. Pacients are delighted by their relationship with medical staff. Conclusions: The most important finding of this study states that a large proportion of patients showed a lack of knowledge regarding oral hygiene measures and the importance of maintaining a fixed prosthetic denture using a dental abutment. Also, the majority of the doctors did not pay attention to the post-treatment instructions regarding the maintenance of a fixed prosthetic denture.
摘要简介:牙列治疗是一项重大的紧急情况,对整个口腔系统都有影响。在过去的几十年里,由于多种原因,部分牙缺的治疗发生了重大变化,包括提高牙科、医学教育水平,引入新的技术、方法和材料,增加牙齿在牙弓上的保留时间。研究目的:本研究的目的是确定固定义齿患者的满意度,强调医患沟通的重要性以及对义齿治疗结果的影响,并评估口腔健康意识和口腔卫生习惯的程度。材料与方法:本研究采用自行设计的问卷,探讨临床和非临床牙科服务。调查问卷由三部分组成:第一部分(A)包括社会人口统计指标,第二部分(B)包括与医患关系相关的问题,第三部分(C)调查问卷涉及患者对假体治疗的总体满意度。问卷还包括进行义齿的材料和牙槽的面积。结果:本研究对117人进行了研究,其中女性48人,男性69人,年龄在21至60岁之间。我们的研究结果表明,大多数患者使用金属陶瓷义齿,大多数患者位于外侧区域,大多数患者对义齿治疗感到满意。没有病人抱怨治疗的结果。病人对他们与医务人员的关系感到高兴。结论:本研究最重要的发现表明,很大一部分患者缺乏口腔卫生措施和使用基牙维持固定义齿的重要性的知识。此外,大多数医生没有注意到固定义齿的术后维护说明。
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引用次数: 1
Prevalence of primary and secondary dental dystrophies on a group of preschool and school-age children from Tîrgu-Mureş <s:1> rgu- mureek地区学龄前和学龄儿童原发性和继发性牙齿营养不良的患病率
Pub Date : 2019-06-01 DOI: 10.2478/asmj-2019-0004
D. Eşian, C. Bică, A. Lazar, O. Stoica
Abstract Introduction: Pediatric Dentistry offers a completely different approach compared to that of adults especially in terms of patient cooperation, problems with growth and development and problems related to dental restoration in the context of a developing dentition. Aim of the study: The purpose of this study was to assess the prevalence of primary and secondary dental dystrophies among preschool and school-age children. Material and Methods: The group of 113 subjects with ages between 3 and 11 years was selected from two primary and preschool education establishments from Târgu-Mures. Simultaneously with the clinical examination of dental surfaces, 150 questionnaires were distributed to the parents of the subjects. The dystrophies determined clinically were arranged in a certain category of number, form, volume and structure and were correlated with the answers to the questionnaires. Results: According to the data most cases of dental dystrophies are represented by dental fluorosis followed by severe early childhood caries S-ECC, and in equal percentages are present dyschromia, imperfect amelogenesis, MIH hypomineralization, dental fusion, macrodontia and hyperdontia. Conclusions: There are significant correlations between the primary dental dystrophies and factors that intervened during pregnancy and in the post-natal period, both critical periods for dental formation and development.
摘要简介:儿童牙科提供了一个完全不同的方法相比,成人,特别是在病人的合作方面,与生长和发育的问题和问题相关的牙修复在一个发展中的牙的背景下。研究目的:本研究的目的是评估学龄前和学龄儿童原发性和继发性牙齿营养不良的患病率。材料与方法:选取来自云南省两所小学和学前教育机构的113名年龄在3 ~ 11岁之间的被试。在进行牙面临床检查的同时,向被试家长发放了150份问卷。临床确定的营养不良在数量、形式、体积和结构上有一定的分类,并与问卷的回答相关。结果:资料显示,牙营养不良以氟斑牙为主,其次为重度早期儿童期龋齿S-ECC,同样比例的有染色障碍、不完全成牙、MIH低矿化、牙融合、大牙和多牙。结论:孕期和产后是牙齿形成和发育的关键时期,原发性牙营养不良与干预因素有显著相关性。
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引用次数: 0
Orthodontic treatment of patients with obstructive sleep apnea syndrome (OSAS) 阻塞性睡眠呼吸暂停综合征患者的正畸治疗
Pub Date : 2019-06-01 DOI: 10.2478/asmj-2019-0003
M. Pacurar, E. Bud, S. Pop, Manuela Chibelean, Mártha I. Krisztina
