scholarly journals REHABILITATION OF MASTICATION AND LACK OF SPACE TREATMENT IN NARROW EDENTULOUS WITH FIXED-FIXED BRIDGE

2021 ◽  
Vol 6 (2) ◽  
pp. 183
Author(s):  
Rahmad Arifin ◽  
Fitriana Caessar Pertiwi
Keyword(s):  
Good Condition ◽  
Vital Signs ◽  
Missing Teeth ◽  
Posterior Teeth ◽  
Functional Aspects ◽  
Dental Hospital ◽  
Jaw Joint ◽  
Narrow Space ◽  
The Aesthetic ◽  
Lower Molar

Background: Loss of posterior teeth can lead to disharmony in the curvature of the jaw. Antagonistic teeth and surrounding teeth will migrate to the edentulous causing reduced mastication function and TMJ disturbance. Several cases of narrow edentulous occurred due to tooth shifting caused by edentulous that was left empty for a long period. Creating a fixed-fixed bridge is aimed to restore the aesthetics, function, and comfort for patients which caused by the missing teeth. Fixed-fixed bridge consist of a retainer that function as a support to the abutment; a pontic that function to replace the missing tooth; and a connector that function to connect the pontic and the retainer. A narrow space for pontics can disrupt the aesthetic and functional aspects. Case Report: A 24 year-old male patient was referred to Prosthodontic Clinic, Gusti Hasan Aman Dental Hospital with a complain of pain on the jaw joint and missing of left lower molar for about 5 years. Patient always masticate on one side after the left lower molar was missing. Extraoral examination found the patient to be in good condition, no enlargement of major salivary glands, the vital signs were good, but upon TMJ examination there was clicking sounds on the left side. Intraoral examination showed space narrowing resulted from mesial and distal drifting of 37 and 35 but not significant, therefore it was still possible to perform rehabilitation using fixed-fixed bridge with abutments on 37 and 35 with modification of pontic shape for 36 to resemble a premolar tooth with occlusal surface resembling a molar tooth. Treatment planning for fixed prosthetic using fixed-fixed bridge with porcelain fused to metal material on 35, 36, and 37 with ridge lap pontic type modification Conclusions: Treatment was successful to provide enough space for the pontic by modification of the shape and the size of the pontic. Keywords: Fixed-fixed bridge. lack of space, mastication.

scholarly journals REPLACEMENT OF POSTERIOR MISSING TEETH WITH PORCELAIN FUSED TO METAL (PFM) BRIDGE

2019 ◽  
Vol 1 (2) ◽  
pp. 159-164
Author(s):  
Eni Rahmi
Keyword(s):  
Case Report ◽  
Spatial Analysis ◽  
Chief Complaint ◽  
Missing Teeth ◽  
Posterior Teeth ◽  
Clinical Procedures ◽  
All Ceramic ◽  
Analysis Calculation ◽  
Abutment Teeth ◽  
The Aesthetic

Porcelain fused to metal (PFM) bridge is the most of treatment that commonly used as a fixed partial dentures. One of the indication for PFM bridge is to replacing the loss of posterior teeth. This case report discussed about the treatment of posterior missing teeth with PFM bridge. Objective: to explain the clinical procedures of PFM bridges to treat the patient with posterior missing teeth. Case report: A 29-years old woman came to prosthodontic clinic in Faculty of Dentistry University of Padjadjaran with chief complaint of right maxillary posterior missing teeth. The treatment planning that have been choosen for this case was the porcelain fused to metal bridge due this excellent characteristic of resistence to mastication force compared with other types of bridge such as all ceramic or all acrylic bridge. Beside that, the aesthetic achievement of this kind of bridges is more excellent than all metal bridges. Disscussion: A spatial analysis, calculation the number of abutment against which used, and selected design bridge very determine the success of this treatment. In addition to that, the clinical procedures consisting of abutment teeth preparation, an accurate impression, and appropriate cementation were needed to get the satisfactory result. Conclusions: The porcelain fused to metal bridge is a appropriate option for posterior missing teeth treatment that fullfil satisfactorical biomechanical and esthetic factors.

