Revue belge de medecine dentaire最新文献

Oral and facial piercing with different kinds of body art are being observed more frequently in medical and dental practices. Principally, piercing is not a new form of body art and is traditional in different geographical areas. In this review, the possible risks and complications are described. Postprocedural complications are oedema, haemorrhage and infection. Other adverse outcomes include mucosal or gingival trauma, chipped or fractured teeth, increased salivary flow, calculus build-up, and interference with speech, mastication and swallowing. Dentists, and oral- and maxillofacial surgeons should be in the position to advise patients with orofocial piercings or those who plan to have this type of body art performed.

The relationship between ethics and philosophy and jurisdiction is described; different kinds of ethics are presented. The increasing pressure of liberal points of view has boosted the ethics of utility. The ethics of care oppose a too rational utilitarianism, taking into consideration relationships such as the caregiver-patient relationship. In the multicultural society ethics of care and virtue ethics are being criticised for not giving universal answers to ethical dilemmas. Can one still define "doing good"? Is "doing good" so culturally biased that it no longer provides the basis for ethical conduct? An accurate procedural assessment of values, sometimes interpreted quite differently in different cultures, could be a tool to judge values in a less relativistic way.

Evidence Based Medicine objectifies health care decision-making, but has its methodological restrictions and can be misused by economists, lawyers, politicians and other decision-makers. Guidelines are being formulated on how to apply EBM in primary care (general practice).

Various systemic diseases can affect salivary glands. After a short anatomical and semiological recall, we describe the pathologies according to their possible salivary demonstrations, and we propose in a table a useful memorandum in daily practice.

The article looks at the behaviour of practitioners and patients from an economic point of view, in particular at supplier-induced demand (SID). The objective is to be able to describe the factors which impact on the market for health care. To define the market for health care/dental care in general and the SID concept in particular, the following economic terminology is relevant. uncertainty, asymmetric information, moral hazard, and the agency relationship between practitioner and patient. Essentially SID results from the existence of asymmetric information (information "gap") on the health care market. The patient is less informed than the practitioner and cannot accurately assess his need for medical care. Hence decision-making authority is delegated to the practitioner who acts as the patient's agent to determine the optimal (amount of) care. This enables the practitioner to influence the demand for medical/dental care. If the practitioner is more interested in the rate of return than in the patient s need for care, a difference might arise between the care recommended by the practitioner and the care the patient would have asked for if he had the same level of information as the practitioner. This difference is called the amount of SID.

Nowadays, we find on the market a huge amount of design and manufactured system that allows the realisation of all-ceramics restorations, using different ceramics. The purpose of this article is suggesting a classification of mostly used ceramics and a few laboratory process used in our university.

Nowadays the porcelain laminate veneer is a frequently prescribed aesthetic restoration for anterior teeth. A substantially reduced tooth preparation is required compared to conventional aesthetic complete crown preparations, in accord with the practice philosophy of minimally invasive dentistry. The long term clinical success of porcelain veneers depends on a careful case selection and diagnostic approach, as well as accurate and appropriate tooth preparation and adhesive bonding procedures. The goal of this paper is to give a reproducible clinical method to the practitioner for the realization of reliable porcelain laminate veneers.

Drooling (sialorrhea or excessive salivation) is a common problem in neurologically impaired children and in adults who have Parkinson-disease. It is most commonly caused by poor oral and facial muscle control (aetiology) and worsened by some contributing factors. Treatment is best managed by a clinical team (speech pathologists, occupational therapists, dentists, otorhinolaryngologists) Treatment options range from conservative to more aggressive measures such as medication (anticholinergic medication, botulinum toxin type A injections in the glands), radiation and surgical therapy.