RETROSPECTIVE EVALUATION OF THE QUALITY OF DENTAL ORTHOPEDIC TREATMENT ON THE BASIS OF STUDYING CASES

2018 ◽  
Vol 20 (9) ◽  
pp. 52-56
Author(s):  
S.N. Andreeva ◽  
Keyword(s):  
Retrospective Evaluation ◽  
Orthopedic Treatment

scholarly journals ANALYSIS OF PATIENTS’ EXAMINATION WITH UNSATISFACTORY ORTHOPEDIC TREATMENT RESULTS OF HARD TISSUES OF TEETH AND DENTAL ROWS OF NON-REMOVABLE DENTURES

2018 ◽  
pp. 38-43
Author(s):  
I.N. Yarina
Keyword(s):  
Dental Materials ◽  
Physiological Adaptation ◽  
Orthopedic Treatment ◽  
Dental Patients ◽  
Results Of Treatment ◽  
Prophylactic Measures ◽  
Short Period ◽  
Hard Tissues ◽  
Intermediate Part

Nowadays, the problem of prosthetic with non-removable orthopedic structures is quite common and is widely described in domestic and foreign literature. Prosthetics of non-removable structures of prosthetics has a number of advantages: complete rehabilitation of biting function, chewing efficiency, aesthetic norm of a smile. Invisible prosthesis designs, usually small in size, have a short period of psychological and physiological adaptation, which has a good reflection on their long-term use by the patient. The examination of dental patients in the clinic of orthopedic dentistry with unsatisfactory results of prosthetic dentures after 5 years with orthopedic treatment allowed to highlight the main indicators of inapplicability regarding the further use of dentures in terms of biocompatibility, mechanical strength and aesthetic properties. The main aim of the study was to improve the quality of patients’ treatment by identifying the causes of treatment complications by an orthopedist using the method of comparative analysis during the examination of patients with unsatisfactory results of dentures using permanent dentures. To identify the causes of complications of orthopedic treatment, a clinical examination of patients with unsatisfactory results of treatment with permanent constructions of dentures on a cast base was performed. The criteria for evaluation were the following indicators: bad breath, gums pain and bleeding, pain and mobility of the supporting teeth, pain under the intermediate part, metallic taste, pain in the blood vessel, darkening of the lining, chipping the lining, obscuring gums, excessive abrasion, and cleavage. From anamnesis and records in the history of the disease, the period of difficulty was determined. Our research results indicate that a significant part of ineffective treatment is due to the wrong choice of auxiliary and structural materials. Given that the choice of materials is performed arbitrarily, in almost half of cases, taking into account the wishes of patients and their financial capabilities, including the physical, mechanical and clinical and technological characteristics of dental materials, in our opinion, it is necessary to create a computer model of rational choice of material, therapeutic and prophylactic measures to improve the effectiveness of orthopedic treatment for patients with defects in hard tissues of teeth and dentition with non-removable structures. The complex of the following studies will allow the orthopedic dentist to continue improving the quality of patients’ treatment at the clinical stages of treatment with non-removable dentures.

scholarly journals Orthopedic treatment in cancer patients with maxillofacial pathology

2021 ◽  
Vol 2 (2) ◽  
pp. 22-33
Author(s):  
I. V. Pustovaya ◽  
M. A. Engibaryan ◽  
P. V. Svetitskiy ◽  
I. V. Aedinova ◽  
V. L. Volkova ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Soft Tissues ◽  
Malignant Tumors ◽  
Social Adaptation ◽  
Research Centre ◽  
Orthopedic Treatment ◽  
National Medical ◽  
Upper Jaw ◽  
The Aesthetic

Relevance. Staged orthopedic treatment was used to improve the quality of life of patients who underwent radical maxillofacial surgeries for cancer.Patients and methods. 197 patients receiving treatment for maxillofacial cancer were observed at the Department of head and neck tumors, National Medical Research Centre for Oncology of the Ministry of Health of Russia, in 1998- 2018. All patients underwent radical surgical treatment resulting in postoperative defects of the upper jaw, soft tissues of the zygomatic- buccal-orbital region, nose, or auricle.Results. Removable obturator prostheses with various supporting and retaining elements were made for 159 (80.7 %) patients. Individual facial prostheses were made for 38 (19.3 %) patients: 17 (44.7 %) – external orbital prostheses, 14 (36.8 %) – external nasal prostheses, 6 (15.8 %) – external zygomatic- buccal-orbital prostheses, 1 (2.7 %) – external auricle prosthesis. Combined prostheses were made for 4 patients– removable upper jaw obturator and nose prosthe[1]sis; removable upper jaw obturator and eye prosthesis. Combined prostheses were fixed to each other using magnets. The results of maxillofacial prosthetics were evaluated according to the aesthetic requirements of the patients and their quality of life. Maxillofacial prostheses allowed a complete restoration of chewing, swallowing, and speaking, restored facial deformation, and improved the appearance of patients.Conclusions. Timely and comprehensive orthopedic treatment of patients with postoperative maxillofacial defects after radical surgeries for malignant tumors takes the main place in the complex of rehabilitation measures. Early elimination of extensive defects is aimed at maximum restoration of oral dysfunctions and appearance preservation. The apparent advantages of maxillofacial prostheses involve improvement of social adaptation and the quality of life of patients, which promotes complete rehabilitation and a return to socially useful activities.

