The multidisciplinary approach of a patient with Sjögrenś Syndrome in the dental office - case report

AbstractIntroduction: Oral rehabilitation is based on establishing a correct diagnosis and designing a plan to give appropriate treatment to each clinical case. Patients’ aesthetic requirements show an increasing trend in current practice. Sjögren’s syndrome and obesity can have a negative impact on a person’s quality of life, and it is therefore imperative to identify and reduce these significant barriers to paving the way for better oral health and the overall well-being of the individual. Hypertension NYHA II type patients may present oral manifestations like ageusia, burning sensation, xerostomia, lichenoid reactions or gingival hyperplasia. Case presentation: This time, at our clinic, a 71-year-old man requested a complex oral rehabilitation. He presented partial edentulism at both arches. We are talking about a non-smoking patient, with chronical medication treatment for the mentioned pathology. Conclusions: A well-controlled hypertensive patient is not a risk in clinical practice. When choosing an implant based therapy, the old age of the patient can be considered a negative factor for successful results, but it is not a strict contraindication. This case report shows the most suitable treatment solution, regarding all the advantages and disadvantages of other treatment options, represented by implant supported fixed prosthetic restaurations.

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Oral rehabilitation in pediatric dentistry: a clinical case report

RGO - Revista Gaúcha de Odontologia ◽

10.1590/1981-863720160001000131064 ◽

2016 ◽

Vol 64 (1) ◽

pp. 87-92

Author(s):

Natalino LOURENÇO NETO ◽

Cristiane Almeida Baldini CARDOSO ◽

Ruy César Camargo ABDO ◽

Salete Moura Bonifácio da SILVA

Keyword(s):

Case Report ◽

Behavior Management ◽

Dental Treatment ◽

Treatment Options ◽

Young Patients ◽

Well Being ◽

Clinical Situation ◽

Pediatric Dentistry ◽

Oral Rehabilitation ◽

Dental Practitioners

ABSTRACT Despite the emphasis and effort devoted to preventive dentistry, massive coronal destruction caused by dental caries or trauma is still seen in pediatric dentistry practice today. The technical difficulties related to dental treatment are compounded by problems related to the behavior of young patients in these circumstances, which brings the need for a broader understanding of behavior management techniques and certain skills in dealing with patients by dental practitioners, aimed at ensuring the well-being of both patient and dentist during treatment. This case report presents and discusses the scientific rationale for the treatment options adopted, considering the techniques and materials already established for aesthetic rehabilitation of adult patients (such as resins, glass-fiber posts, and glass ionomers), and now employed and adapted for pediatric dental care, that would best suit the clinical situation described. At the end of treatment, the patient achieved full rehabilitation and a restored smile, through the use of modern techniques and materials, while the dental practitioner gained a better understanding of the optimal treatment possibilities and strategies for similar cases.

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Atrophic jaw fracture and predictability in oral rehabilitation: case report

Brazilian Dental Science ◽

10.14295/bds.2020.v23i3.1922 ◽

2020 ◽

Vol 23 (3) ◽

Author(s):

João Pedro Miola Siqueira de Oliveira ◽

Paola Fernanda Cotait de Lucas Corso ◽

Gilson Cristiano De Oliveira ◽

Rafaela Scariot ◽

Davani Latarullo Costa

Keyword(s):

Case Report ◽

Dental Implants ◽

Correct Diagnosis ◽

Functional Results ◽

Normal Function ◽

Oral Rehabilitation ◽

Osseointegrated Implants ◽

Fixation Techniques ◽

Mandibular Body ◽

Jaw Fractures

Introduction: The treatment of atrophic jaw fractures requires extensive knowledge by the maxillofacial surgeon. The correct diagnosis and planning optimize the possibility of oral rehabilitation towards many possible alternatives. The difficulty in repairing these fractures makes the treatment complex, in which normally invasive techniques are used. However; which give us satisfactory and predictable aesthetic-functional results. Objective: The objective of this work is to report an atrophic jaw fracture and posterior dental implants rehabilitation. Case report: A 53 years old female patient, victim of in face aggression referred to the emergency care. At the clinical examination, the patient had laceration in the upper lip region and the left side of the mandibular area, with bilateral mobility and paresis. In the oral examination, total lower and partial upper edentulism. After tomographic evaluation, a bilateral fracture of the mandibular body was confirmed, with significant bone fragments uneven. Surgery was performed with total transcervical access and use of reconstruction plate. After 90 days of follow-up, the oral rehabilitation with osseointegrated implants was performed. Conclusion: Complex atrophic mandible fractures in total edentulous patients can be treated with open reduction and stable fixation, allowing a faster return to normal function, improve of quality of life and assists in increasing safety for implant installation.KeywordsEdentulous jaw; Jaw fixation techniques; Dental implants.

