scholarly journals Comprehensive Management of Severe Dental Fluorosis with Adhesively Bonded All-Ceramic Restorations

Prosthesis ◽  
2021 ◽  
Vol 3 (3) ◽  
pp. 194-208
Author(s):  
Jason D. Lee ◽  
Natalie Inoue ◽  
Christine Lee ◽  
Sohyun Park ◽  
Sang J. Lee

Dental fluorosis is a common disorder caused by excessive fluoride intake during tooth development. The esthetic consequences of dental fluorosis can negatively affect oral health-related quality of life and have lasting psychosocial effects. In severe cases, where the fluorosed enamel is prone to chipping, flaking, and developing caries, minimally invasive procedures are ineffectual and a more substantial restorative approach is required to restore optimal function and esthetics. However, no definitive guidelines exist for the management and treatment of severe dental fluorosis due to the limited evidence available in the literature. This case report describes the full-mouth rehabilitation of a patient with severe dental fluorosis utilizing adhesively bonded all-ceramic crowns, veneers, and overlays. The successful follow-up on this case indicates that adhesively bonded restorations may provide a viable option in the functional and esthetic management of severely fluorosed dentition.

2005 ◽  
Vol 21 (5) ◽  
pp. 1550-1556 ◽  
Author(s):  
Sandra Feitosa ◽  
Viviane Colares ◽  
Jimmy Pinkham

The aim of this study was to analyze the psychosocial effects of severe caries in 4-year-old children in Recife, Pernambuco, Brazil. The clinical examination was conducted by a single examiner in order to select children with severe caries and caries-free (kappa = 1). Of the 861 children examined, 77 (8.1%) had severe caries and 225 (23.6%) were caries-free. Data were collected by applying validated questionnaires answered by the parents or guardians. Most of the parents or guardians of children with severe caries reported that their children complained of toothache (72.7%), and a significant portion stated that their children had problems eating certain kinds of food (49.4%) and missed school (26.0%) because of their teeth. Most of the parents or guardians of children with severe caries (68.8%) stated that oral health affects their children's life, while the same was stated by 9.8% of the parents or guardians of the caries-free children. Severe caries was found to have a negative impact on children's oral health-related quality of life.


2016 ◽  
Vol 40 (1) ◽  
pp. 53-61 ◽  
Author(s):  
Omar El-Meligy ◽  
Manal Maashi ◽  
Abdullah Al-Mushayt ◽  
Abeer Al-Nowaiser ◽  
Sultan Al-Mubark

Objectives: Changes in oral health-related quality of life (OHRQoL) among 40 children with special health care needs (CSHCN) aged 5–14 years before and 12 months after full-mouth rehabilitation (FMR) under general anesthesia (GA) in two hospitals in Jeddah city were assessed. Study design: The questionnaire was delivered to the parents/caregivers at baseline (pre-operative) and at the 12-month post-operative follow-up visit. Medical and dental histories and clinical findings were correlated accordingly. Results: The follow-up response rate was 87.5% with 35 children completing a 12-month follow-up visit. The age range was from 5 to 12 years with a mean of 7.3 ± 2.4 years. More than half of the study sample was boys (63%) in the 5–8 year age-group (69%). The impact on OHRQoL was reportedly negative before FMR under GA, with overall scores ranging from 12 to 68 and a mean of 43.34 ± 14.83. OHRQoL improved significantly in all aspects evaluated (P<0.05) following FMR under GA with overall scores ranging from 4 to 41 and a mean of 18.86 ± 8.54. Conclusions: Treating CSHCN under GA, with 3-month recall visits for the patients, had a significant long-term effect on their OHRQoL extending up to 12 months postoperatively.


2005 ◽  
Vol 4 (3) ◽  
pp. 242-250 ◽  
Author(s):  
Genevieve Gardner ◽  
Doug Elliott ◽  
Jaswin Gill ◽  
Melanie Griffin ◽  
Matthew Crawford

Background: Numerous studies have investigated patient outcomes of cardiac surgery, including some examining health-related quality of life. While these studies have provided some insight into patients' physical function, social abilities and perceived quality of life, studies examining the experiences of individuals recovering from cardiac surgery have received only limited investigation. Aims: This paper presents a thematic analysis of interviews conducted with patients recovering from cardiothoracic surgery, about their memories and experiences of hospital and recovery post-hospital discharge. Methods: Using an exploratory qualitative approach, eight participants were interviewed 6 months following their surgery. Transcripts of interviews were examined using a content analysis approach, with open coding of text and categorising of similar concepts into themes. Findings: Participants reported varying degrees of pain and physical dysfunction during their recovery from surgery and some had still not returned to optimal function. Seven themes emerged from the data: impressions of ICU; comfort/discomfort; being sick/getting better; companionship/isolation; hope/hopelessness; acceptance/apprehension; and life changes. A number of the themes were constructed as a continuum, with participants often demonstrating a range of views or experiences. Many had little or no memory of their stay in the intensive care unit, although others had vivid recollections. Their impressions of hospital were mostly positive, although many experienced fear, apprehension, and mood disturbances at some time during their recovery. Most participants recalled being sick, reaching a turning point, and then getting better. Many participants reported a change in life view since their recovery from surgery. Conclusions: Attention to specific areas of patient orientation, education and support was identified to facilitate realistic expectations of recovery. In addition, some form of systematic follow-up that focuses on patient recovery in terms of both physical and psychological function is important.


2004 ◽  
Vol 251 (3) ◽  
pp. 310-313 ◽  
Author(s):  
Andreas A. Argyriou ◽  
Spiridon Papapetropoulos ◽  
Panagiotis Polychronopoulos ◽  
Mihail Corcondilas ◽  
Konstantinos Argyriou ◽  
...  

2017 ◽  
Vol 21 (9) ◽  
pp. 2771-2780 ◽  
Author(s):  
Álvaro García-Pérez ◽  
María Esther Irigoyen-Camacho ◽  
S. Aída Borges-Yáñez ◽  
Marco Antonio Zepeda-Zepeda ◽  
Irvin Bolona-Gallardo ◽  
...  

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