Dificuldades na reabilitação protética de paciente pediátrico com Displasia do Ectoderma – relato de caso

2021 ◽  
Vol 10 (39) ◽  
pp. 21-25
Author(s):  
Karina Mirabelli ◽  
Ana Luiza Costa Silva de Omena ◽  
Julio Cesar Bassi ◽  
Isabela Floriano ◽  
Tamara Kerber Tedesco ◽  
...  

Ectoderma dysplasia is a syndrome characterized by malformation in the tissues derived from the embryonic leaflet ectoderm, causing changes in the epidermis and its accessory structures, such as hair, hair, nails, teeth and glands. The dental surgeon, in most cases, is the first to suspect this syndrome due to dental absences, which can vary from simple agenesis or even anodontics. Therefore, the alveolar bone does not develop very well and the ridge has an unfavorable morphology for a good rehabilitation. The present work aims, through a clinical case, to describe the difficulty of prosthetic rehabilitation in a patient with Ectoderma Dysplasia in preschool age (3 years), due to the absence of teeth. The treatment defined for this patient was the protocol proposed in the most current bibliographic references, which consists of rehabilitation as early as possible, through the manufacture of upper and lower removable prostheses, in order to enable better nutrition, phonetics, facial expressions and social interaction. After the finalized treatment, we conclude that the early prosthetic rehabilitation, although recommended in the literature, must first be evaluated individually, as it depends on the minimal cooperation of the patient and total family commitment for the success of the treatment.

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Krista V. Siagian

Abstract: Missing teeth or tooth decay will influence many things in human life, not only aesthetically but also mastication, speech, and social interaction. Caries and periodontal diseases are the major causes of this tooth problem. This study aimed to report a clinical case of an adult female aged 39 years who had missing teeth approximately 5 years ago that changed her extra-oral and intra-oral appearance. Due to the missing teeth, migration and rotation of the remained teeth occurred, food remnants were impacted into the interdental gaps which could increase gum diseases, asymetry of face, disposition of buccal and lips’ soft tissue, and reduced thickness of alveolar bone ridges. Partial denture can prevent the adverse changes in the oral cavity caused by the missing teeth. Keywords: missing teeth, periodontal diseases Abstrak: Kehilangan gigi sebagian akan memengaruhi banyak hal dalam diri seseorang, baik estetis maupun fungsi pengunyahan, bicara, dan hubungan sosial. Karies dan penyakit periodontal merupakan penyebab utama masalah gigi ini. Laporan kasus ini bertujuan untuk menampilkan gambaran klinis seorang wanita berusia 39 tahun dengan keluhan kehilangan gigi sebagian kurang lebih 5 tahun lalu yang mengubah tampilan ekstra oral maupun intra oral.Kehilangan sebagian gigi berakibat migrasi dan rotasi dari gigi tersisa, impaksi makanan dan timbulnya penyakit periodontal, asimetris wajah, perubahan letak jaringan lunak pipi dan bibir, serta beban berlebih pada jaringan penyokong yang mengakibatkan turunnya linggir dan menipisnya tulang alveolar. Pemakaian gigi tiruan parsial dapat mencegah terjadinya perubahan-perubahan yang terjadi dalam rongga mulut akibat kehilangan gigi.Kata kunci: kehilangan gigi, penyakit periodontal


2021 ◽  
Vol 12 ◽  
Author(s):  
Paula J. Webster ◽  
Shuo Wang ◽  
Xin Li

Different styles of social interaction are one of the core characteristics of autism spectrum disorder (ASD). Social differences among individuals with ASD often include difficulty in discerning the emotions of neurotypical people based on their facial expressions. This review first covers the rich body of literature studying differences in facial emotion recognition (FER) in those with ASD, including behavioral studies and neurological findings. In particular, we highlight subtle emotion recognition and various factors related to inconsistent findings in behavioral studies of FER in ASD. Then, we discuss the dual problem of FER – namely facial emotion expression (FEE) or the production of facial expressions of emotion. Despite being less studied, social interaction involves both the ability to recognize emotions and to produce appropriate facial expressions. How others perceive facial expressions of emotion in those with ASD has remained an under-researched area. Finally, we propose a method for teaching FER [FER teaching hierarchy (FERTH)] based on recent research investigating FER in ASD, considering the use of posed vs. genuine emotions and static vs. dynamic stimuli. We also propose two possible teaching approaches: (1) a standard method of teaching progressively from simple drawings and cartoon characters to more complex audio-visual video clips of genuine human expressions of emotion with context clues or (2) teaching in a field of images that includes posed and genuine emotions to improve generalizability before progressing to more complex audio-visual stimuli. Lastly, we advocate for autism interventionists to use FER stimuli developed primarily for research purposes to facilitate the incorporation of well-controlled stimuli to teach FER and bridge the gap between intervention and research in this area.