Transbrachial angiography: an effective and safe approach

VASA ◽  
2004 ◽  
Vol 33 (4) ◽  
pp. 231-234 ◽  
Author(s):  
Basche ◽  
Eger ◽  
Aschenbach
Keyword(s):  
Image Quality ◽  
Success Rate ◽  
Complication Rate ◽  
Low Risk ◽  
Retrospective Evaluation ◽  
Technical Success ◽  
Technical Success Rate ◽  
Transbrachial Approach ◽  
Safe Approach

Background: Description of the technique of the transbrachial catheter diagnostics, retrospective evaluation of the technical success rate and the complications. Patients and methods: In a period of 8 years the transbrachial approach was used in 2555 patients, 1734 men and 821 women with an average age of 62.9 years. The investigation was done with outpatients in approximately 90% of the cases. Usually, the preferred arm was not punctured. For the diagnostics F4 and F5-catheter sheaths and selective catheter and/or plain catheters were used. Results: 12 times (0.47%) the investigation did not succeed technically. The image quality of the vascular representations was diagnostically sufficient. The total complication rate amounted to 0.47%. The following complications appeared: four dissections in the site of puncture, one embolism into arteries at the forearm, three transitory ischemic attacks, four haematoma at the site of puncture. Conclusions: The transbrachial catheter diagnostics is a little invasive, efficient and low-risk method, which is practicable in out-patients.

scholarly journals Orthopedic Treatment for Class II Malocclusion with Functional Appliances and Its Effect on Upper Airways: A Systematic Review with Meta-Analysis

2020 ◽  
Vol 9 (12) ◽  
pp. 3806
Author(s):  
Darius Bidjan ◽  
Rahel Sallmann ◽  
Theodore Eliades ◽  
Spyridon N. Papageorgiou
Keyword(s):  
Systematic Review ◽  
Clinical Studies ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Orthopedic Treatment ◽  
Upper Airways ◽  
Quality Of Evidence ◽  
Functional Appliances ◽  
Airway Dimensions

Aim of this systematic review was to assess the effects of orthopedic treatment for Class II malocclusion with Functional Appliances (FAs) on the dimensions of the upper airways. Eight databases were searched up to October 2020 for randomized or nonrandomized clinical studies on FA treatment of Class II patients with untreated control groups. After duplicate study selection, data extraction, and risk of bias assessment according to Cochrane guidelines, random effects meta-analyses of mean differences (MDs) and their 95% confidence intervals (CIs) were performed, followed by subgroup/meta-regression analyses and assessment of the quality of evidence. A total of 20 nonrandomized clinical studies (4 prospective/16 retrospective) including 969 patients (47.9% male; mean age 10.9 years) were identified. Orthopedic treatment with FAs was associated with increased oropharynx volume (MD = 2356.14 mm3; 95% CI = 1276.36 to 3435.92 mm3; p < 0.001) compared to natural growth. Additionally, significant increases in nasopharynx volume, minimal constricted axial area of pharyngeal airway, and airway were seen, while removable FAs showed considerably greater effects than fixed FAs (p = 0.04). Finally, patient age and treatment duration had a significant influence in the effect of FAs on airways, as had baseline matching and sample size adequacy. Clinical evidence on orthopedic Class II treatment with FAs is associated with increased upper airway dimensions. However, the quality of evidence is very low due to methodological issues of existing studies, while the clinical relevance of increases in airway dimensions remains unclear.

Modern assessment methods of the effectiveness of chewing phases in orthopedic treatment (literature review)

2015 ◽  
Vol 9 (4) ◽  
pp. 0-0
Author(s):  
Васильева ◽  
T. Vasileva ◽  
Митин ◽  
N. Mitin ◽  
Гришин ◽  
...  
Keyword(s):  
Literature Review ◽  
Test Material ◽  
Comparative Characteristic ◽  
Dental Practice ◽  
Orthopedic Treatment ◽  
Occlusal Contact ◽  
Chewing Efficiency ◽  
Modern Methods ◽  
Further Development

In this literature review details the diversity of methods for determining the chewing efficiency, currently existing in the dental practice. Chewing is one of the main functions of the dental system, determine its condition. Chewing efficiency largely depends on the state of the entire dentition. Therefore, the quality of orthopedic treatment at different stages of permissible assessed using various methods for determining the efficiency of chewing. The article discusses in detail current methods of assessing the function of chewing phases of orthopedic treatment. A brief description of the nature of each method definition chewing efficiency, according to the classification is presented in the literature. A comparative characteristic of the positive and negative aspects of the known methods is carried out. The authors assess their labor intensity, sensitivity, availability and distribution, diversity and quality of the used test material. A special place is the consideration of modern methods, based on an assessment of the effectiveness of chewing area of occlusal contact with the various techniques of computerized data analysis. The authors do attempt to explore the possibilities of various systems of computerized analysis of occlusion for the assessment of chewing efficiency, taking into account the accuracy of individual features and occlusal relationship. They emphasize efficiency, high precision of the studied method and the need for further development of this direction in the dental practice.