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Pseudoaneurysm after an ultrasound-guided breast core needle biopsy in a lactating woman

Journal of Radiology Case Reports ◽

10.3941/jrcr.v15i10.4223 ◽

2021 ◽

Vol 15 (10) ◽

pp. 10-19

Author(s):

Juliana Pessoa de Souza Chamadoira ◽

Camila De Carvalho Figueiredo ◽

Giovana Ortiz D'Ãvila ◽

Ana Paula De Carvalho Miranda Rosati Rocha ◽

Érica Endo

Keyword(s):

Case Report ◽

Core Needle Biopsy ◽

Needle Biopsy ◽

Color Doppler ◽

Treatment Options ◽

Correct Diagnosis ◽

Imaging Modalities ◽

Ultrasound Guided ◽

Core Needle ◽

Best Management

This is a case report of a lactating woman in her twenties diagnosed with a breast pseudoaneurysm following a 14-gauge ultrasound-guided core needle biopsy detected by a Color Doppler exam, and treated with surgery. Further discussion concerning the patient's symptoms, useful imaging modalities, and treatment options are included. Knowledge on this complication is crucial for the correct diagnosis and best management and treatment.

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Decision Making Capacity or How to Accept Patient’s Refusal for Orthodontic Treatment

Journal of Medical Research and Surgery ◽

10.52916/jmrs214054 ◽

2021 ◽

Vol 2 (4) ◽

pp. 1-5

Author(s):

Yulia Bogdanova Peeva

Keyword(s):

Decision Making ◽

Case Report ◽

Orthodontic Treatment ◽

Treatment Options ◽

Healthcare Providers ◽

Treatment Protocol ◽

Class Iii ◽

Decision Making Capacity ◽

Sharing Responsibility ◽

The Individual

Introduction: Communication in dentistry is bilateral process which usually is based on response (understanding) by the person. That’s why the Oral Healthcare Providers (OHP) should be convinced the consent given by the patient is valid. It means that at the beginning of the treatment the orthodontist will ask a lot of questions and have expectations to receive appropriate answers. There is a specific lack of awareness about the first orthodontic consultation at 7y of age, occurrence and prevention of most of the common tooth jaw discrepancies which affect the oral health, self-confidence and overall development of the child. A variety of socio-demographic, educational, personal and other factors mostly divided into objective and subjective factors influences the perception of facial attractiveness. The orthodontic treatment lays down on the personal desire and attitudes, depends from the motivation but is not without a risk for the patient. The aim of the current research is to present the most objective and subjective factors identifying the patient’s refusal. Material and methods: It’s a case report based on preliminary discussion and orthodontic consultation over the cephalometric analysis and cast models. Orthodontic treatment protocol was followed and given informed consent by the individual was received. Results and discussions: An electronic search was conducted using the Medline database (PubMed), Science Direct, and Scopus. In this case report were described the treatment options for Class III malocclusion with an emphasis on maxillary protraction and existing impacted canine 13. The decision making capacity was evaluated and also what are the objective and subjective factors and how to proceed with patient refusal. Conclusions: Despite the orthodontist’s efforts to improve the management of the dental practice and to attract new patients, these challenges should never been from the first importance. Contemporary dentistry requires that the patient’s right to refuse should be respected and this refusal must be accepted. Because orthodontic treatment is expensive, the process of returning money or sharing responsibility for the treatment depend on the socio-cultural characteristics of both the patient and the doctor. The whole situation requires a very delicate approach, as it affects the image of the dental community in society at whole.

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Neuromyelitis optica spectrum disorder

Neurology Neuroimmunology & Neuroinflammation ◽

10.1212/nxi.0000000000000580 ◽

2019 ◽

Vol 6 (4) ◽

pp. e580 ◽

Cited By ~ 25

Author(s):

Janine Beekman ◽

Aysha Keisler ◽

Omar Pedraza ◽

Masayuki Haramura ◽

Athos Gianella-Borradori ◽

...

