Nederlands tijdschrift voor tandheelkunde最新文献

A 14-year-old boy lost 11 permanent teeth and part of the processus alveolaris after an accident with his racing bike. A treatment plan was developed in an interdisciplinary setting. The aim was to functionally and aesthetically restore the dentition while growth was still ongoing. To achieve this, the unique properties and possibilities of autotransplants compared to implants were utilized. Four premolars and two third molars were transplanted strategically anteriorly and mesially in the lateral areas after endodontic pretreatment. After orthodontic treatment, four diastemas remained, which were closed using an adhesive restoration.

An online readers survey was conducted for this special issue on sports and oral health. Ten questions were distributed to readers and other dental care providers via the NTVT website, in the journal, in the newsletter and on NTVT social media. The aim was to gain insight into their opinions on the orodental risks of sports, and their experiences of providing oral care following sports-related dental injuries. A large majority of the respondents had been consulted at least once a year for sports-related dental trauma. Hockey was cited as the sport where this trauma was sustained most often. About half of the respondents had replanted an alvused tooth at least once. The results are summarized in an infographic.

In dental practice, it regularly happens: a patient presents with a prolonged pain complaint where there appears to be no sign of tissue damage (any longer). Patients with chronic facial pain may be experiencing altered nociception. This is associated with processes of sensitization and impaired signal inhibition in the somatosensory system. This exceptional kind of pain, known as nociplastic pain, is relatively uncommon in dental literature. Treatment of chronic pain requires a different approach to pain, in which understanding how a (dys)functional bodily warning signal system operates plays a key role. Pain education can be utilized in general dentistry in support of this approach.

Haematopoietic cell transplantation is a widely used treatment option for (malignant) blood diseases like leukaemia. This treatment, which is preceded by chemotherapy and sometimes by total body radiation therapy, can cause serious side effects, often including the oral cavity. This thesis describes the development of hyposalivation, xerostomia and caries progression after haematopoietic cell transplantation. The salivary flow rate decreased shortly after transplantation. This decline was temporary in nature and baseline levels were reached after 1 year. The severity of xerostomia increased shortly after treatment; although complaints decreased again during the first year, the majority of patients continued to experience xerostomia complaints. A higher intensity of chemotherapy increased the risk of hyposalivation and xerostomia. Hyposalivation of stimulated saliva increased caries risk, and might be a useful predictor of the need for dental treatment in 5 years.

Occlusal dysaesthesia - also known as phantom bite - is the perception of an altered bite without any objectively verifiable occlusal discrepancy. Approximately 75% of cases arise following dental treatment or trauma. The sensation of a changed bite often occurs in dental practice as a temporary discomfort following a dental procedure. In most cases, it soon resolves itself or is resolved after a minor occlusal adjustment. However, when the bite continues to feel abnormal, it is classified as a persistent somatic symptom. For dentists-general practitioners, there is an approach designed to equip them with tools to engage in dialogue with the affected patient and to facilitate referral for interventions optimizing conditions for symptom resolution.

Systemic auto-immune diseases are relatively common. This article describes the oral manifestations of disorders that might be seen in patients with the most prevalent auto-immune diseases, specifically rheumatoid arthritis, systemic lupus erythematosus and Sjögren's disease. The article gives guidelines for dentists and other carers within the oral care system for this category of patients.

A 27-year-old man from Ethiopia had undergone an extraction of a molar in Libya ten months earlier, after which a submental swelling developed. For that reason, an oral and maxillofacial surgery department was consulted. Clinical examination showed a tender, firm-to-the-touch, non-mobile swelling with central ulceration. There was no pus drainage or evident lymphadenopathy. Intraoral examination showed a sanitized dentition with a healed diastema in the area of the extracted tooth. The patient suffered from fatigue, weight loss, night sweats, fever, headache and a cough. A recent chest X-ray, just as the X-ray taken during the screening upon entry into the asylum centre, showed no abnormalities. The microbiological examination showed a positive polymerase chain reaction for Mycobacterium tuberculosis, after which the diagnosis of extrapulmonary lymphogenous tuberculosis was made. The lymph nodes, particularly those in the head and neck region, are the most common extrapulmonary site of tuberculosis.

In the Netherlands, there are several families that produced dentists, dental surgeons and dental technicians from generation to generation. The Son family is one of them: for no less than 7 generations, from the second half of the eighteenth century to 2013, members of this family worked in dentistry. Due to their Jewish background, the last generation fled from the Netherlands to Argentina after the bombing of Rotterdam in 1940. In Buenos Aires, Joost Maurice Son, who emigrated with his mother, trained as a dentist. And as it would later turn out, as the last of this family of dentists.

A 51-year-old woman with periodontitis was being treated at the Department of Periodontology of an academic centre for dentistry. Since the patient s oral hygiene was insufficient, motivational interviewing was applied to encourage her to adopt behavioural changes. Unfortunately, the patient did not sufficiently improve her lifestyle. While she did smoke less, her eating patterns, stress levels and irregular sleeping patterns, all possibly also induced by financial problems, improved insufficiently. This case highlights the importance and challenge of addressing lifestyle factors contributing to the onset and progression of periodontitis.

The childcare benefits scandal (Dutch: toeslagenaffaire) has left many people in the Netherlands in debt, including individuals struggling with overdue dental care. This study examined the impact of the scandal and debts on dental care and oral health through 12 interviews with affected individuals and care providers. The participants reported significant barriers to accessing dental care for people in debt, resulting in overdue dental care and budgetary constraints in treatment choices. Care providers identified dental care as a major expense in the recovery program, emphasizing the need for improved access. This study shows the importance of improving dental care accessibility. Guidelines and the involvement of oral healthcare specialists in assessing oral healthcare needs are needed to ease the burden on care providers.