scholarly journals The Place of Dentofacial Orthopaedics in the Treatment Planning of Facial Clefts: About Two Clinical Cases

2021 ◽  
Vol 8 ◽  
Author(s):  
Intissar El Idrissi ◽  
Fatima Salek ◽  
Youssef Ouedraogo ◽  
Fatima Zaoui ◽  
Abdelali Halimi ◽  
...  
Keyword(s):  
General Population ◽  
Treatment Planning ◽  
Orthodontic Treatment ◽  
Multidisciplinary Approach ◽  
Soft Tissues ◽  
Therapeutic Management ◽  
Upper Lip ◽  
Facial Cleft ◽  
Facial Clefts ◽  
Hard Tissues

Facial clefts are considered as predominant malformations of the oro-facial sphere due to their frequency, aesthetic and functional repercussions. The overall prevalence of cleft palates is estimated at 1 per 700 births in the general population, with 77% of isolated cases, 16% associated with another malformative pathology, and 7% associated with a known syndrome. They can disrupt soft tissues (upper lip, nasal threshold, nasal wing, palate veil), hard tissues (alveolar arch, dental germs, palate), or both.They constitute a congenital dysmorphosis for which the therapeutic management extends from birth to the end of adolescence. Orthodontic care has evolved considerably in recent years, mainly due to the synergy of the different specialities involved in the care of these children by the multidisciplinary team.These cleft lips and palates have a multifactorial and complex etiology requiring a multidisciplinary approach. Orthodontic treatment has a strategic place in this treatment and involves temporary, mixed, and permanent dentition.The aim of this article is to review the place of dentofacial orthopaedics in the therapeutic calendar of facial cleft management.

Orthodontic Treatment: The Soft Tissue Paradigm

2012 ◽  
Vol 2 (1) ◽  
pp. 43-46
Author(s):  
Shashank Gaikwad ◽  
Sachin Doshi ◽  
Amol Mhatre ◽  
Arundhati Tandur ◽  
Natasha Khushalani
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Treatment Planning ◽  
20Th Century ◽  
Orthodontic Treatment ◽  
Soft Tissues ◽  
Diagnosis And Treatment ◽  
Dental Occlusion ◽  
Ideal Form ◽  
Functional Efficiency

Abstract Since turn of the 20th century orthodontic diagnosis and treatment planning has been based on the Angle paradigm that considers ideal dental occlusion ‘nature's intended ideal form’. The orthodontist's task is to seek balance between the patient's aesthetic demands, functional efficiency and structural harmony. The soft tissues largely determine the limitations of orthodontic treatment, from the perspectives of functions and stability, as well as aesthetics. Therefore orthodontist must plan treatment within the patient's limits of soft tissue adaptation and soft tissue contours. This is a case report showing a well finished case keeping in mind the emerging soft tissue paradigm in diagnosis and treatment planning.

Tessier 3 Cleft in a Pre-Hispanic Anthropomorphic Figurine in El Salvador, Central America

2017 ◽  
Vol 54 (2) ◽  
pp. 227-230 ◽  
Author(s):  
Ramon Manuel Aleman ◽  
Maria Guadalupe Martinez
Keyword(s):  
El Salvador ◽  
Central America ◽  
Classification System ◽  
Classic Period ◽  
Numerical Classification ◽  
Upper Lip ◽  
Medial Canthus ◽  
Facial Cleft ◽  
Facial Clefts

In 1976, Paul Tessier provided a numerical classification system for rare facial clefts, numbered from 0 to 14. The Tessier 3 cleft is a rare facial cleft extending from the philtrum of the upper lip through the wing of the nostril, and reaches the medial canthus of the eye. The aim of this document was to describe a pre-Hispanic anthropomorphic figurine dating from the classic period (200 A.D.–900 A.D.), which has a Tessier 3 cleft. We also discuss the documented pre-Hispanic beliefs about facial clefts.

scholarly journals The correlation between facial esthetics and social psychology from orthodontic perspective