Aesthetic Crown Lengthening for Gummy Smile Treatment Related to Altered Passive Eruption: A Case Report

2020 ◽  
Vol 23 (2) ◽  
pp. 28-33
Author(s):  
Indira Apriantika ◽  
Agung Krismariono
Keyword(s):  
Case Report ◽  
Treatment Plan ◽  
Patient Treatment ◽  
Treatment Results ◽  
Dental Hospital ◽  
Proper Diagnosis ◽  
The Aesthetic ◽  
Smile Aesthetics ◽  
Crown Lengthening ◽  
Gummy Smile

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.

scholarly journals Comparison of the accuracy of intraoral scans between complete-arch scan and quadrant scan

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Youn-Gyeong Moon ◽  
Kyung-Min Lee
Keyword(s):  
Third Molar ◽  
Careful Consideration ◽  
Missing Teeth ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Posterior Quadrant ◽  
Left Posterior ◽  
The Right ◽  
Best Fit ◽  
Posterior Area

Abstract Objective To compare the accuracy of complete-arch scans and quadrant scans obtained using a direct chairside intraoral scanner. Material and methods Intraoral scans were obtained from 20 adults without missing teeth except for the third molar. Maxillary and mandibular complete-arch scans were carried out, and 4 quadrant scans for each arch were performed to obtain right posterior, right anterior, left anterior, and left posterior quadrant scans. Complete-arch scans and quadrant scans were compared with corresponding model scans using best-fit surface-based registration. Shell/shell deviations were computed for complete-arch scans and quadrant scans and compared between the complete-arch scans and each quadrant scans. In addition, shell/shell deviations were calculated also for each individual tooth in complete-arch scans to evaluate factors which influence the accuracy of intraoral scans. Results Complete-arch scans showed relatively greater errors (0.09 ~ 0.10 mm) when compared to quadrant scans (0.05 ~ 0.06 mm). The errors were greater in the maxillary scans than in the mandibular scans. The evaluation of errors for each tooth showed that the errors were greater in posterior teeth than in anterior teeth. Comparing the right and left errors, the right side posterior teeth showed a more substantial variance than the left side in the mandibular scans. Conclusion The scanning accuracy has a difference between complete-arch scanning and quadrant scanning, particularly in the posterior teeth. Careful consideration is needed to avoid scanning inaccuracy for maxillary or mandibular complete-arch, particularly in the posterior area because a complete-arch scan might have potential error than a quadrant scan.

scholarly journals Indications of admitting patients in internal ICU and the rate of mortality in Emam Khomeini hospital in 2013

2019 ◽  
Vol 6 (6) ◽  
pp. 2335
Author(s):  
Hasan Ghobadi ◽  
Shahram Habibzadeh ◽  
Bita Shahbazzadegan ◽  
Mohsen Mirzanezhadasl ◽  
Mahsa Kamranimoghaddam
Keyword(s):  
Mortality Rate ◽  
Continuous Monitoring ◽  
Good Condition ◽  
Vital Signs ◽  
The Public ◽  
Special Services ◽  
Disease Prognosis ◽  
Significant Difference ◽  
The Mean ◽  
End Stage

Background: ICU is the costly part of the hospital that has functional approach for patients who have reversible conditions so it needs mechanical ventilation and other special services. Some patients are not really in need of special care only the continuous monitoring of vital signs needs of the public sector. Patients with good condition or End-Stage were not candidate to admitting in ICU. The aim of this study was to evaluate indications of admitting patients in internal ICU and the rate of mortality in Emam Khomeini hospital in 2013.Methods: The study was conducted retrospectively evaluated the records of patients hospitalized in ICU and disease prognosis and treatment of disease and APACHE2 criteria was analyses.Results: The mean age of patients in the study was 61.05±19.81. Of 118 patients, 70 (59.3%) survived and 48 (40.7%) patients died. APACHE2 mean in the study was 21.46±7.5. GCS average was 9.83±4.27. There was correlation between mortality of patients and type of disease. In this study in APACHE2 score between 25-29 and >35 in mortality rate we are higher than standard average and in 10-14 and 20-24 we are lower than standard average.Conclusions: This study shows that GCS is not a good measure for the evaluation of patients hospitalized in internal ICU. In the present study, patients with higher APACHE2 score of 35 died. That show hospitalization that patient in ICU has no difference in the prognosis of them. As regards mortality rate in ICU patients in this study has no significant difference with predicted APACHE values, indications of ICU admition in Emam Khomeini hospital observed exactly.

