scholarly journals Traumatic ulcer distribution of patiens with removable orthodontic appliance in Orthodontics Clinics of Dental Specialist Program

2014 ◽  
Vol 26 (1) ◽  
Author(s):  
Gusti Akbari ◽  
Tenny Setiani Dewi ◽  
Isnaniah Malik

Introduction: Treatment with fixed orthodontic appliance sometimes cause the oral mucosa lesion, known as a traumatic ulcer. The purpose of this research is to see the distribution of traumatic ulcer on the patient with a fixed orthodontic appliance in PPDGS Orthodontic RSGM FKG Unpad Clinic. Methods: This research used a descriptive observational method. The sample of this research consisted of 39 people who participate in the interview and willing to be examined the condition of their oral mucosa during the study. Results: Twenty three samples or about 59% from all the sample have a traumatic ulcer on the oral mucosa. Conclusion: Most of the patient with a fixed orthodontic appliance has a traumatic ulcer, which mostly located on the buccal mucosa, followed by labial mucosa, and gingiva.

2007 ◽  
Vol 19 (3) ◽  
Author(s):  
Dwi Mutia Ramdhini ◽  
S. Sunardhi Widyaputra ◽  
Murnisari Dardjan

The use of fixed orthodontic appliances can improve someone's mastication, speech and appearance. However, this appliance acts as a strange object that may cause irritation to the mucosa epithelial of oral cavity, because of the friction and pressure from the components of the fixed orthodontic appliances which are in direct contact with the oral mucosa. Irritation in the oral mucosa could stimulate the increase of cytokeratin. The appearance of cytokeratin is then used to identify the condition of these cells. This study was a descriptive research to find the expression of cytokeratin 19 with immunohistochemical method in oral mucosa epithelial of fixed orthodontic appliances users. Sample in this study was chosen from 30 fixed orthodontic appliances users. The result of this study was determined by calculating the number of positive cells (brown), compared with total number of cells. The account of positive cells would present the reaction of the epithelial cells according to the inflamation stage which caused by the use of orthodontic appliances. As a conclusion of this study, the use of fixed orthodontic appliances may cause changes in epithelial mucosa which form an adaptation process by increasing the number of progenitor cells marked by cytokeratin 19.


2017 ◽  
Vol 145 (1-2) ◽  
pp. 65-69
Author(s):  
Sava Matic ◽  
Predrag Nikolic

Introduction/Objective. Pain and social discomfort are common experiences after the insertion of a fixed orthodontic appliance. The aim of the study was to determine the intensity of pain during the first seven days after the placement of a fixed orthodontic appliance, the impact of orthodontic treatment on psychosocial component of the patient and daily life activities in the first month of therapy. Methods. The study included 60 randomly selected patients from the Department of Orthodontics, Faculty of Dental Medicine, Belgrade, Serbia, aged 15 to 20 years. After the insertion of a fixed orthodontic appliance, the patients were given a questionnaire form comprising questions related to the intensity of pain in the first seven days, function of speech and chewing, oral hygiene, injury of the oral mucosa, and social contacts. For the processing of results obtained from the questionnaire ?2 test was used. Results. The largest percentage of respondents (21.7%) rated pain with grade 1, while less than 10% of respondents gave grades 4, 6, 7, 9, and 10. Most of the participants (95%) answered that they had no difficulties with daily life activities caused by the fixed orthodontic appliance. Most respondents (91.7%) did not have any social discomfort, while a small percentage (8.3%) said they had these problems. Conclusion. General intensity of pain that respondents felt during the first seven days after the placement of a fixed orthodontic appliance was low to moderate. For most of the respondents there was no change in social behavior related to the psychosocial component. Except for changes in dietary habits and sores on the oral mucosa of the cheek in the first month of therapy, examines had no major problems with daily life activities.


