Purpose. To present the clinical implications evolution of educational shortcomings in young adults who are longterm consumers of acidified beverages. cases description. The cases of three long term acidified bevarages cosumer pacients were reported. The patients were asked about general condition, eating habits and oral hygiene used methods, were examined and illustrative photos were taken. Case 1 is of a 18 year old male (5 years consumer) presenting typical erosions for acidified beverage consumers on the vestibular surface of the teeths. Case 2 is of a 24 year old male (10 years consumer) presentig a particular pattern of cavity grafted on pre-existing erosion zones. Case 3 is of a 25 year old female (15 years consumer) presentig severe damage to the whole dento-maxilar apparatus. results. The common elements of the three cases point towards the lack of instruction in maintaining an optimal oral health level, the prolonged daily consumption of carbonated beverages in appreciable amounts and poor oral hygiene. Prolonged consumption of carbonated beverages and poor oral hygiene cause irreversible dental damage from localized erosions of several teeth to caries grafting on eroded surfaces and finally to the massive coronary destruction involving damage to the whole dento-maxilar apparatus. Discussion. Introducing a national educational program would lead to patients becoming aware of the need for a proactive, sanogenic attitude as well as to an improvement in the level of oral health with important benefits for the pacient as well as for the healthcare system.
{"title":"Clinical implications of educational shortcomings in oral health","authors":"A. Dan, Lucia Doina Ghergic","doi":"10.37897/rjs.2019.4.3","DOIUrl":"https://doi.org/10.37897/rjs.2019.4.3","url":null,"abstract":"Purpose. To present the clinical implications evolution of educational shortcomings in young adults who are longterm consumers of acidified beverages. cases description. The cases of three long term acidified bevarages cosumer pacients were reported. The patients were asked about general condition, eating habits and oral hygiene used methods, were examined and illustrative photos were taken. Case 1 is of a 18 year old male (5 years consumer) presenting typical erosions for acidified beverage consumers on the vestibular surface of the teeths. Case 2 is of a 24 year old male (10 years consumer) presentig a particular pattern of cavity grafted on pre-existing erosion zones. Case 3 is of a 25 year old female (15 years consumer) presentig severe damage to the whole dento-maxilar apparatus. results. The common elements of the three cases point towards the lack of instruction in maintaining an optimal oral health level, the prolonged daily consumption of carbonated beverages in appreciable amounts and poor oral hygiene. Prolonged consumption of carbonated beverages and poor oral hygiene cause irreversible dental damage from localized erosions of several teeth to caries grafting on eroded surfaces and finally to the massive coronary destruction involving damage to the whole dento-maxilar apparatus. Discussion. Introducing a national educational program would lead to patients becoming aware of the need for a proactive, sanogenic attitude as well as to an improvement in the level of oral health with important benefits for the pacient as well as for the healthcare system.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44110646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Imre, Simona Crivățu, M. Pantea, A. Totan, A. Țâncu, București Practică privată
Objective. Highlight of the importance of the aesthetic individualization techniques of the bases of the complete dentures in accordance with the increased aesthetic expectations of the seniors and with the current standards of full edentulism prosthetic techniques. Material and method. Description and analysis of the facial parameters and the morphological characteristics of the fixed gingiva of the vestibular slope of the edentulous ridge in order to record the elements of aesthetic individualization. Presentation of the laboratory technique and of the materials used. Results and discussions. Clinical and technical evaluation of the method of aesthetic individualization of the acrylic bases of the complete denture in the context of the new trends in dentistry in the prosthetic field. Conclusions.The need for the dentist to be familiar with the individual characteristic elements in the rehabilitation of the physiognomy in full edentulous patient and the training of the dental technicians on the materials and the laboratory techniques used in the individualization of the bases of complete denture.
