scholarly journals Rehabilitation of mutilated dentition associated with amelogenesis imperfecta

2021 ◽  
Vol 4 (1) ◽  
pp. 41-47
Author(s):  
A Bajracharya ◽  
SL Karn ◽  
A Shrestha
Keyword(s):  
Clinical Case ◽  
Psychological Impact ◽  
Young Male ◽  
Amelogenesis Imperfecta ◽  
Oral Rehabilitation ◽  
Sequential Approach ◽  
Perceived Quality Of Life ◽  
Brown Discoloration ◽  
Mutilated Dentition

This clinical case report describes the oral rehabilitation of a young male with hypoplastic Amelogenesis Imperfecta with generalized hypoplastic and pitted teeth. All the teeth showed yellowish brown discoloration with rough irregular crowns. Patient was a young male who dissatisfied with his appearance and his condition degraded his confidence and psychology. Numerous treatment modalitieshave been described for rehabilitation of AI patient but the limitations in the treatment exists and the application of techniques are not universal The main objective of this selected treatment was to enhance the esthetics, restore masticatory function and eliminate the teeth sensitivity. These treatment objectives were successfully met by sequential approach. Treatment not only restored function andesthetic, but also showed a positive psychological impact and thereby improved perceived quality of life.

scholarly journals “Isolated” Amelogenesis Imperfecta Associated with DLX3 Mutation: A Clinical Case

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Anne-Laure Bonnet ◽  
Kevin Sceosole ◽  
Arabelle Vanderzwalm ◽  
Caroline Silve ◽  
Anne-Margaux Collignon ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Case ◽  
Wide Spectrum ◽  
Gene Mutations ◽  
Amelogenesis Imperfecta ◽  
Structural Alterations ◽  
Color Changes ◽  
The Family ◽  
Daily Pain

Amelogenesis imperfecta (AI) represents rare tooth anomalies that affect the quality and/or quantity of the enamel. Clinical phenotypes display a wide spectrum, ranging from mild color changes to severe structural alterations with daily pain. However, all affect the quality of life because of mechanical, psychological, esthetic, and/or social repercussions. Several gene mutations have been linked to AI as a nonsyndromic (isolated) phenotype or a wider syndrome. This case report aimed to present a family with dental structure anomalies followed up in the dental department of the Louis Mourier Hospital (APHP, France) for their extremely poor dental condition. The proband and his mother were clinically diagnosed with AI, and genetic analysis revealed an already described variant in DLX3. Then, the family was further examined for tricho-dento-osseous syndrome. This report illustrates the challenge of diagnosing dental structure anomalies, specifically AI, in adults and highlights the need for an accurate and accessible molecular diagnosis for those anomalies to discriminate between isolated and syndromic pathologies.

scholarly journals ORAL REHABILITATION BY TWIN STAGE TECHNIQUE IN A CASE OF AMELOGENESIS IMPERFECTA

2020 ◽  
Author(s):  
NIRMALYA CHATTERJEE ◽  
AMRITA GHOSH
Keyword(s):  
Tooth Enamel ◽  
Treatment Plan ◽  
Psychological Impact ◽  
Amelogenesis Imperfecta ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Stomatognathic System ◽  
Utmost Care ◽  
Systemic Manifestations ◽  
Occlusal Interferences

Amelogenesis Imperfecta (AI) is a diverse collection of inherited diseases that exhibit quantitative or qualitative tooth enamel defects in the absence of systemic manifestations. It is necessary to diagnose the case and provide durable functional and aesthetic management of these patients, as the unaesthetic appearance has a definite negative psychological impact. This clinical report describes the use of the Hobo twin-stage procedure for rehabilitation of a patient with amelogenesis imperfecta and reduced vertical dimension of occlusion. The treatment plan was executed keeping in mind not only the severely damaged dentition but also treating the whole stomatognathic system. Utmost care was taken to achieve harmonious occlusion with no possible occlusal interferences which would otherwise initiate the habit of bruxism and thereby cause wear of the prosthesis. KEY WORDS : Amelogenesis Imperfecta , Hobo twin-stage procedure , harmonious occlusion .