Abstract Introduction The craniofacial skeleton in the growing child is responsive to changing functional demands and environmental factors. Orthopedic modification of facial bones through the application of constant forces over long periods of time has been a mainstay of orthodontic and dentofacial orthopedic therapy. Aim of the study The aim of this study was to evaluate changes in pharyngeal structures after rapid palatal expansion (RPE) and compare them with those after using a removable mandibular advancement device (MAD). Material and methods In order to accomplish function we modified the pattern of neuromuscular activity throught mandible forward position. Results This finding shows that maxillary deficiency and mandibular retrognathism have been reportedly linked to OSA as both etiologic factors and sequelae of prolonged mouth breathing during the period of growth, these illustrate the potential interaction between alteration in respiratory function and craniofacial morphology. Conclusions Craniofacial anatomic defects, including inferior displacement of the hyoid bone, larger gonial angle, smaller anterior cranial base, altered anterior and posterior facial heights, and mandibular deficiency, have been suggested as predisposing factors for upper airway obstruction during sleep. Cephalometry has been used extensively in the fields of orthodontics and anthropology to record craniofacial form. Recently, it has been also suggested that cephalometry could be an adjunctive procedure for assessing craniofacial patterns associated with OSAS. Estimating efficacy of rapid maxillary expansion and mandibular advanced in the treatment of paediatric SDB. This might provide alternatives to primary treatments and/or enhance interdisciplinary treatment planning for the children suffering from OSA. The relationships between maxillofacial malocclusions and upper airway volumes were investigated. Literature studies on the association of upper airway narrowing with dento-skeletal malocclusions have been confirmed by us for the group of patients studied.
成长中的儿童颅面骨骼对不断变化的功能需求和环境因素做出反应。通过长时间施加恒定力对面部骨骼进行矫形修复一直是正畸和牙面矫形治疗的主要方法。本研究的目的是评估快速腭扩张(RPE)后咽部结构的变化,并将其与使用可移动下颌推进装置(MAD)后的咽部结构进行比较。材料与方法通过下颌骨前移来改变神经肌肉活动模式,以完成功能。结果上颌缺颌和下颌后颌与阻塞性睡眠呼吸暂停(OSA)有关,是生长期间口腔呼吸时间延长的病因和后遗症,这说明呼吸功能改变与颅面形态之间存在潜在的相互作用。结论颅面解剖缺陷,包括舌骨下移位、骨角增大、前颅底变小、前后面部高度改变、下颌缺损等,可能是睡眠时上气道阻塞的易感因素。颅面测量术已广泛应用于正畸学和人类学领域,以记录颅面形态。最近,也有人建议,颅面测量术可以作为评估与OSAS相关的颅面形态的辅助手段。快速上颌扩张和下颌骨扩张治疗小儿SDB的疗效评估。这可能为患有阻塞性睡眠呼吸暂停的儿童提供替代初级治疗和/或加强跨学科治疗计划。探讨颌面错颌与上气道容积的关系。文献研究表明,上呼吸道狭窄与牙-骨错颌合的关系已被我们所研究的患者组证实。
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引用次数: 0
Knowledge and interest of north-central Romanian mothers regarding children oral health prevention - A questionnaire based study 罗马尼亚中北部母亲对儿童口腔健康预防的知识和兴趣——一项基于问卷的研究
Pub Date : 2019-06-01 DOI: 10.2478/asmj-2019-0005
A. Tohati, F. Bechir
Abstract Introduction: The development and eruption of teeth should be followed by the dentist, which is why periodic check ups are required. Aims of the study: This study aims to evaluate the knowledge of the mothers regarding the dental hygiene of the children and the importance of presenting them in the dental office, as well as the knowledge related to the prevention of dental caries. Material and Methods: A questionnaire comprising 15 questions was developed and handed to 290 mothers in Tirgu Mures. The questions targeted the knowledge related to the dental hygiene of the child, and decay prevention. The data obtained were processed electronically. 51.7% of the mothers stated that the visit to the dental office should be done every 6 months, and 58.6% opted for a first contact with the dentist at the age of 3 years. 98.2% of mothers consider dental prevention to be important or very important. 75% consider that the child’s hygiene must be done twice daily, and 89% said that they use the toothbrush in the child’s hygiene process. 68% of the mothers know the term of dental sealing, but only 20% resorted to this method of treatment. Conclussions: The study demonstrates the urgent need to take the lack of interest and information of parents seriously and to develop programs primarily to inform and raise awareness of the population and then to apply different preventive methods.