{"title":"Clinical and technical aspects regarding the aesthetic individualization of the bases of complete dentures","authors":"M. Imre, Simona Crivățu, M. Pantea, A. Totan, A. Țâncu, București Practică privată","doi":"10.37897/rjs.2019.4.12","DOIUrl":"https://doi.org/10.37897/rjs.2019.4.12","url":null,"abstract":"Objective. Highlight of the importance of the aesthetic individualization techniques of the bases of the complete dentures in accordance with the increased aesthetic expectations of the seniors and with the current standards of full edentulism prosthetic techniques. Material and method. Description and analysis of the facial parameters and the morphological characteristics of the fixed gingiva of the vestibular slope of the edentulous ridge in order to record the elements of aesthetic individualization. Presentation of the laboratory technique and of the materials used. Results and discussions. Clinical and technical evaluation of the method of aesthetic individualization of the acrylic bases of the complete denture in the context of the new trends in dentistry in the prosthetic field. Conclusions.The need for the dentist to be familiar with the individual characteristic elements in the rehabilitation of the physiognomy in full edentulous patient and the training of the dental technicians on the materials and the laboratory techniques used in the individualization of the bases of complete denture.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44847500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Gălbinașu, Vlad-Cristian Grigore, A. Ghita, I. Pătrașcu
Objective. The aim of the present study is to compare the adhesive capacity of the microhybrid and nanohybrid diacrylic composite resins to enamel, dentin and cement. Materials and method. Standardized cavities were made at the cervical level on the vestibular surfaces of 8 maxillary third molars without caries or fractures. The cavities were filled with microhybrid (Filtek Z250 – 3M ESPE), respectively nanohybrid composites (Filtek Z550 – 3M ESPE), half of the teeth also receiving an intermediate layer of flowable composite (Gradia Direct LoFlo – GC). All of them were subjected to a thermocycling process (300 cycles in water of 5°C/55°C). After the isolation of the teeth with nail polish, they were introduced into 1% methylene blue for 24 hours. Subsequently, they were embedded in an epoxy resin (EpoThinTM 2 – Buehler), polished and sectioned mesio-distally with Beta Grinder/Polisher-Buehler. Sections were selected where the greatest degree of methylene blue penetration was detected to be analyzed by optical polarized light microscopy (Axio Imager A1m – Zeiss). Results. All teeth showed microinfiltration of the cement, while only half showed it also in enamel. There are no microinfiltration differences between microand nanohybrid composite resins. The intermediate layer of flowable composite does not influence microinfiltration.
{"title":"Study of the adhesion of microhybrid and nanohybrid diacrylic composite resins to dental hard tissues","authors":"B. Gălbinașu, Vlad-Cristian Grigore, A. Ghita, I. Pătrașcu","doi":"10.37897/rjs.2019.3.7","DOIUrl":"https://doi.org/10.37897/rjs.2019.3.7","url":null,"abstract":"Objective. The aim of the present study is to compare the adhesive capacity of the microhybrid and nanohybrid diacrylic composite resins to enamel, dentin and cement. Materials and method. Standardized cavities were made at the cervical level on the vestibular surfaces of 8 maxillary third molars without caries or fractures. The cavities were filled with microhybrid (Filtek Z250 – 3M ESPE), respectively nanohybrid composites (Filtek Z550 – 3M ESPE), half of the teeth also receiving an intermediate layer of flowable composite (Gradia Direct LoFlo – GC). All of them were subjected to a thermocycling process (300 cycles in water of 5°C/55°C). After the isolation of the teeth with nail polish, they were introduced into 1% methylene blue for 24 hours. Subsequently, they were embedded in an epoxy resin (EpoThinTM 2 – Buehler), polished and sectioned mesio-distally with Beta Grinder/Polisher-Buehler. Sections were selected where the greatest degree of methylene blue penetration was detected to be analyzed by optical polarized light microscopy (Axio Imager A1m – Zeiss). Results. All teeth showed microinfiltration of the cement, while only half showed it also in enamel. There are no microinfiltration differences between microand nanohybrid composite resins. The intermediate layer of flowable composite does not influence microinfiltration.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41493624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Scărlătescu, I. Gheorghiu, A. Temelcea, P. Perlea
The aim of this study was to compare the efficacy of two rotary retreatment systems in removing remnants of filling materials during root canal retreatment. Materials and methods. 20 lower premolar canals were shaped by ProTaper next up to F2 and .06 taper and filled using cold lateral condensation of gutta-percha. These were divided into 2 groups (n=10) according to the retreatment systems. There were compared the times of retreatment and the radiographic quality of retreatment based on scores attributed to areas of residual material. Results. Reciproc system (VDW GmbH, München, Germany) led to a medium retreatment time of 5.75 seconds per canal and 90% of the canals showed less than 20% remnants on the canal wall. ProTaper retreatment system (Dentsply – Sirona, Switzerland) led to a medium retreatment time of 7.15 seconds and 60% of the canals showed less than 20% remnants. Conclusion. Within the limitation of this study, Reciproc system proved to be more rapid and efficient than ProTaper Retreatment system.