scholarly journals A retrospective evaluation of the quality of malaria case management at twelve health facilities in four districts in Zambia

2014 ◽  
Vol 4 (6) ◽  
pp. 498-504 ◽  
Author(s):  
Pascalina Chanda-Kapata ◽  
Emmanuel Chanda ◽  
Freddie Masaninga ◽  
Annette Habluetzel ◽  
Felix Masiye ◽  
...  
Keyword(s):  
Case Management ◽  
Malaria Case ◽  
Health Facilities ◽  
Malaria Case Management ◽  
Retrospective Evaluation

scholarly journals CLINICAL, LABORATORY AND ECONOMIC JUSTIFICATION OF ORTHOPEDIC TREATMENT OF PATIENTS WITH A NEW DEVICE FOR RESTORING THE MISSING CLINICAL CROWN OF PREMOLARS

2020 ◽  
Vol 16 (1) ◽  
pp. 149-156
Author(s):  
Vladislav Matrosov
Keyword(s):  
Quality Of Life ◽  
Traditional Method ◽  
Clinical Laboratory ◽  
Economic Effect ◽  
Ceramic Coatings ◽  
Orthopedic Treatment ◽  
New Device ◽  
Economic Justification ◽  
Complete Destruction

Thing. A new substantiated method of orthopedic treatment of patients with complete destruction of the crown of the tooth is described, objective results of its use are given, and an economic analysis of its use is carried out in comparison with the traditional method of treatment of such patients. The goal is to create a device for restoring the missing clinical crown of premolars and its clinical, laboratory and economic justification. Methodology. During the study, orthopedic treatment of 20 patients with complete destruction of the crown of the tooth was carried out. A clinical assessment of the effectiveness of treatment using targeted radiography, occlusion and quality of life of patients was conducted using the OHIP-14 RU questionnaire. The compressive strength of ceramic coatings was studied for 10 samples of our device and 10 samples with a traditional ceramic-metal crown. The economic effect of our proposed method is analyzed in comparison with the traditional one. Results. 1 month after the treatment, a favorable outcome was observed in all patients on targeted radiographs; during occlusionography, 10 % of patients showed slight premature contacts in lateral occlusion, which were eliminated by selective grinding. 95 % of patients rated the quality of life as good, 5 % ― unsatisfactory. Safety margin of ceramic coating on samples of our device was 2.4 times higher than on samples of a traditional device. The economic efficiency of the traditional method in comparison with the one we proposed below has a ratio of 1:1.35, respectively. To restore one missing clinical tooth crown, the difference in cost between these methods is 21.2 %, or 1536 rubles. Conclusions. The results of the study allow us to recommend our proposed device for active use in practical dentistry in the treatment of patients with complete destruction of the clinical crown of premolars.

scholarly journals Psychological characteristics of patients with missing teeth at initial contact and after orthopedic treatment

2014 ◽  
Vol 95 (1) ◽  
pp. 128-130
Author(s):  
V Yu Kruchinin
Keyword(s):  
Dental Treatment ◽  
Psychological Characteristics ◽  
Control Group ◽  
Initial Contact ◽  
Missing Teeth ◽  
Orthopedic Treatment ◽  
Dental Procedures ◽  
Psychoemotional State ◽  
Dental Diseases

Aim. To study the influence of dental diseases and results of their treatment on patient’s psychological profile. Methods. 40 patients with hard teeth tissues and dentition defects at the esthetic zone aged from 30 to 57 years were included in the study. Control group consisted of 25 people not requiring dental treatment. A new method of determining patient’s psychological subtype, offered by A. Anuashvili and based on computer analysis of the patient’s photographs, allowing totally avoid the subjectivity of a diagnosis. Results. Analysis of emotional stress level in patients before the dental procedures showed that it was significantly higher in males compared to females (73.6±0.86 vs 57.9±0.93% respectively, р 0,01). It was also found that 60% of all patients had unstable aspects of psychological subtype regardless of gender. In the control group, only minor changes of psychoemotional state between two examinations were registered, allowing to conclude that psychoemotional state without strong stimuli is quite stable. The use of the video-computed psychoanalysis method can help a dentist to assess the patient’s psychoemotional status when patient is seeking for dental aid, and to communicate better considering the patient’s psychological subtype, as well as to control psychoemotional state during and after the treatment. Conclusion. Missing teeth not only impair chewing, but also deteriorate patient’s psychoemotional state, leading to worse quality of life.

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