scholarly journals Aesthetic and Functional Rehabilitation of the Primary Dentition Affected by Amelogenesis Imperfecta

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Maria Carolina Salomé Marquezin ◽  
Bruna Raquel Zancopé ◽  
Larissa Ferreira Pacheco ◽  
Maria Beatriz Duarte Gavião ◽  
Fernanda Miori Pascon
Keyword(s):  
Stainless Steel ◽  
Psychosocial Development ◽  
Psychological Impact ◽  
Pediatric Dentistry ◽  
Primary Dentition ◽  
Amelogenesis Imperfecta ◽  
Mixed Dentition ◽  
Functional Rehabilitation ◽  
Oral Rehabilitation ◽  
Enamel Structure

The objective of this case report was to describe the oral rehabilitation of a five-year-old boy patient diagnosed with amelogenesis imperfecta (AI) in the primary dentition. AI is a group of hereditary disorders that affects the enamel structure. The patient was brought to the dental clinic complaining of tooth hypersensitivity during meals. The medical history and clinical examination were used to arrive at the diagnosis of AI. The treatment was oral rehabilitation of the primary molars with stainless steel crowns and resin-filled celluloid forms. The main objectives of the selected treatment were to enhance the esthetics, restore masticatory function, and eliminate the teeth sensitivity. The child was monitored in the pediatric dentistry clinic at four-month intervals until the mixed dentition stage. Treatment not only restored function and esthetic, but also showed a positive psychological impact and thereby improved perceived quality of life. The preventive, psychological, and curative measures of a young child with AI were successful. This result can encourage the clinicians to seek a cost-effective technique such as stainless steel crowns, and resin-filled celluloid forms to reestablish the oral functions and improve the child’s psychosocial development.

scholarly journals Oral rehabilitation of a patient with hidrotic ectodermal dysplasia (Clouston syndrome)

2021 ◽  
Vol 9 (1) ◽  
pp. 95-106
Author(s):  
Roman A. Rozov ◽  
Vladimir N. Trezubov ◽  
Aleksandr B. Gerasimov ◽  
Leonid M. Emdin
Keyword(s):  
Quality Of Life ◽  
Clinical Case ◽  
Ectodermal Dysplasia ◽  
Social Activity ◽  
Social Adaptation ◽  
Zirconia Ceramic ◽  
High Quality ◽  
Oral Rehabilitation ◽  
One Year

BACKGROUND: Ectodermal dysplasia is a rare genetic condition affecting the development and homeostasis of two or more ectodermal structures, including hairs, teeth, nails, and some glandular organs. The prevalence is 1.621.9 per 100000. The teeth are affected in 79% of cases. Patients with ectodermal dysplasia have a low level of quality of life affected by unemployment, utilization of removable dentures, and a constant dry mouth condition. The main rehabilitation method of the masticatory-phonic elements for the patient with ectodermal dysplasia is conventional removable prosthodontics. The main treatment objective for these patients is to restore the missing elements of the masticatory-phonic apparatus for normalizing mastication, speech, deglutition, and creating optimal aesthetics. This approach can lead to restoring social activity by the increase of a patients quality of life. A clinical case report of patient M., 20 years old, is presented in this article. Treatment was completed one year ago. CLINICAL CASE: The rehabilitation strategy included producing screw-retained full ceramic opposing prostheses supported by six implants in the upper and lower jaws. DISCUSSION: The choice restoration method of the masticatory-phonic elements for patients with ectodermal dysplasia is prosthodontic treatment with the fabrication of ordinary removable dentures. Early attempts of implant treatment of patients with such conditions led to a low percentage of implant survival. In most works dedicated to treating patients with ectodermal dysplasia, the fabrication of implants supported by a metal resin hybrid prosthesis with acrylic teeth sets is the final rehabilitation. We decided to produce an implant supported by a zirconia ceramic prosthesis with partial layering for patient M. It was feasible because, first of all, his growth was finished, and also this decision gives us the possibility to fabricate a high quality implant supported by a prosthesis enabling optimum function with an unlimited service period. After finishing treatment, 100% of implants and prostheses last one year. CONCLUSION: It is necessary to engage all available clinic diagnostic, planning, therapeutic, and preventive resources to achieve a high aesthetic and functional result of the dental rehabilitation of patients with ectodermal dysplasia. Implementing implant supported prosthetic rehabilitation of such patients after reaching 17 years of age has to be the treatment of choice that could help achieve stable and reliable results. It might also foster social adaptation that would enable high quality of life.