本研究的目的是比较两种旋转再治疗系统在根管再治疗过程中清除填充物残留物的效果。材料和方法。20根下前磨牙根管采用ProTaper塑形，其次是F2和0.06锥度，并用杜仲胶冷侧凝填充。按再处理方式分为2组(n=10)。根据残余材料面积的评分，比较再治疗的次数和再治疗的放射学质量。结果。reproc系统(VDW GmbH, m nchen, Germany)，每条运河的再处理时间为5.75秒，90%的运河在运河壁上的残留物少于20%。ProTaper再处理系统(Dentsply - Sirona, Switzerland)的再处理时间为7.15秒，60%的管道残留物少于20%。结论。在本研究的限制下，Reciproc系统被证明比ProTaper Retreatment系统更快、更有效。
{"title":"Root canal retreatment using Reciproc and ProTaper universal systems. Comparative evaluation","authors":"S. Scărlătescu, I. Gheorghiu, A. Temelcea, P. Perlea","doi":"10.37897/rjs.2019.3.5","DOIUrl":"https://doi.org/10.37897/rjs.2019.3.5","url":null,"abstract":"The aim of this study was to compare the efficacy of two rotary retreatment systems in removing remnants of filling materials during root canal retreatment. Materials and methods. 20 lower premolar canals were shaped by ProTaper next up to F2 and .06 taper and filled using cold lateral condensation of gutta-percha. These were divided into 2 groups (n=10) according to the retreatment systems. There were compared the times of retreatment and the radiographic quality of retreatment based on scores attributed to areas of residual material. Results. Reciproc system (VDW GmbH, München, Germany) led to a medium retreatment time of 5.75 seconds per canal and 90% of the canals showed less than 20% remnants on the canal wall. ProTaper retreatment system (Dentsply – Sirona, Switzerland) led to a medium retreatment time of 7.15 seconds and 60% of the canals showed less than 20% remnants. Conclusion. Within the limitation of this study, Reciproc system proved to be more rapid and efficient than ProTaper Retreatment system.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48215327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Batig, Аnatoly V. Borysenko, Tetiana A. Hlushchenko, Іrina V. Batig, M. O. Ostafiichuk, O. Tokar, N. V. Vatamaniuk, O. V. Ivanitska, Y. Kilmukhametova, M. Sheremet, M. O. Ishkov
topicality. The clinic of generalized periodontitis is caused by a variety of manifestations of the disease in the complex anatomical and physiological complex of periodontal tissues and the general condition of the organism. Therefore, in the treatment of generalized periodontitis, it is necessary to take into account the individual features of the general and periodontal status of the patient. Aim of the study. Improving the effectiveness of treatment of patients with generalized periodontitis of acute course with a predominance of the parasympathetic nervous system. Materials and methods. A comprehensive examination of the condition of periodontal tissues of 60 patients and treatment using the proposed scheme of drug therapy. The comparison group performed similarly to the patients in the main treatment group, but without drug premedication. results. It was found that the inclusion of the proposed premedication in the complex therapy of patients with generalized periodontitis exacerbated course could effectively affect the inflammatory process in the tissues of the periodontium. This confirms a decrease in PMA index, an increase in the time of hematoma formation during a vacuum test by Kulazhenko, and an improvement in the level of oral hygiene. conclusions. The proposed method of treatment allows to eliminate the manifestations of inflammation and to achieve stabilization of the dystrophic-inflammatory process in the periodontium in a shorter period of treatment. In the near future, an earlier and pronounced normalization of clinical and laboratory parameters characterizing the dystrophic-inflammatory process in the periodontium is noted.