scholarly journals Awareness, attitudes, need and demand on replacement of missing teeth among a group of partially dentate patients attending a University Dental Hospital

2017 ◽  
Vol 10 (1) ◽  
Author(s):  
Rasika Manori Jayasinghe ◽  
Janana Perera ◽  
Vajira Jayasinghe ◽  
Indika P. Thilakumara ◽  
Sumudu Rasnayaka ◽  
...  
Keyword(s):  
Missing Teeth ◽  
Dental Hospital ◽  
Partially Dentate

Effective multidisciplinary approach for treatment of traumatized maxillary incisors and hypodontia

2020 ◽  
Vol 13 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Mustafa Elhussein ◽  
Jonathan J O'Dwyer ◽  
Jonathan Sandler
Keyword(s):  
Case Report ◽  
Multidisciplinary Team ◽  
Alveolar Bone ◽  
Treatment Modalities ◽  
Orthodontic Appliances ◽  
Team Approach ◽  
Missing Teeth ◽  
Multidisciplinary Team Approach ◽  
Fixed Orthodontic Appliances ◽  
The Aesthetic

Fractured and missing teeth within the aesthetic zone have always posed a clinical challenge for the dental team. Management and treatment requires the input from a number of dental specialists to guarantee a high quality result. A case report is presented to demonstrate an effective combined orthodontic/restorative approach that fully restored aesthetics and function. The report is of a 14-year-old girl who traumatized her maxillary central incisors, in a dentition that was already compromised as she had congenital absence of her maxillary left lateral incisor. Using fixed orthodontic appliances, the fractured teeth were extruded to bring the fracture line above the level of the alveolar bone. This movement allowed an immediate aesthetic improvement, using stainless steel prefabricated posts and composite resin buildups, which also facilitated further orthodontic tooth movement. Teeth, that would otherwise have been extracted, were salvaged and, utilizing a multidisciplinary team approach, a reasonable long-term prognosis has resulted. CPD/Clinical Relevance: This case report aims to demonstrate how a multidisciplinary team approach in Orthodontics can be utilized for management of severely handicapped dentitions that have sustained dental injury. It is not the aim of this case report to discuss the treatment of dental injuries but to demonstrate and provide an overview of the possible treatment modalities that can be effective in restoring function and aesthetics, with special consideration given to missing teeth and subgingival crown fractures within the aesthetic zone.

scholarly journals A Multidisciplinary Approach in the Treatment of Tempromandibular Joint Pain Associated with Qat Chewing

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Mansoor Shariff ◽  
Mohammed M. Al-Moaleem ◽  
Nasser M. Al-Ahmari
Keyword(s):  
Physical Activity ◽  
Temporomandibular Joint ◽  
Initial Treatment ◽  
Joint Pain ◽  
Multidisciplinary Approach ◽  
Missing Teeth ◽  
Anterior Teeth ◽  
Dental Hospital ◽  
The University

Pain of the tempro-mandibular joint (TMJ) has a direct bearing to missing teeth and excessive physical activity. Consumption of qat requires chewing on the leaves to extract their juice for long hours. A 65-year-old male Yemeni patient, a Qat chewer, reported to the university dental hospital at King Khalid University complaining of pain in left temporomandibular joint with missing mandibular anterior teeth. A multidisciplinary approach for the overall treatment of the patient was decided. Initial treatment was the relief of patient’s pain with the help of a night guard. This was followed by a fabrication of anterior FPD. The case was under maintenance and follow-up protocol for a period of 8 months with no complaint of pain discomfort.