2017 ◽  
Vol 63 (4) ◽  
pp. 188-191
Author(s):  
Aurelia Magdalena Enache ◽  
Keyword(s):  
Social Psychology ◽  
Treatment Planning ◽  
Strong Correlation ◽  
Orthodontic Treatment ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Problem List ◽  
Treatment Results ◽  
Orthodontic Appliance ◽  
Facial Esthetics

It is known that there is a strong correlation between orthodontics and social psychology. The effect of the orthodontic treatment on facial esthetics has an important impact on attractiveness and personality of the patient. This correlation should be taken into consideration in all the phases of the orthodontic treatment: patient exam and problem list, treatment planning and type of orthodontic appliance, assessment of the orthodontic treatment. The evaluation of the orthodontic treatment results is different for the doctor and the patient and has led to a change of the paradigm, that of the soft tissues, which puts aesthetic and functional positions equally for the establishment of the treatment plan and for its evaluation.

scholarly journals Titanium Wear of Dental Implants from Placement, under Loading and Maintenance Protocols

2021 ◽  
Vol 22 (3) ◽  
pp. 1067
Author(s):  
Georgios Romanos ◽  
Gerard Fischer ◽  
Rafael Delgado-Ruiz
Keyword(s):  
Adverse Effects ◽  
Inflammatory Response ◽  
Dental Implants ◽  
Soft Tissues ◽  
Loading Conditions ◽  
Material Change ◽  
Implant Placement ◽  
Implant Abutment ◽  
Hard Tissues ◽  
Titanium Nanoparticles

The objective of this review was to analyze the process of wear of implants leading to the shedding of titanium particles into the peri-implant hard and soft tissues. Titanium is considered highly biocompatible with low corrosion and toxicity, but recent studies indicate that this understanding may be misleading as the properties of the material change drastically when titanium nanoparticles (NPs) are shed from implant surfaces. These NPs are immunogenic and are associated with a macrophage-mediated inflammatory response by the host. The literature discussed in this review indicates that titanium NPs may be shed from implant surfaces at the time of implant placement, under loading conditions, and during implant maintenance procedures. We also discuss the significance of the micro-gap at the implant-abutment interface and the effect of size of the titanium particles on their toxicology. These findings are significant as the titanium particles can have adverse effects on local soft and hard tissues surrounding implants, implant health and prognosis, and even the health of systemic tissues and organs.

scholarly journals Treatment of a Patient with Multiple Impacted Teeth

2007 ◽  
Vol 77 (4) ◽  
pp. 735-741 ◽  
Author(s):  
Richard Scott Conley ◽  
Scott B. Boyd ◽  
Harry L. Legan ◽  
Christopher C. Jernigan ◽  
Craig Starling ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Planning ◽  
Orthodontic Treatment ◽  
Primary Teeth ◽  
Permanent Tooth ◽  
Permanent Teeth ◽  
Treatment Sequence ◽  
Impacted Teeth ◽  
Case Complexity ◽  
Multiple Primary

Abstract An impacted or missing permanent tooth can add significant complications to an otherwise straightforward case. When multiple impacted teeth are present, the case complexity increases further. Developing a treatment sequence, determining appropriate anchorage, and planning and executing sound biomechanics can be a challenge. The following case report illustrates a patient reportedly diagnosed with mild scleroderma as an adolescent. He presented for orthodontic treatment as an adult with multiple retained primary teeth and multiple impacted teeth. Diagnosis, treatment planning, and various methods of managing guided eruption of impacted teeth will be discussed. Following orthodontic treatment that required extraction of multiple primary and permanent teeth as well as exposure and ligation of multiple permanent teeth by an oral surgeon, the patient finished with a significantly improved functional and esthetic result.