2021 ◽  
Vol 5 (10) ◽  
pp. 57
Author(s):  
Vinícius Silva ◽  
Filomena Soares ◽  
João Sena Esteves ◽  
Cristina P. Santos ◽  
Ana Paula Pereira

Facial expressions are of utmost importance in social interactions, allowing communicative prompts for a speaking turn and feedback. Nevertheless, not all have the ability to express themselves socially and emotionally in verbal and non-verbal communication. In particular, individuals with Autism Spectrum Disorder (ASD) are characterized by impairments in social communication, repetitive patterns of behaviour, and restricted activities or interests. In the literature, the use of robotic tools is reported to promote social interaction with children with ASD. The main goal of this work is to develop a system capable of automatic detecting emotions through facial expressions and interfacing them with a robotic platform (Zeno R50 Robokind® robotic platform, named ZECA) in order to allow social interaction with children with ASD. ZECA was used as a mediator in social communication activities. The experimental setup and methodology for a real-time facial expression (happiness, sadness, anger, surprise, fear, and neutral) recognition system was based on the Intel® RealSense™ 3D sensor and on facial features extraction and multiclass Support Vector Machine classifier. The results obtained allowed to infer that the proposed system is adequate in support sessions with children with ASD, giving a strong indication that it may be used in fostering emotion recognition and imitation skills.


Author(s):  
Antonio crispino ◽  
Gaetano Pisano ◽  
Leonzio Fortunato

ABSTRACT Scope of work The purpose of this work is the analysis and comparison of the various methods available for the realization of fixed restorations on natural teeth in the anterior sector with the presentation of some case report series. Materials and methods The methods used in relation to the clinical case, are the metal-ceramic, the galvan-ceramic, all- ceramic and porcelain veneers. Results It highlights indications and limitations of each of the methods proposed, emphasizing the prominent role of esthetics in the rehabilitation sector of the front. Conclusion The materials and techniques available, with proper clinical evaluation and to a timely therapeutic planning, are the basis of the rehabilitative ideal choice for each individual case, and they also depend on the achievement of clinical success. How to cite this article Crispino A, Pisano G, Fortunato L. Comparison of Different Methods of Prosthetic Rehabilitation in Anterior Region. Int J Prosthodont Restor Dent 2015;5(4):110-113.


2019 ◽  
Vol 24 (3) ◽  
Author(s):  
Piotr Grad ◽  
Aleksandra Paruzel-Pliskowska ◽  
Andrzej Żegleń ◽  
Jolanta Pytko-Polończyk

Tooth extraction is one of the most common dental surgical procedures. Its success depends on the operator’s knowledge, skills and experience. Proper choice of tools is also important. Incorrect tooth extraction using excessive force may cause local complications, such as damage to the soft tissue or to the extracted or neighbouring tooth with potential translocation, bone fracture, formation of an oral sinus communication or even mandibular dislocation. Currently, efforts are being made to develop methods that will allow for the preservation of intact surrounding periodontal tissues to facilitate subsequent prosthetic rehabilitation. Surgical tools used in atraumatic tooth extraction include, among other things, Physics Forceps, periotomes, luxators, and the Benex extractor system. These tools reduce the risk of damage to the vestibular lamina of the alveolar bone, allow for avoiding the need for a mucoperiosteal flap and reduce the incidence of postoperative pain. This helps create optimal conditions for subsequent implant prosthetic reconstruction. The paper presents the characteristics and application of selected tools used in atraumatic tooth extraction.