e-GIGI ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Priska F. Umboh

Stomatitis Aftosa Rekuren (SAR) adalah lesi mukosa oral yang timbul secara berulang, biasanya berupa ulser berwarna putih kekuningan. Penggunaan alat ortodonsi cekat merupakan salah satu faktor yang dapat memicu terjadinya SAR. Penelitian ini merupakan penelitian deskriptif, yang bertujuan untuk mengetahui gambaran Stomatitis Aftosa Rekuren pada pengguna alat ortodontik cekat mahasiswa Program Studi Kedokteran Gigi Universitas Sam Ratulangi. Teknik pengambilan sampel yaitu purposive sampling dengan jumlah sampel sebanyak 61 responden. Data hasil penelitian diperoleh berdasarkan kuesioner yang diberikan kepada responden. Hasil penelitian menunjukkan bahwa 80,3% pengguna alat ortodonsi cekat mahasiswa Program Studi Kedokteran Gigi Universitas Sam Ratulangi pernah mengalami SAR, dimana perempuan lebih cenderung mengalami dibandingkan laki-laki. Lama penggunaan alat ortodonsi cekat berpengaruh terhadap terjadinya SAR. Sebanyak 29,51% pengguna alat ortodonsi cekat menggunakan alat ortodonsi cekat selama >2tahun, dan sebanyak 36,73% menyatakan bahwa frekuensi terjadinya SAR terjadi secara tidak teratur. Lokasi terjadinya SAR yaitu pada mukosa pipi 48,98%, mukosa bibir 48,98%, dan lidah 2,04%. Sebanyak 30,61% responden membiarkan SAR tanpa perawatan dimana 53,33% responden sembuh < 1 minggu, 2,04% berobat ke dokter umum dan sebanyak 67,35% mengobati sendiri, dimana 57,58% diantaranya menggunakan obat oles. Kata kunci : Stomatitis Aftosa Rekuren, alat ortodonsi cekat.ABSTRACTRecurrent Aphthous Stomatitis (RAS) can be defined as lesions of the oral mucosa which occours repeatedly, normaly in the form of white yellow ulcer. The using of fixed orthodontic application is one of the factors that trigger RAS to occur. The objective of this research is to discover the description of RAS within the users of fixed orthodontic appliance in dentistry student of Sam Ratulangi University. The sampling method had taken by purposive sampling from 61 sample respondents. The results were gained from the questionnaire that were given to the respondents. The result of this research shows that 80,3% of the fixed orthodontic appliance users in dentistry student of Sam Ratulangi University ever experienced RAS, by which females tend to experience more than males. Duration of fixed orthodontic application usege is highly influential to the occurrence of RAS. About 29,51% of the users have been using this fixed orthodontic appliance for > 2 years, and 36,73% of them stated the frequency of the occurrence of RAS is irregular. The location where RAS occurs can be describe as 48,98% in cheek mucosa, 48,98% in the lips mucosa and 2,04% in tongue. For the amount of 30,61% of the users left the SAR untreated, in which 53,33% of the total respondents admitted healed between <1 weeks, 2,04% seek treatment at the doctor, and 67,35% treat it by themselves which 57,58% of them used topical medicine. Keywords : Reccurent Aphthous Stomatitis, fixed orthodontic appliance.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Lovorka Grgurevic ◽  
Ruder Novak ◽  
Grgur Salai ◽  
Vladimir Trkulja ◽  
Lejla Ferhatovic Hamzic ◽  
...  

Abstract Background This study was conducted in order to explore the effects of orthodontic tooth movement (OTM) on the changes of salivary proteome. This prospective observational pilot study recruited 12 healthy teenage boys with malocclusion treated with a fixed orthodontic appliance and 6 appropriate control participants. Saliva samples were collected a day before and at 0, 2, 7, and 30 days after initialization of treatment, corresponding to the initial, lag, and post-lag phases of OTM. Pooled samples were analyzed by liquid chromatography-mass spectrometry, ELISA, and Western blotting. To date, there is no published data on the presence of BMP molecules or their antagonists in the saliva or in the gingival cervical fluid related to orthodontic conditions. Results A total of 198 identified saliva proteins were classified based on their functional characteristics. Proteins involved in bone remodeling were observed exclusively 30 days post appliance placement, including bone morphogenetic protein 4 (BMP4), a BMP antagonist BMP-binding endothelial regulator, insulin-like growth factor-binding protein 3, cytoskeleton-associated protein 4, and fibroblast growth factor 5. Based on the analysis of protein interactions, BMP4 was found to have a central position in this OTM-related protein network. Conclusions The placement of a fixed orthodontic appliance induced occurrence of proteins involved in bone remodeling in the saliva at a time corresponding to the post-lag period of OTM. Limitations of this study include a relatively small sample size, limited time of monitoring patients, and the lack of interindividual variability assessment.