{"title":"Immediate results of complex treatment of patients with generalized periodontitis of extraordinary development with a predominance of the parasympathetic nervous system","authors":"V. Batig, Аnatoly V. Borysenko, Tetiana A. Hlushchenko, Іrina V. Batig, M. O. Ostafiichuk, O. Tokar, N. V. Vatamaniuk, O. V. Ivanitska, Y. Kilmukhametova, M. Sheremet, M. O. Ishkov","doi":"10.37897/rjs.2019.3.9","DOIUrl":"https://doi.org/10.37897/rjs.2019.3.9","url":null,"abstract":"topicality. The clinic of generalized periodontitis is caused by a variety of manifestations of the disease in the complex anatomical and physiological complex of periodontal tissues and the general condition of the organism. Therefore, in the treatment of generalized periodontitis, it is necessary to take into account the individual features of the general and periodontal status of the patient. Aim of the study. Improving the effectiveness of treatment of patients with generalized periodontitis of acute course with a predominance of the parasympathetic nervous system. Materials and methods. A comprehensive examination of the condition of periodontal tissues of 60 patients and treatment using the proposed scheme of drug therapy. The comparison group performed similarly to the patients in the main treatment group, but without drug premedication. results. It was found that the inclusion of the proposed premedication in the complex therapy of patients with generalized periodontitis exacerbated course could effectively affect the inflammatory process in the tissues of the periodontium. This confirms a decrease in PMA index, an increase in the time of hematoma formation during a vacuum test by Kulazhenko, and an improvement in the level of oral hygiene. conclusions. The proposed method of treatment allows to eliminate the manifestations of inflammation and to achieve stabilization of the dystrophic-inflammatory process in the periodontium in a shorter period of treatment. In the near future, an earlier and pronounced normalization of clinical and laboratory parameters characterizing the dystrophic-inflammatory process in the periodontium is noted.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45366874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Restoring of the fully edentulous patients remains one of the great challenges for the dental practitioners, who seek solutions for continuous improvement of the prosthetic methods, starting from understanding the differences between the support offered by the root and the implant to the prosthetic restoration. At the moment, there are many types and systems that improve the connection between the base of the prosthesis and the implant, but the information în the literature regarding their performance îs insufficient. The paper presents a synthesis of the information from the specialized literature regarding the use and the performance of special systems used with overdentures on implants aş well aş the results of a study performed on a sample of 25 patients with parţial and total edentation provisionally prosthetic loaded and tested for a period of 30-45 days. În the clinical cases taken în treatment the method with adjustable simulator and facial arch (7 cases), the method with average simulator (10 clinical cases) and the simple simulator method (8 clinical cases) were used.