2016 ◽  
Vol 41 (1) ◽  
pp. 2-7 ◽  
Author(s):  
ME Miranda ◽  
KA Olivieri ◽  
FJF Rigolin ◽  
AA de Vasconcellos

SUMMARY The rehabilitation of an unesthetic smile in the anterior maxilla is always a clinical challenge, especially when an improper shape and size, old restorations, and unesthetic shading are present. In addition, an irregular gingival zenith contour in the anterior maxilla can affect the smile's harmony. Thus, detailed treatment planning is needed to define a functional and esthetic prosthetic rehabilitation. This study describes a clinical case in which a 55-year-old woman was rehabilitated using Digital Smile Design planning and full ceramic crowns (metal free) in the anterior zone of the maxilla and mandible. To normalize the gingival zenith, a dynamic compression technique was performed using provisional restorations to condition the gingival tissues and harmonize the proportional length of the anterior upper teeth.


2021 ◽  
Author(s):  
Anjali Daisy

Asperger’s syndrome is not a learning disability and it has features of autism spectrum disorder, nonverbal learning disabilities and ADHD. Asperger syndrome in the context of the domains within which some of those characteristics occur. To begin with social interaction and then move to language and then move to other “in the social interaction domain. Individuals with Asperger’s syndrome tend to have limited and sometime inappropriate kinds of behaviours in the social interaction domain. They have difficulties with nonverbal communication For example they have hard time reading gestures or facial expressions and sometimes their gesture and facial expressions, don’t communicate what it is that they’re thinking and feeling they often have difficulties understanding emotional cues so they miscue when listening to someone or watching somebody they may then say something inappropriate or they may repeat something that isn’t appropriate to the situation. Because they’re miss reading the social aspect of the situation or the emotional aspect of the situation. Individuals with Asperger’s are often seen to have low eye contact either not making good eye contact or sustaining good eye contact and in this social interaction domain. Those with Asperger’s tend also to be at risk for not having many friends, they tend to be socially isolated in the language area. Those with Asperger’s often are extremely verbal, highly verbal and their language can be very sophisticated at times what they do, when they’re talking is that they tend to discuss themselves and their interests and not focus on the interests of others. It can be a one-sided conversation and some of that prosody the flow the reciprocal flow between one person another can be awkward they tend to be literal in the ways that they understand language”.


2018 ◽  
Author(s):  
L Оkonechnikova

It is known, that visually challenged child acquire non-verbal means of communication less spontaneously. It is more common for them to use single and definite gestures and frequently provide them with some verbal explanations, incorrect perception of gestures and miming, poorness or lack of movements. Based on A.R.Luria’s idea of the role of the environment in a child’s personality formation, and compensatorydeveloping mechanisms and also on some ideas of modern researchers that nonverbal means of communication are connected with social conditions and usually are formed during the life with the exception of means of affective expressiveness (G.V. Grigirieva, L.I.Plaksina, L.I.Solntseva), we have made a comparative study of using nonverbal means of communication among children with normal eyesight and visuallychallenged children. As research approaches we modify and use such techniques as “The ABC of Mood”by N.L.Belopolskaya, “Silence game” by G.V.Grigorieva, “Understanding of gestures” by N.V.Pilipko and “Understanding of Miming” by Sabin and Hardick modified by G.V. Grigorieva. We have examined 36 children of high preschool age, 18 of them were with normal eyesight and 18 were visually challenged, and all of them were taught how to acquire non-verbal means of communication. We have found out that children from both groups could not differentiate similar facial expressions and gestures, miming usually was described through actions, not through feelings or emotions. The results showed us the absence of defining facial expressions, gestures and miming on the levelы of cognition and behavior between these two groups of children. On the level of emotions, we had had the following differences: the children with normal eyesight rarely explain gestures through actions then visually challenged children and also they rarely connect the emotional statewith the situation, but more often they distinguish miming through explaining some physical characteristics, that may depend on their visual problem. So we can conclude that if we organize the process of education in the right way (the role of the environment) visually challenged pre-school aged children can have the partial ability to compensate their acquirement of non-verbal means of communication. Keywords: non-verbal means of communication, expressions, gestures, miming, pre-school aged children, visually challenged.


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