scholarly journals Exploration of Cosmetic Factors Contributing to Rhinoplasty among Both Genders in Iraqi Kurdistan

2020 ◽  
pp. 10-18
Author(s):  
Aram Salih Mohammed Amin Kamali ◽  
Hedi Hassan Rostam ◽  
Awat Alla Khdir ◽  
Omer Aula Mina
Keyword(s):  
Young Male ◽  
Psychological Needs ◽  
Self Administration ◽  
Cross Sectional ◽  
The People ◽  
Functional Aspects ◽  
Study Results ◽  
Functional Factors ◽  
The Aesthetic ◽  
Purposive Sample

The most outstanding feature of face is the nose which is in furthering than any other feature to facial characteristics. Furthermore, the appealing aspects of the nose is an essential olfactory organ. Over and beyond the aesthetic and functional aspects the client's reaction to his/her own nose as well as the reaction of the people around to it impacts to the psychic characteristics. A non-probability purposive sample of this cross - sectional descriptive study was consisted of 100 young male and female in Kurdish ethnicity, their ages ranged between 21-25 years. The main objective of the study is conducted to assess the cosmetic factors, contribute to Rhinoplasty among both genders at Raparin District. The data collecting period were during the (December 15th, 2019 to January 5th, 2020). A self-administration questionnaire was used for data collection and it was designed according guidelines, literatures, and articles concerning Rhinoplasty; which consisted of 26 variables. Data were analyzed using SPSS Version 23. The study results revealed that most of participants (67%) were female when only (17%) of them were married, however, more than half (67%) were students. Whenever, they about (56%) were barely sufficient in their monthly income. Moreover, about (61%) of participants interested to surgically alter the appearance of their nose, closely two-third (74%) of participants wanted to surgically change the function of their nose. Therefore, almost (87%) of participant relatives have been operated with Rhinoplasty. Also, the study demonstrated there is a statistically significant relationship between cosmetic factors contributing to Rhinoplasty with age (p=0.035) and occupation (p=0.037). When, there were strongly statistically significant association between cosmetic un-functional factors contributing to Rhinoplasty with level of education (p=0.003). The study recommended to plastic surgeons evaluate patients carefully before Rhinoplasty surgery to get rid of unnecessary surgeries because there are lots of complications related to Rhinoplasty and the psychological needs of the patients who undergo Rhinoplasty should be considered.

scholarly journals Periodontal diseases and other dental disorders in dogs : An epidemiologic study

2021 ◽  
Vol 17 (AAEBSSD) ◽  
pp. 163-167
Author(s):  
Praveen Kumar ◽  
Lovelin Shweta Xaxa
Keyword(s):  
Dental Hygiene ◽  
Feeding Habits ◽  
Periodontal Diseases ◽  
Good Condition ◽  
Epidemiologic Study ◽  
Missing Teeth ◽  
German Shepherd ◽  
Mandibular Incisor ◽  
Severe Periodontitis ◽  
Vegetarian Diets

The study determined the epidemiology of periodontal diseases among dogs. This study was conducted on 181 dogs older than 6 months to examine their oral cavities and gather information about their feeding habits. Periodontal diseases were reported in 59.67% of dogs. It was highest for Spitz (75.61%), followed by German shepherd (64.49%), Mongrel (61.53%), Labrador (51.02%) and other Non-descriptive breeds (33.9%). Compared to dogs fed only vegetarian diets, those fed non-vegetarian diets had few health problems. There was the highest incidence of dental problems among vegetarians (69.28%), followed by those given a combination of vegetarian and non-vegetarian diets (51.32%). Periodontitis was common in these dogs, regardless of its cause, and its incidence increased with age. Lesions were more severe in the premolar and molar regions than in the maxillary and mandibular incisor regions. The incidence of missing teeth increased with age. First premolars were the most commonly lost teeth, followed by other premolars and molars, where severe periodontitis was commonly found. The incidence and severity of calculus on teeth increased with age. Due to these findings, it is especially important to keep dogs’ dental hygiene in good condition and conduct continuous periodic examinations.

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