{"title":"Efficiency of the special systems regarding the overdentures retention on implants","authors":"B. Gălbinașu, V. Vasilescu, I. Pătrașcu","doi":"10.37897/rjs.2019.3.6","DOIUrl":"https://doi.org/10.37897/rjs.2019.3.6","url":null,"abstract":"Restoring of the fully edentulous patients remains one of the great challenges for the dental practitioners, who seek solutions for continuous improvement of the prosthetic methods, starting from understanding the differences between the support offered by the root and the implant to the prosthetic restoration. At the moment, there are many types and systems that improve the connection between the base of the prosthesis and the implant, but the information în the literature regarding their performance îs insufficient. The paper presents a synthesis of the information from the specialized literature regarding the use and the performance of special systems used with overdentures on implants aş well aş the results of a study performed on a sample of 25 patients with parţial and total edentation provisionally prosthetic loaded and tested for a period of 30-45 days. În the clinical cases taken în treatment the method with adjustable simulator and facial arch (7 cases), the method with average simulator (10 clinical cases) and the simple simulator method (8 clinical cases) were used.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41383671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Costea, A. Totan, D. Miricescu, M. Greabu, C. Scheau, A. Didilescu
Objectives. The aim of our study was to evaluate salivary cortisol levels and the scores of nicotinic social dependence, as markers of stress, in a group of patients with moderate and profound chronic periodontitis but systemically healthy. Material and method. Our study, of pretreatment cross-sectional design, included 28 adult patients with moderate and severe chronic marginal periodontitis and no systemic diseases. They were recruited from a particular clinic in Bucharest. The questionnaire used gathered questions from the Kano test to assess nicotine dependence. The salivary cortisol was determined using a DSNOV20 kit (NovaTec Immundiagnostica GmbH). Results and discussions. The average Kano total score was 13.28 (+ 4.38; range 4-23). The smoker group recorded an average of 16.2 (range 11-23). There were no statistically significant differences between the scores of the three groups. From the 28 patients who completed the questionnaires, 22 were evaluated for salivary cortisol levels. Of these, 3 were smokers, 6 were former smokers and 13 were non-smokers. The mean salivary cortisol level was 6.65 ng/ml (+ 1.47; range 4.12-9.38). The mean salivary cortisol level was higher in smokers compared to non-smokers and ex-smokers (p> 0.05). Conclusions. Stress, expressed by the average level of salivary cortisol, was higher among smokers compared to the other groups, the highest variability being registered among ex-smokers. In patients with moderate and severe chronic marginal periodontitis, there was a positive, albeit insignificant, association between salivary cortisol levels and nicotinic psychological dependence.
{"title":"Chronic marginal stress and periodontitis","authors":"R. Costea, A. Totan, D. Miricescu, M. Greabu, C. Scheau, A. Didilescu","doi":"10.37897/rjs.2019.3.8","DOIUrl":"https://doi.org/10.37897/rjs.2019.3.8","url":null,"abstract":"Objectives. The aim of our study was to evaluate salivary cortisol levels and the scores of nicotinic social dependence, as markers of stress, in a group of patients with moderate and profound chronic periodontitis but systemically healthy. Material and method. Our study, of pretreatment cross-sectional design, included 28 adult patients with moderate and severe chronic marginal periodontitis and no systemic diseases. They were recruited from a particular clinic in Bucharest. The questionnaire used gathered questions from the Kano test to assess nicotine dependence. The salivary cortisol was determined using a DSNOV20 kit (NovaTec Immundiagnostica GmbH). Results and discussions. The average Kano total score was 13.28 (+ 4.38; range 4-23). The smoker group recorded an average of 16.2 (range 11-23). There were no statistically significant differences between the scores of the three groups. From the 28 patients who completed the questionnaires, 22 were evaluated for salivary cortisol levels. Of these, 3 were smokers, 6 were former smokers and 13 were non-smokers. The mean salivary cortisol level was 6.65 ng/ml (+ 1.47; range 4.12-9.38). The mean salivary cortisol level was higher in smokers compared to non-smokers and ex-smokers (p> 0.05). Conclusions. Stress, expressed by the average level of salivary cortisol, was higher among smokers compared to the other groups, the highest variability being registered among ex-smokers. In patients with moderate and severe chronic marginal periodontitis, there was a positive, albeit insignificant, association between salivary cortisol levels and nicotinic psychological dependence.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42757852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Lăzărescu, Bucharest Romania Balneoclimatology, Doriana Agop-Forna, C. Topoliceanu, A. K. Lackner, A. Kozma, I. Pharmacy
The effective temporomandibular disorders (TMD) therapeutic management can be performed only if the causal factors are accurately detected. A modern TMD management favourises approach from a biopsychosocial model where active and adaptive type treatments are fundamental. The management of psychological and behavioral factors must be considered and approached simultaneously with physical factors to accelerate the return to normal functioning of TMD patients with chronic pain. The new multimodal approach of TMD consider self-management as the most important part of TMD therapy, with primary focus on the change of the behavior of TMD patients (Greene). This approach include various components as follows: dental treatments (occlusal adjustments, stabilization splints), cognitive behavioral therapy, relaxation techniques, physical therapy (electrotherapy techniques, low-level laser therapy, neuromusculoskeletal techniques, acupuncture), anti-inflammatory medication. conclusions.The modern management of TMD must focuses on the implementation of effective therapeutic algorithms based on accurate diagnostic and assessment of clinical and biological indices. TMD treatment implies multidisciplinary intervention of dentists, physicians, physiotherapists and psychologists.
