scholarly journals Developmental disorders of the stomatognathic system in children with deciduous dentition – causes, prosthetic rehabilitation

2021 ◽  
Vol 71 (2) ◽  
pp. 123-135
Author(s):  
Elżbieta Wojtyńska
2019 ◽  
Vol 24 (2) ◽  
Author(s):  
Elżbieta Wojtyńska ◽  
Magdalena Łabędzka ◽  
Bohdan Bączkowski ◽  
Elżbieta Mierzwińska-Nastalska

Craniomaxillofacial fibrous dysplasia may cause structural anomalies in the facial part of the skull, leading to anatomical and functional abnormalities in the stomatognathic system, requiring multi-disciplinary treatment. Depending on the location of dysplastic lesions, stage and course of the disease, each patient presents with a specific picture of the disorder and requires an individual therapeutic approach. Prosthetic treatment of patients at developmental age requires regular check-ups and frequent corrections or replacement of prosthetic restorations. This is particularly important in patients whose prosthetic field is deformed in such disorders as fibrous dysplasia or following numerous surgical procedures. The effectiveness of therapeutic procedures, which in such cases must be multidisciplinary, depends mainly on the commitment and cooperation of the patient and their carers. We present difficulties in the prosthetic rehabilitation of maxillofacial dysplasia based on the example of a patient diagnosed with fibrous dysplasia, severe oligodontia multiorgan congenital malformations, and a history of numerous surgical procedures within the stomatognathic system.


Revista CEFAC ◽  
2017 ◽  
Vol 19 (5) ◽  
pp. 712-725
Author(s):  
Rodrigo Alves de Andrade ◽  
Maria Deluana da Cunha ◽  
Ana Maria da Costa dos Santos Reis

ABSTRACT This study aimed at characterizing the speech and chewing of users of conventional complete dentures (CCD) before and after speech therapy and prosthetic functional adaptation. The participants consisted of 10 users, divided into two groups: experimental (G1) and control (G2). Both groups underwent the same speech therapy and chewing evaluation before and 15 days after prosthetic functional adaptation; G1 underwent speech therapy in the period before prosthetic functional adaptation, and G2 underwent prosthetic functional adaptation without speech-language intervention. As observed, G1 presented 60% of participants with phonetic and/or articular distortions and inadequate cut of the food and 80% with unilateral chewing; after therapy, no speech and masticatory alterations were observed, but the altered cut was seen in 100% of the group. In G2, 80% of the participants had speech and chewing alterations and 40% had an inadequate cut. After the therapy period, 60% of the subjects remained with speech alterations and 100% with altered cut and chewing alterations. It can be concluded that after prosthetic functional adaptation, the group that underwent speech therapy did not present the alterations initially detected, except for the cut of the food, as opposed to G2 in which the changes persisted, showing that prosthetic rehabilitation alone, did not reestablish functional patterns, speech-language intervention being required.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
D. Rolski ◽  
J. Kostrzewa-Janicka ◽  
P. Zawadzki ◽  
K. Życińska ◽  
E. Mierzwińska-Nastalska

Morphological and functional disturbances induced by postsurgical defects and loss of tissues in the stomatognathic system due to the treatment of tumors in the maxillofacial region determine the therapeutic needs of patients. The study aimed at clinical and epidemiological evaluation of patients under prosthetic treatment in order to establish the algorithm for rehabilitation. The study group was composed of the patients after midface surgery (45.74%); surgery in a lower part of the face (47.38%); mixed postoperative losses (3.44%); loss of face tissues and surgery in other locations in the head and neck region (3.44%). The supplementary treatment was applied in 69.63% of patients. Clinical and additional examinations were performed to obtain the picture of postoperative loss, its magnitude, and location to plan the strategy of prosthetic rehabilitation. The management algorithm for prosthetic rehabilitation in patients after surgical treatment of maxillofacial neoplasms was based on its division in stages. The location and magnitude of postoperative losses, as well as the implementation of supplementary treatment of the patients after treatment of maxillofacial tumors, influence the planning of prosthetic rehabilitation that plays a key role and facilitates the patients’ return to their prior living situation, occupational and family lives.


2019 ◽  
Vol 25 (1) ◽  
pp. 11-14
Author(s):  
Kozma Andrei ◽  
Forna Norina

Abstract The dental anthropology can bring various contributions in the assessment of the pathology of the stomatognathic system as this field encompasses the genetic and clinical researches focused on the developmental defects of crowns, post-eruptive changes (dental wear, culturally-related dental changes) as well as patterns of teeth loss. The implant-prosthetic rehabilitation is highly recomended for these patients as having the highest rate of success in the therapy of the stomatognathic system disorders. The anthropological elements related to the optimisation of the implant-prosthetic rehabilitation of the stomatognathic system are related to the anatomical and morphological featires of prosthetic field, the favourable and non-favourable areas of the prosthetic field, the type and the orientation of the traction and pressure masticatory forces as well as the lamina dura preservation when edentation is associated to periodontal disease.