scholarly journals Oral rehabilitation of microstomia

2021 ◽  
Vol 6 (2) ◽  
pp. 136-141
Author(s):  
L. N. Smerdina ◽  
E. A. Tyo ◽  
Yu. G. Smerdina
Keyword(s):  
Quality Of Life ◽  
Oral Mucosa ◽  
Clinical Case ◽  
Mouth Opening ◽  
Facial Aesthetics ◽  
Oral Rehabilitation ◽  
Upper Jaw

Here we present a clinical case of microstomia with the focus on the oral rehabilitation of the patient. Microstomia, an abnormal contracture of the mouth, occurred in this case as a result of alveolar resection due to cancer, and scarring impeded mouth opening. The patient needed a partial removable laminar denture for the upper jaw. Prosthetics became possible upon normalization of oral mucosa. We describe the imprint preparation features in conditions of lacking right alveolar appendix and crossover fold after surgery. The formation of the wax board in combination with molding allowed demarcation of denture border. The laminar denture successfully replaced jaw and teeth defects, restored proper mastication, improved mouth moistening and speech, as well as facial aesthetics and quality of life. 

Covid-19 Pandemic And Sustainabilitystudy At Madrasah Ibtidaiyyahpsm Sulursewu, Teguhan, Ngawi, East Java

2020 ◽  
Vol 1 (02) ◽  
pp. 103-114
Author(s):  
Moh. Toriqul Chaer ◽  
Muhammad Atabiqul As'ad ◽  
Qusnul Khorimah ◽  
Erik Sujarwanto
Keyword(s):  
Online Learning ◽  
Learning Strategies ◽  
Psychological Impact ◽  
Educational Institutions ◽  
Participatory Action ◽  
Social Phenomena ◽  
Learning Programs ◽  
Teachers And Students ◽  
The Government

The continuity of learning programs during the COVID-19 pandemic found educational institutions, especially Madrasah Ibtidaiyyah (MI) temporarily closed the learning process in schools. To prevent the spread of COVID-19 that is currently engulfing Indonesia. Lack of preparation, readiness and learning strategies have a psychological impact on teachers and students. Declining quality of skills, lack of supporting facilities and infrastructure. Learning from home (online) is an effort by the government program to ensure the continuity of learning in the pandemic period. The research method uses participatory action research (PAR), which focuses on understanding social phenomena that occur in the community and mentoring efforts on the problems faced. The assistance effort is to help the children of MI Sulursewu, Ngawi in participating in online learning related to; 1). Preparation of activities, 2). Counselling participants offline method, 3). Offline activities method. Results of the study show that the mentoring activities following the target of achievement; first, the activity can be carried out following the schedule that has been set. Second, students are always on time for the online learning hours that have been set. Offline methods show that efforts can help ease the burden on parents, but can also make it easier for students to receive subject matter.  

Patient satisfaction and comfort after a full-arch immediate loaded prosthesis

2020 ◽  
Author(s):  
Elena Dellepiane ◽  
Francesco Pera ◽  
Paola Zunino ◽  
Maria Grazia Mugno ◽  
Paolo Pesce ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Intermediate Phase ◽  
Critical Issue ◽  
Health Impact ◽  
Immediate Loading ◽  
Oral Rehabilitation ◽  
Masticatory Ability ◽  
Chewing Ability

