scholarly journals Full Mouth Rehabilitation – The Enigma Continues

2021 ◽  
Vol 10 (41) ◽  
pp. 3610-3611
Author(s):  
Anjali Giridhar Bhoyar ◽  
Seema Prakash Sathe

‘ No thi ng Ch an ge s i f No t hi ng Ch an ge s’ Treating a case of full mouth rehabilitation has remained a challenge till date. Dentistry has witnessed many advancements in terms of material science, technology and treatment procedures. What has not evolved is the thought process of application of these newer methods and technology. Any treatment procedure performed on a patient is not a straightforward mathematical calculation which can be implemented in a specified manner. Clinical processes, especially a case of full mouth rehabilitation requires comprehensive knowledge and understanding of the stomatognathic system. The word rehabilitation in itself conveys responsibility. A lot is involved at both the ends - the receiver (patient) and the donor (the rehabilitation specialist). The oxford dictionary defines rehabilitation as ‘The action of restoring someone to health or normal life through training and therapy after imprisonment, addiction, or illness.’ 1 It is a great responsibility on restoring dentist to bring the abnormal and compromised oral functions back on track. The multidisciplinary dimension of the treatment cannot be ignored. Although the culmination of an elaborate treatment is by a restoring specialist which happens to be prosthodontist most of the time, other specialists such as endodontist, periodontist, oral surgeon, orthodontist and an oral radiologist play a significant role throughout the planning and execution. It is advisable to seek expert opinion and include specialty procedures whenever deemed necessary.

Author(s):  
Elena Rojo ◽  
Alessandro Carmona ◽  
Cenit Soto ◽  
Israel Díaz ◽  
María Fernández-Polanco ◽  
...  

2018 ◽  
Vol 18 (1) ◽  
pp. 98-106 ◽  
Author(s):  
Hamid Reza Baghani ◽  
Hajar Moradmand ◽  
Seyed Mahmoud Reza Aghamiri

AbstractBackgroundBreast intraoperative radiotherapy (IORT) is a partial irradiation technique that delivers a single fraction of radiation dose to the tumour bed during surgery. The use of this technique is increasing (especially in the Middle East), and therefore, it is essential to have a comprehensive approach to this treatment modality. The aim of this study is to conduct a literature review on available IORT modalities during breast irradiation as well as dedicated IORT machines and associated treatment procedures. The main IORT trials and corresponding clinical outcomes are also studied.Materials and MethodsA computerised search was performed through MEDLINE, PubMed, PubMed Central, ISI web of knowledge and reference list of related articles.ResultsIORT is now feasible through using two main modalities, including low-kilovolt IORT and intraoperative electron radiotherapy (IOERT). The dedicated machines employed and treatment procedure for mentioned modalities are quite different. The outcomes of implemented clinical trials showed that IORT is not inferior to external beam radiotherapy (EBRT) in specifically selected and well-informed patients and can be considered as an alternative to EBRT.ConclusionAlthough the clinical outcomes of introduced IORT methods are comparable, but based on the review results, it could be said that IOERT is the most effective technical method, in view of the treatment time and dose uniformity concepts. The popularity of IORT is mainly due to the distinguished obtained results during breast cancer treatment. Despite the presence of some technical challenges, it is expected that the IORT technique will become more widespread in the immediate future.


2019 ◽  
Vol 88 (2) ◽  
pp. 127-129
Author(s):  
Hajime ASHIDA ◽  
Hironobu ADACHI ◽  
Kota INAMI ◽  
Kiriko OWADA ◽  
Kohei TAKEYA ◽  
...  

1990 ◽  
Vol 53 (6) ◽  
pp. 489-501 ◽  
Author(s):  
U. SAMARAJEEWA ◽  
A. C. SEN ◽  
M. D. COHEN ◽  
C. I. WEI

Detoxification of aflatoxin contaminated foods has been a continuing challenge for the food industry. This article examines primarily the detoxification of aflatoxin B1 in foods and feeds. The sensitivity of aflatoxins to physical or chemical treatments is affected by many factors including moisture content, location of the toxins in the food, forms of the food, and interactions of the toxins with food components. Thus, it is important to understand these factors before a specific detoxification method can be recommended. In addition, the use of any applicable treatment conditions should not cause undesirable alterations to the nutritional and organoleptic qualities of the foods. The combined use of physical and chemical treatment procedures appear to provide a better prospect than the use of only a single treatment procedure. A reevaluation of the present processing conditions may shed light on the development of modified procedures to effectively degrade aflatoxins in foods, while still achieving other processing objectives.


Author(s):  
Amandine Gamble ◽  
Robert J. Fischer ◽  
Dylan H. Morris ◽  
Kwe Claude Yinda ◽  
Vincent J. Munster ◽  
...  