2016 ◽  
Vol 1 (3) ◽  
pp. 210
Author(s):  
Indah Sulistiawaty ◽  
Mohammad Dharmautama ◽  
Edy Machmud ◽  
Jevin S. Cialy ◽  
Elvi Elvi

Prosthetic rehabilitation is the rehabilitation process of masticatory and esthetics function for patients missing teeth and alveolar bone by means of manufacture and installation of dentures. The prosthetic rehabilitation commonly used include denture adhesive bridge, fixed-fixed bridge, as well as telescopic overdenture. Adhesive bridge is bridge denture consisting of single pontic and two retainer wings attached to the abutment using cement or resin. Fixed-fixed bridge is a bridge denture with rigid connectors on both ends of the pontics, whereas the telescopic crown Overdenture is a removable denture that uses linked precision on the original tooth in the form of primary coping on abutment and secondary coping on the denture. To expose the procedures of prosthetic rehabilitation using adhesive bridge and fixed-fixed bridge on the maxilla and telescopic crown Overdenture on mandible. Male patients aged 32 years came with complaints of difficulty to chew food because he had lost some teeth behind. In the maxilla, teeth are lost in the region of 15 and 16 performed by making the fixed-fixed bridge with abutment teeth 14 and 17. Loss of teeth in the region of 26, performed the manufacture of adhesive bridge with a box preparation on the occlusal 25 and 27. In the mandible, tooth loss in the region of 36,37,46, and 47 performed manufacture of telescopic crown Overdenture with primer coping on the teeth 35.38, 45, and 48 and the secondary coping on a metal frame. Prosthetic rehabilitation especially in the case of loss of back teeth is very important because with the denture patients can chew properly and maintain the stomatognathic system.


2008 ◽  
Vol 55 (4) ◽  
pp. 238-246
Author(s):  
Ljiljana Tihacek-Sojic ◽  
Ivica Stancic ◽  
Aleksandra Jelenkovic ◽  
Aleksandra Milic-Lemic

Introduction. Functional consequences of posterior tooth loss are multiple; late and inadequate rehabilitation lead to further collapse of stomatognathic system, which is especially distinct in elderly population. Aim of this paper is to present advantages and disadvantages of different modalities of prosthetic treatment of shortened dental arch in elderly patients. Treatment with overdentures are convenient in this population because it is non-invasive and reversible. Periodontal problems and root caries are main complications of this treatment, but denture relaying after extraction and easy conversion into complete dentures facilitate resolving this complications. Removable partial dentures are one of the mostly indicated treatments for shortened dental arch. They improve masticatory efficiency, but disadvantages are in inferior aesthetic characteristics and comfort. Mechanical failures can be avoid by detailed analyze and correct planning. Treatment of shortened dental arch with fixed partial denture with distal extension can be very convenient solution for elderly patient. Osseointegration process and implant treatment promises every day more in prosthetic rehabilitation of elderly. Relayed prosthetic rehabilitation is recommended, not because of longer process of ossteointegration, but because of delayed recovery of soft tissues and general health condition of elderly. Conclusion. Each of before mentioned therapy modalities have its advantages and disadvantages in meaning of technical procedure, duration in function, possible complications and patient's comfort and satisfaction. In elderly patients, possible complications are more complex; therefore treatment must be done quickly, efficiently, and having in mind patient's general and oral health condition, level of cooperation and economic status.


2012 ◽  
Vol 59 (4) ◽  
pp. 211-218
Author(s):  
Srdjan Postic

Introduction. The aim of this study was to fabricate a complete upper acrylic denture and a partial lower acrylic denture and provide occlusal rehabilitation with added benefit of correcting the position of altered condyle in a dysfunctional stomatognathic system. Case Report. Procedures for fabrication of acrylic dentures are thoroughly described. Specific scheme of occlusion was applied in the treatment of this patent. Occlusal contacts were established as tripod minor contacts on the side where the part of upper edentulous ridge was intensively reduced (on the right side) with divergent tracing of the condyle due to dysfunction. Tripod contacts were established on occlusal surfaces of opposing teeth as well. Contacts on the left side were formed as circumferential surfaces. Specially distributed occlusal contacts favorably influenced reduction of occlusal stresses on supporting tissues in the mouth of the patient. Tooth contacts arranged in such particular order were established to redistribute loading as well as to prevent excessive propulsion and latero-protrusive movements of the lower jaw. Conclusion. Occlusal pattern of tripod and single-point contacts was used to compensate differences in condylar movements of this patient with stomatognathic dysfunction, intending to diminish loads on reduced surfaces.


2001 ◽  
Vol 28 (10) ◽  
pp. 943-949 ◽  
Author(s):  
Y. Amemori ◽  
S. Yamashita ◽  
M. Ai ◽  
H. Shinoda ◽  
M. Sato ◽  
...  

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