Keyword(s):

Physical Health ◽

Negative Impact ◽

Emotional Health ◽

Short Form ◽

Financial Burden ◽

Treatment Options ◽

Well Being ◽

Psychological Resilience ◽

Sf 36 ◽

Negative Impacts

ObjectiveTo gain insights into NMOSD disease impact, which may negatively affect QoL of patients, their families, and social network.MethodsThe current study used validated instruments to assess physical, emotional, and socioeconomic burden of NMOSD on QoL among 193 patients.ResultsA majority of patients reported an initial diagnosis of a disease other than NMOSD. Overall, two-thirds of patients reported NMOSD as having a strong negative impact on physical health (Short Form-36 [SF-36] score 27.1 ± 39.1), whereas emotional well-being was relatively unimpaired on average (SF-36 score 54.0 ± 44.9). A subset of patients reported having the highest category of emotional health despite worse physical health or financial burden, suggesting psychological resilience. Pain (r = 0.61) and bowel/bladder dysfunction (r = 0.41) imposed the greatest negative physical impact on overall QoL. In turn, ability to work correlated inversely with worsened health (r = −0.68). Increased pain, reduced sexual function, inability to work, and reduced QoL had greatest negative impacts on emotional well-being. Dissatisfaction with treatment options and economic burden correlated inversely with QoL.ConclusionsCollectively, the current findings advance the understanding of physical, emotional, social, and financial tolls imposed by NMOSD. These insights offer potential ways to enhance QoL by managing pain, enhancing family and social networks, and facilitating active employment.

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How Do the Romanian Students Consider the Research Competencies Appropriate for Their Future Career?

Revista Romaneasca pentru Educatie Multidimensionala ◽

10.18662/rrem/13.4/476 ◽

2021 ◽

Vol 13 (4) ◽

pp. 162-179

Author(s):

Roxana Constanţa Enache ◽

Gabriel Gorghiu ◽

Laura Monica Gorghiu ◽

Ana-Maria Aurelia Petrescu ◽

Camelia Stăiculescu

Keyword(s):

Negative Impact ◽

Well Being ◽

Professional Activity ◽

Educational Practices ◽

Research Activity ◽

Continuous Training ◽

Research And Innovation ◽

Research Activities ◽

Research Competencies ◽

The Individual

Students’ research competencies are seen today, for any specialist, as necessary, both in terms of their use in academic training but also for the future careers. The analysis of educational practices in various education systems shows that the development of those skills starts sooner or later along the educational paths. We consider that research competencies are necessary in more and more diverse contexts, together with the development of educational practices that should develop the research competences in the initial and continuous training processes. This study aims to capture the correlation between the perceptions of Romanian students concerning the need to develop research competencies, and the extent to which they are effectively formed in actual higher education programs. The steps made for the development of each career, but also the successful completion of the university studies imply the development and practice of research competencies. The research aims to identify how students from several Romanian universities perceive the need to gather research competencies, what is the meaning of those skills, in what situations are used, but also what barriers are encountered in the research activity. Seeking to minimize any negative impact of research on the well-being status, we believe that a key factor in facilitating well-being is related to responsible research and innovation. Another important aspect of this research is offered by the identification of the respondents’ perceptions considering the importance of research in the students’ future professional activity, which could implicitly determine the interest in ensuring the individual and organizational well-being. For the present research, we aim to find a correlation of research competencies with the well-being status, to identify the necessary research competencies among the objectives of training, to determine the structural elements of research competencies, to identify situations / contexts in which such skills may be useful, to identify aspects that alters the well-being status in research activities, as well as solutions for promoting the well-being status in research activities.

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Clinician-Patient Dialogue About Preventive Chronic Migraine Treatment

Journal of Primary Care & Community Health ◽

10.1177/2150132720959935 ◽

2020 ◽

Vol 11 ◽

pp. 215013272095993

Author(s):

Andrew M. Blumenfeld

Keyword(s):

Chronic Migraine ◽

Treatment Approach ◽

Treatment Options ◽

Correct Diagnosis ◽

Severe Form ◽

Migraine Treatment ◽

Appropriate Treatment ◽

The Individual ◽

Practical Recommendations

Many new medications for the treatment of migraine are now available on the market. In the current evolving migraine treatment landscape, an individualized treatment approach is needed. This review provides practical recommendations on how to obtain a correct diagnosis and then engage in a long-term partnership with patients with the most severe form of migraine: chronic migraine (CM). Given the need to effectively treat this complex neurological disease, clinicians in primary care, general neurologists, and headache specialists are at the forefront to ease the burden of this disease for their patients. This manuscript will review how to discuss the currently available treatment options to help control migraine attacks, manage expectations, and, together with the patient, determine the most effective and appropriate treatment. The goal is to create an environment where the clinician partners with the patient in shared decision-making to choose the most effective appropriate treatment for the individual patient.

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Psychosocial and Mental Health Problems of Older People in Postearthquake Nepal

Journal of Aging and Health ◽

10.1177/0898264317702056 ◽

2017 ◽

Vol 30 (6) ◽

pp. 945-964 ◽

Cited By ~ 1

Author(s):

Ramesh P. Adhikari ◽

Nawaraj Upadhaya ◽

Sasmita Paudel ◽

Ruja Pokhrel ◽

Nagendra Bhandari ◽

...