摘要简介:牙齿的发育和出牙应该由牙医跟踪,这就是为什么定期检查是必要的。研究目的:本研究旨在评估母亲对儿童口腔卫生的知识和在牙科诊所展示这些知识的重要性,以及预防龋齿的相关知识。材料和方法:编制了一份包含15个问题的调查问卷,并将其交给了Tirgu Mures的290名母亲。这些问题针对的是与儿童牙齿卫生和龋齿预防有关的知识。得到的数据经电子处理。51.7%的母亲表示应每6个月去一次牙科诊所,58.6%的母亲选择在3岁时第一次看牙医。98.2%的母亲认为牙齿预防是重要或非常重要的。75%的人认为孩子的卫生必须每天做两次,89%的人说他们在孩子的卫生过程中使用牙刷。68%的母亲知道牙封术这个术语,但只有20%的母亲采取了这种治疗方法。结论:研究表明,迫切需要认真对待家长缺乏兴趣和信息的问题,并制定方案,主要是告知和提高人们的意识,然后应用不同的预防方法。
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引用次数: 0
Assessment of oral mucositis degree due to cytostatic treatment in patients with malignant lymphomas 恶性淋巴瘤患者细胞抑制剂治疗所致口腔黏膜炎程度的评价
Pub Date : 2019-06-01 DOI: 10.2478/asmj-2019-0002
Adrian Muică, Florentin-Daniel Berneanu, L. Hănțoiu, Dorner Kinga, Adriana-Elena Crăciun
Abstract Introduction: Oral mucositis characterized by inflammation of the oral mucosa, ulcers, angular cheilitis, accompanied by pain in the maxillary facial area are symptoms of patients who have undergone cytostatic treatment, affecting over 75% of high-risk patients. Material and methods: From the total of 182 patients with hematological malignancies, we selected 59 patients, diagnosed with malignant lymphomas and treated at the Hematology Department of the Medical Clinic 1 in Tîrgu Mureș, between July 2013 and June 2016, analyzing the data in the data observation sheets. The study is a retrospective one. Results: In the group of patients studied, who were treated based on the aforementioned cytostatic plans, we found that the CVP + Rituximab plan frequently causes 1st and 2nd class stomatitis, with no patients with 3rd and 4th class stomatitis. The CHOP + Rituximab therapy plan in a total of 80 applications had complications of 1st and 2nd class stomatitis, much more frequent 1st class without stomatitis of 2nd and 4th degree. Grade III stomatitis occurs in two cases in the CHOP-Bleo belts. Introducing dental medicine in the context of medical multidisciplinarity in oncology hematology is a real necessity because the oral complications of chemotherapy treatments by their severity can lead to compromise of the treatment protocol by reducing the doses or even stopping the treatment Conclusions: Malignant hemopathies represent a significant percentage in dental disorders, and among them, the maximum severity belongs to the non-Hodgkin and Hodgkin malignant lymphomas. Stomatitis, also called gingivotoxic stomatitis caused by medication, is an acute oral complication, with erythema and edema of the entire oral cavity. The role of the dentist in the diagnosis, prevention and treatment of oral lesions, following the cytostatic therapy, is extremely important.
摘要简介:口腔黏膜炎以口腔黏膜炎症、溃疡、角状口唇炎伴上颌面区疼痛为特征,是接受细胞抑制剂治疗的患者的症状,影响75%以上的高危患者。材料与方法:从182例恶性血液病患者中选取2013年7月至2016年6月期间在雷乌斯县1号医学诊所血液科诊断为恶性淋巴瘤并接受治疗的患者59例,对数据观察表中的数据进行分析。这项研究是回顾性的。结果:在采用上述抑细胞方案治疗的患者组中,我们发现CVP +利妥昔单抗方案经常引起1级和2级口炎,没有患者发生3级和4级口炎。CHOP +利妥昔单抗治疗方案共80例出现1、2级口炎并发症,1级多见,无2、4度口炎。III级口炎发生在两例CHOP-Bleo带。在肿瘤血液学医学多学科的背景下引入口腔医学是非常必要的,因为化疗的口腔并发症的严重程度会导致治疗方案的妥协,减少剂量甚至停止治疗。结论:恶性血液病在口腔疾病中占很大比例,其中以非霍奇金恶性淋巴瘤和霍奇金恶性淋巴瘤的严重程度最高。口腔炎,又称药物引起的龈毒性口炎,是一种急性口腔并发症,整个口腔出现红斑和水肿。在细胞抑制疗法之后,牙医在口腔病变的诊断、预防和治疗中的作用是极其重要的。
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引用次数: 0
Are lasers justified in everyday clinical dental practice? 激光在日常牙科临床实践中是否合理?
Pub Date : 2019-06-01 DOI: 10.2478/asmj-2019-0001
S. Parker
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引用次数: 0
期刊
Acta Stomatologica Marisiensis Journal
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