The aim of this study was to assess oral health related quality of life (OHRQoL) of patients before, during and after completion of implant-supported full-arch immediate loading rehabilitation according to the Columbus Bridge Protocol (CBP). 25 patients with compromised dentition were rehabilitated according to the CBP and were assessed for OHRQoL using 4 questionnaires specifically realized for this study and inspired to the OHIP (Oral Health Impact Profile) questionnaire. Patients assessed themselves before surgery, during the healing period (1 week and 2 months after surgery) and after definitive prosthodontic treatment (4 months after surgery). The questionnaires specifically investigated patients’ pain, confort, home oral hygiene habits, satisfaction related to esthetics, masticatory ability, phonetics and general satisfaction toward the treatment.Patients reported an improvement of OHRQoL after full-arch immediate loading rehabilitation. A statistically significant improvement in aesthetic and chewing ability was found. After 4 months 92% of the patients did not feel tense with their smile, 96% did not show problems to relate with other people or smiling, 92% did not show difficulty to eat some foods. Phonetics was found to be a critical issue, especially in the intermediate phase of healing. One week after surgery the percentage of patients who was very satisfied with phonetics slightly decreased from 48% to 36%. The assessment of patients' OHRQoL related to full-arch immediate loading implant therapy exhibited a significant improvement of their quality of life. The questionnaires herein presented could be an effective tool to evaluate patients' reaction to oral rehabilitation.

Clinical case of a comorbid patient with arterial hypertension

2020 ◽  
pp. 31-39
Author(s):  
Ella Polozova ◽  
Vsevolod Skvortsov ◽  
Olga Radaykina ◽  
Mariya Narvatkina ◽  
Anastasiya Seskina ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Arterial Hypertension ◽  
Clinical Picture ◽  
Clinical Case ◽  
Diagnosis And Treatment ◽  
The Moment

The widespread prevalence of comorbid pathology determines the relevance of this problem. Comorbid pathology due to the interaction of diseases, drug pathomorphism, age characteristics of the patient, significantly changes clinical picture and course of the main nosology, affects severity of complications and their nature, significantly affects quality of life and prognosis of patients. Diagnosis and treatment of many diseases is complicated in the conditions of comorbidity. The article presents a clinical case of a comorbid patient with arterial hypertension from the moment of exposure to risk factors and ending with the formation of many concomitant diseases, as an example of trans-nosological comorbidity.

ДОЛГОСРОЧНАЯ ПРОФИЛАКТИКА АНГИООТЕКОВ У ПАЦИЕНТОВ С НАО

2019 ◽  
pp. 75-83
Author(s):  
T.V. Latysheva ◽  
E.A. Latysheva ◽  
I.A. Manto
Keyword(s):  
Depressive Disorders ◽  
Daily Life ◽  
Social Activity ◽  
Psychological Impact ◽  
Therapeutic Strategies ◽  
Risk Of Death ◽  
Career Opportunities ◽  
Acute Attacks ◽  
Life Career

Наследственный ангиоотек (НАО) с дефицитом С1ингибитора (С1ИНГ) представляет собой редкое заболевание, которое оказывает сильное воздействие на жизнь пациентов как физически, так и эмоционально. Непредсказуемость атак влияет на повседневную жизнь, выбор профессии, социальную активность. Кроме того, страх перед развитием отека, а также связанными с ним болью и риском смерти приводит к депрессивным расстройствам, характерным для хронических, в особенности жизнеугрожающих заболеваний. Появление современных патогенетических препаратов способно минимизировать влияние НАО и улучшить качество жизни больных. В основе терапии НАО лежат долгосрочная профилактика, краткосрочная профилактика и купирование острых атак. В данной статье речь пойдет о долгосрочной профилактике.Hereditary angioedema (HAE) due to of C1inhibitor deficiency is a rare disease, which causes a strong physical and psychological impact on patients lives. HAE affects daily life, career opportunities, and social activity. In addition, fear of the edema development, as well as the associated with it pain and risk of death leads to depressive disorders specific for chronic (especially lifethreatening) diseases. The emergence of modern pathogenetic drugs can minimize the effect of HAE and improve the patients quality of life. There are three different therapeutic strategies that are used for HAE treatment: longterm prophylaxis, shortterm and ondemand therapy for acute attacks. This article focuses on longterm prophylaxis.

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