Decontamination helps limit environmental transmission of infectious agents. It is required for the safe re-use of contaminated medical, laboratory and personal protective equipment, and for the safe handling of biological samples. Heat treatment is a common decontamination method, notably used for viruses. We show that for liquid specimens (here, solution of SARS-CoV-2 in cell culture medium), virus inactivation rate under heat treatment at 70°C can vary by almost two orders of magnitude depending on the treatment procedure, from a half-life of 0.86 min (95% credible interval: [0.09, 1.77]) in closed vials in a heat block to 37.00 min ([12.65, 869.82]) in uncovered plates in a dry oven. These findings suggest a critical role of evaporation in virus inactivation via dry heat. Placing samples in open or uncovered containers may dramatically reduce the speed and efficacy of heat treatment for virus inactivation. Given these findings, we reviewed the literature temperature-dependent coronavirus stability and found that specimen containers, and whether they are closed, covered, or uncovered, are rarely reported in the scientific literature. Heat-treatment procedures must be fully specified when reporting experimental studies to facilitate result interpretation and reproducibility, and must be carefully considered when developing decontamination guidelines. Importance Heat is a powerful weapon against most infectious agents. It is widely used for decontamination of medical, laboratory and personal protective equipment, and for biological samples. There are many methods of heat treatment, and methodological details can affect speed and efficacy of decontamination. We applied four different heat-treatment procedures to liquid specimens containing SARS-CoV-2. Our results show that the container used to store specimens during decontamination can substantially affect inactivation rate: for a given initial level of contamination, decontamination time can vary from a few minutes in closed vials to several hours in uncovered plates. Reviewing the literature, we found that container choices and heat treatment methods are only rarely reported explicitly in methods sections. Our study shows that careful consideration of heat-treatment procedure — in particular the choice of specimen container, and whether it is covered — can make results more consistent across studies, improve decontamination practice, and provide insight into the mechanisms of virus inactivation.


1992 ◽  
Vol 35 (5) ◽  
pp. 983-993 ◽  
Author(s):  
Mark Onslow

The new responsibility of speech-language pathologists to provide direct, early intervention for stuttering creates a further responsibility for them to choose justifiable treatment procedures for that intervention. This paper has two purposes. The first is to encourage clinicians to evaluate the conceptual and practical aspects of the treatments they use for early stuttering. The second purpose of the paper is to overview available early intervention procedures and consider the advantages, disadvantages, and prominent issues associated with each. The procedures considered are environment manipulation, prolonged speech, and response-contingent stimulation. It is concluded that clinicians have no cause to be satisfied with any currently available early intervention procedure. Further, it is concluded that (a) although anticipatory struggle theories have made a useful contribution to scholarship, their line of theoretical reasoning is questionable for clinical practice; (b) although theoretically sound for the purpose, variants of prolonged speech pose prohibitive conceptual and practical shortcomings if they are used to treat very young stuttering children; (c) despite its disadvantages, response contingent stimulation is the most conceptually and practically justifiable method for early intervention with stuttering.


2013 ◽  
Vol 545 ◽  
pp. 143-147
Author(s):  
Piyanun Punburi ◽  
Napachat Tareelap

Due to different heat treatment procedures being required to reduce intergranular corrosion (IGC) of austenitic AISI 304(ASS304) and ferritic AISI 430(FSS430) stainless steels, this work is aimed at achieving proper heat treatment for these metals simultaneously. Heat treatment at a temperature of 900°C for 36 hours followed by water quenching was an applicable heat treatment procedure for this study. This treatment not only prevented the formation of chromium carbides but also promoted the diffusion of chromium back to replenish chromium-depleted zones.


2015 ◽  
Vol 14 (1) ◽  
pp. 32
Author(s):  
Windi Windi ◽  
Rasmidar Samad

In the daily work, dentists are required to performprecision in relatively small treatment areas,inside the mouth. We oftenfind a dentist who does his work with an awkward position in a relatively long time. Musculoskeletal disorders oftenoccur as a result of less ergonomic body position while working which occurs for a long time and repeatedly. The aim ofthis descriptive observational study was to determine the application of ergonomic posture by Hasanuddin Universityclinical dental student during treatment procedures. The ergonomic posture during treatment measures assessed by directobservation on 78 clinical students of Faculty of Dentistry using test of visual perception (TVP) which consists of 8 items.This study showed that the most ergonomic posture often overlooked when performing treatment procedures is backposition performed by 51 respondents (65.4%). Positioning the feet in such a way that the angle between the thigh and calf form the angle of 110º or more is the most rarely overlooked, just 19 respondents (24.4%). In this study, 39respondents (50%)were categorized as sufficient, which means50% of ergonomic stance/posture has been applied. It wasconcluded that ergonomic posture applied by clinical dental students of Hasanuddin University during treatmentprocedure was categorized as adequate.


2019 ◽  
Vol 57 (220) ◽  
Author(s):  
Anjana Maharjan ◽  
Sarita Joshi ◽  
Anand Verma ◽  
Ujjwal Rimal

Restoration of excessively worn dentition is a challenging treatment procedures. It requires effi cientdiagnosis and treatment plan. Hobo’s techniques and Pankey Mann Schuyler’s philosophy arewidely used and documented for full mouth rehabilitation. We have reported the case of a 56-year-old male patient who presented with the severely worn dentition and had diffi culty in chewing. Torehabilitate this case Hobo’s twin stage technique had been adopted as it is based on scientifi c dataand mathematical analysis for both disocclusion and anterior guidance thus reducing chair side time.


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