{"title":"Modern therapeutic management of temporomandibular disorders: A review","authors":"H. Lăzărescu, Bucharest Romania Balneoclimatology, Doriana Agop-Forna, C. Topoliceanu, A. K. Lackner, A. Kozma, I. Pharmacy","doi":"10.37897/rjs.2019.3.1","DOIUrl":"https://doi.org/10.37897/rjs.2019.3.1","url":null,"abstract":"The effective temporomandibular disorders (TMD) therapeutic management can be performed only if the causal factors are accurately detected. A modern TMD management favourises approach from a biopsychosocial model where active and adaptive type treatments are fundamental. The management of psychological and behavioral factors must be considered and approached simultaneously with physical factors to accelerate the return to normal functioning of TMD patients with chronic pain. The new multimodal approach of TMD consider self-management as the most important part of TMD therapy, with primary focus on the change of the behavior of TMD patients (Greene). This approach include various components as follows: dental treatments (occlusal adjustments, stabilization splints), cognitive behavioral therapy, relaxation techniques, physical therapy (electrotherapy techniques, low-level laser therapy, neuromusculoskeletal techniques, acupuncture), anti-inflammatory medication. conclusions.The modern management of TMD must focuses on the implementation of effective therapeutic algorithms based on accurate diagnostic and assessment of clinical and biological indices. TMD treatment implies multidisciplinary intervention of dentists, physicians, physiotherapists and psychologists.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47958330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Imre, B. Pharmacy, Adriana Celebidache, A. Totan, A. Țâncu
The present paper highlights the multiple use of the modern lasers in dentistry, trough a complex clinical case. A soft tissue laser and a hard tissue laser, at different wave length, were used in order to treat all the dental problems of a 21 year old patient, such us: endodontic treatment, apical cyst treatment without a surgical procedure, gingivectomy. Due to their already well-known advantages (increased patients’ acceptance of the treatment plan; increased comfort for the patient – less pain, no post-op edema, time and costs efficiency, due to less and shorter clinical appointments). The treatment was completed by a Maryland bridge and no prep veneers on 1.1-1.4. Due to these advantages and considering the outgoing development of technology, this case demonstrates that the use of various types of lasers in dentistry is undoubtfully necessary and oblige the dentists to become more familiar with procedures.
{"title":"The use of dental lasers in new therapeutic approaches","authors":"M. Imre, B. Pharmacy, Adriana Celebidache, A. Totan, A. Țâncu","doi":"10.37897/rjs.2019.3.3","DOIUrl":"https://doi.org/10.37897/rjs.2019.3.3","url":null,"abstract":"The present paper highlights the multiple use of the modern lasers in dentistry, trough a complex clinical case. A soft tissue laser and a hard tissue laser, at different wave length, were used in order to treat all the dental problems of a 21 year old patient, such us: endodontic treatment, apical cyst treatment without a surgical procedure, gingivectomy. Due to their already well-known advantages (increased patients’ acceptance of the treatment plan; increased comfort for the patient – less pain, no post-op edema, time and costs efficiency, due to less and shorter clinical appointments). The treatment was completed by a Maryland bridge and no prep veneers on 1.1-1.4. Due to these advantages and considering the outgoing development of technology, this case demonstrates that the use of various types of lasers in dentistry is undoubtfully necessary and oblige the dentists to become more familiar with procedures.","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48714031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transmigration of impacted mandibular canines – case report","authors":"M. Decusară, Cerasella Sincar, G. Popa, G. Popa","doi":"10.37897/rjs.2019.3.4","DOIUrl":"https://doi.org/10.37897/rjs.2019.3.4","url":null,"abstract":"","PeriodicalId":33514,"journal":{"name":"Revista Romana de Stomatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42561701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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