Keyword(s):

Mental Health ◽

Older People ◽

Qualitative Methodology ◽

Mental Health Problems ◽

Health Workers ◽

Negative Impact ◽

Treatment Options ◽

Well Being ◽

Health Problems ◽

Mental Health Programs

Objective: To identify community perceptions on psychosocial and mental health problems of older people in postearthquake situation in Nepal. Method: A qualitative methodology was adopted to explore the experience and opinions of older people, social workers, school teachers, health workers, and nongovernmental organization workers on the psychosocial and mental health problems of older people in Nepal, using key informant interviews. Results: Major local vocabulary for older peoples’ psychosocial and mental health problems were “bichalan” (variation in mood and feeling), “ekohoro” (becoming single minded), “athmabiswasko kami” (low self-esteem), and “bina karan rune” (crying without any reason). The major causes attributed to older people’s problems were physical injury, disability, family conflict, and economic problems. Forgetfulness, tiredness, loss of concentration, restlessness, and isolation were observed in older people since the 2015 earthquake. Discussion: The findings suggest that earthquake had negative impact on older people’s psychosocial well-being; however, little support or treatment options have been made available to these individuals. The tailor-made community-based psychosocial and mental health programs for older people are needed.

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A CASE REPORT ON OPEN PORES

November 2020 - International Ayurvedic Medical Journal ◽

10.46607/iamj4309122021 ◽

2021 ◽

Vol 9 (12) ◽

pp. 3183-3186

Author(s):

Nabeela Sultan ◽

Shagufta Aleem

Keyword(s):

Quality Of Life ◽

Case Report ◽

Negative Impact ◽

Acne Vulgaris ◽

Treatment Options ◽

Facial Skin ◽

Common Condition ◽

Radiofrequency Therapy ◽

Points Of View

Enlarged pores of facial skin always remain a matter of concern from both dermatologic and cosmetologic points of view. There were many conditions that are difficult to treat in which facial pores enlarge among them most common condition is acne vulgaris. This condition put a negative impact on a person’s quality of life and as well as also socially devastating for many individuals as it affects the physical appearance of a person. Although enlarged pores are not of medical concern it is considered as a more cosmetic con- cern. There are many available possible treatment options for enlarged pores but this case report is based on clinical evaluation of radiofrequency therapy in treating enlarged skin pores. In this report, three ses- sions of therapy every week for 3 weeks were applied. The results show a gradual decrease in the size of pores with almost clear skin. Keywords: acne vulgaris, enlarged pores, facial pores, radiofrequency

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Sex/Gender Psychological Differences in the Adult Diabetic Patient and How a Child’s Response to Chronic Disease Varies with Age and Can Be Influenced by Technology

Diabetology ◽

10.3390/diabetology2040019 ◽

2021 ◽

Vol 2 (4) ◽

pp. 215-225

Author(s):

Maria Antonietta Taras ◽

Alessandra Pellegrini

Keyword(s):

Chronic Diseases ◽

Social Acceptance ◽

Negative Impact ◽

Glucose Monitoring ◽

Well Being ◽

Complete Healing ◽

Diabetic Patients ◽

Chronic Patients ◽

Use Of Technology ◽

The Individual

Chronic diseases have a negative impact on quality of life and perceived well-being. Depression tends to be more frequent in people with chronic diseases than the general population, and, for example, in diabetes, it has an incidence of two to three times higher and often remains under-diagnosed. The inability to control and predict the course of the disease exposes chronic patients to mood fluctuations which are often difficult to manage, also in virtue of the fact that in any chronic pathology a stabilization aimed at attenuating the symptoms or slowing the course is pursued, but it cannot tend to achieve complete healing. This fact of incurability for many subjects means the loss of control over their own body, in which the social and family role is also perceived as compromised and the experienced distress can result in the appearance of underlying disorders, both psychological or psychiatric. In this area, there is currently a great deal of focus on sex/gender differences. The aim of this article is to highlight these differences with regard to the emotional aspects that most affect the management of diabetic pathology. In this paper, we will underline a particularly underestimated eating disorder: diabulimia, then that the perception of itself is not only related to the sex assigned at birth, but also to the gender that is acquired during life, and we will also analyze the three phases related to the acquisition of gender identity during the evolutionary period. Finally, we will talk about the use of technology in diabetic patients (insulin pumps, continuous glucose monitoring variably integrated into each other) that might generate a series of psychological–behavioral reactions related to the integration between technology and body image and the experience of social acceptance of the individual, particularly in the evolution age.

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