Cardiovascular Oncology: The Need for a Multidisciplinary Approach

2021 ◽  
Author(s):  
Rodrigo Ortega Pérez ◽  
Ana Pardo Sanz ◽  
Valentín García Gutiérrez ◽  
José Luis Zamorano Gómez
Keyword(s):  
Atrial Fibrillation ◽  
Clinical Practice ◽  
General Population ◽  
Early Detection ◽  
Multidisciplinary Approach ◽  
Ventricular Dysfunction ◽  
Care Process ◽  
Scientific Journals ◽  
Raising Awareness ◽  
Low Rate

AbstractImproved cancer survivorship has led to an increase in cardiovascular (CV) complications in the oncologic population, mainly associated with therapeutic regimens. Hence, cardio-oncology has grown toward unifying the cancer care process in which the best prevention, early detection, treatment, and CV surveillance are offered to patients. This multidisciplinary approach allows us to optimize and agree upon clinical decisions to enhance clinical outcomes. Atrial fibrillation is one of the hot topics in the field because it is still challenging in cancer patients. The optimal antithrombotic therapy remains unclear. Nevertheless, evidence supports that specific recommendations are needed due to a hemorrhagic/thrombotic disbalance present within this subgroup of patients and a low rate of anticoagulation treatments compared with the general population. Further, cardiotoxicity management is currently transforming. Increasingly, early detection of subclinical alterations is raising awareness. When medical therapy is initiated early, fewer patients progress to ventricular dysfunction and the rate of patients completing cancer therapy gradually increases. New approaches are demonstrating better outcomes and these strategies will expectedly be established in clinical practice. Cardio-oncology enables us to find the best balance between cancer treatment and CV health protection. Nowadays, more and more physicians are being instructed in this discipline, which gradually exhibits a greater presence in conferences and scientific journals. However, given the need for physicians thoroughly trained in cardio-oncology, this subspecialty must be promoted further.

Measurement of cortical plate volume based on CBCT of frontal teeth in studies with retrusion and normality

2021 ◽  
pp. 17-21
Author(s):  
N. G. Meskhiya ◽  
I. S. Kopetskiy ◽  
I. A. Nikolskaya ◽  
D. A. Eremin ◽  
O. N. Kovaleva
Keyword(s):  
Orthodontic Treatment ◽  
Soft Tissues ◽  
Three Dimensions ◽  
Cone Beam ◽  
Cortical Plate ◽  
Imaging Method ◽  
New Approach ◽  
Accuracy Of Measurements ◽  
Bone Structures

Cone Beam Computed Tomography (CBCT) is the preferred imaging method for a comprehensive orthodontic examination. Thanks to the development of this technique, clinicians today can make most accurate measurements without fear of errors associated with projection distortion or localization of landmarks on radiographs. The quality of CBCT images gives to orthodontists the ability to analyze bone structures, teeth (even impacted teeth), and soft tissue in three dimensions. The accuracy of measurements of hard and soft tissues from CBCT images determines the accuracy of diagnosis and treatment planning. A fundamentally new approach has been proposed, which makes it possible to thoroughly study the bone tissue surrounding the tooth at the stages of planning orthodontic treatment. Аnalysis of radiation studies of patients with dentoalveolar anomalies was carried out to select the optimal treatment tactics and to control its effectiveness.

Extensive Facial Clefting in a Patient with Goltz Syndrome: Multidisciplinary Treatment of a Previously Unreported Association

2002 ◽  
Vol 39 (4) ◽  
pp. 469-473 ◽  
Author(s):  
Jeffrey A. Ascherman ◽  
Sean L. Knowles ◽  
Kenneth C. Troutman
Keyword(s):  
Musculoskeletal System ◽  
Multidisciplinary Approach ◽  
Multidisciplinary Treatment ◽  
Severe Form ◽  
Female Infant ◽  
Craniofacial Abnormalities ◽  
Multisystem Disorder ◽  
Facial Region ◽  
Facial Cleft ◽  
Goltz Syndrome

Objective Goltz syndrome is a rare, X-linked dominant, multisystem disorder found almost exclusively in female patients. Although the cutaneous features predominate in most reports, characteristic abnormalities are also frequently present in the musculoskeletal system and facial region. We report a female infant born with a severe form of Goltz syndrome that included an extremely wide facial cleft, an abnormality not previously reported in a patient with this disorder. Her management demonstrates the advantages of a multidisciplinary approach to effectively care for patients with severe craniofacial abnormalities.

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