2009 ◽  
Vol 20 (4) ◽  
pp. 336-340 ◽  
Author(s):  
Beatriz Silva Câmara Mattos ◽  
Andréa Alves de Sousa ◽  
Marina Helena C. G. de Magalhães ◽  
Marcia André ◽  
Reinaldo Brito e Dias

Patients using obturator prostheses often present denture-induced stomatitis. In order to detect the presence of oral Candida albicans in patients with oronasal communications and to evaluate the effectiveness of a topical antifungal treatment, cytological smears obtained from the buccal and palatal mucosa of 10 adult patients, and from the nasal acrylic surface of their obturator prostheses were examined. A therapeutic protocol comprising the use of oral nystatin (Mycostatin®) and prosthesis disinfection with sodium hypochlorite was prescribed for all patients. Seven patients were positive for C. albicans in the mucosa, with 1 negative result for the prosthetic surface in this group of patients. Post-treatment evaluation revealed the absence of C. albicans on prosthesis surface and on the oral mucosa of all patients. The severity of the candidal infection was significantly higher in the palatal mucosa than in the buccal mucosa, but similar in the palatal mucosa and prosthesis surface, indicating that the mucosa underlying the prosthesis is more susceptible to infection. The therapeutic protocol was effective in all cases, which emphasizes the need for denture disinfection in order to avoid reinfection of the mucosa.


2021 ◽  
Vol 5 ◽  
pp. 31-34
Author(s):  
Monica Ndudi Adekoya

This article presents a successful orthodontic management of a 12-year-old male using a fixed orthodontic appliance (straight wire technique). His orthodontic treatment was hinged on creating enough space to accept an artificial tooth, correcting the horizontal and vertical relationships of the upper incisors to the lower and the midline shift. Ultimately, an esthetic smile was achieved; function and self-esteem were improved when the artificial tooth was finally fixed.


2017 ◽  
Vol 56 (207) ◽  
pp. 362-366
Author(s):  
Dipshikha Bajracharya ◽  
Sujaya Gupta ◽  
Bidhata Ojha ◽  
Radha Baral

Introduction: Oral mucosa can be affected by a variety of soft tissue lesions and conditions. Benign as well as malignant lesions of oral cavity are common. Squamous cell carcinoma is one of the commonest malignancies. The present retrospective study was undertaken to study the prevalence of various oral mucosal lesions in a tertiary care dental hospital of Kathmandu. Methods: This retrospective study was carried out in the Department of Oral and Maxillofacial Pathology at Kantipur Dental College and Teaching hospital from January 2015 to January 2017. The study included biopsy specimen from the oral cavity. The parameters included in the study were age, gender, site of the lesion and histopathological diagnosis. The data collected was statistically analyzed. Results: A total of 111 biopsy cases were included in the present study. Out of which, there was 16 (14.4%) cases of non neoplastic and 16 (14.4%) cases of benign pathology. The oral cavity lesions were commonly seen in age range between 6-74 years where males 59 (53.2%) were mostly affected. The most common site for oral lesion was buccal mucosa 23 (20.7%) and anterior gingiva 23 (20.7%). 15 (13.5%) cases of oral squamous cell carcinoma were seen as the predominant malignancy affecting in the vestibular region 8 (7.2%). Conclusions: The present study shows benign as well as the non neoplastic lesions were more prevalent in oral mucosa with the buccal mucosa and anterior gingiva as the commonest site of occurrence. Keywords: Benign; Malignant; Non neoplastic; Oral mucosal lesion.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Reji Abraham ◽  
Geetha Kamath ◽  
Jasmeet Singh Sodhi ◽  
Sonia Sodhi ◽  
Chandki Rita ◽  
...  

Tongue thrusting and thumb sucking are the most commonly seen oral habits which act as the major etiological factors in the development of dental malocclusion. This case report describes a fixed habit correcting appliance,Hybrid Habit Correcting Appliance(HHCA), designed to eliminate these habits. This hybrid appliance is effective in less compliant patients and if desired can be used along with the fixed orthodontic appliance. Its components can act as mechanical restrainers and muscle retraining devices. It is also effective in cases with mild posterior crossbites.


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