Alternative conservative approach for tooth build-up in patients with special healthcare needs

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Mayank kakkar ◽  
◽  
Vijay Rahul Markonda Patnaik ◽  
Shaima Malik ◽  
Shilpa Singh ◽  
...  
Keyword(s):  
Visual Analog Scale ◽  
Case Series ◽  
Chief Complaint ◽  
Analog Scale ◽  
Core System ◽  
Tooth Structure ◽  
Cast Metal ◽  
Healthcare Needs ◽  
Post And Core ◽  
Metal Post

Purpose: The success of an artificial crown mainly depends on the biomechanical factors such as bonding capacity of cement between the crown and abutment tooth, and root strength of the abutment tooth. In this case series, we aim to provide insight on the potential use of the cast metal post and cost for patients with intellectual disabilities and severely compromised tooth structure. Material and methods: The first patient was a 41-year old male with the chief complaint of a dislodged porcelain fused metal (PFM) crown of tooth #20 (mandibular left second bicuspid). The patient was informed about the advantages, disadvantages, and risks of each option. After further consideration and discussion with the parents and the patient, we decided to rebuild the coronal tooth structure with the cast metal post and core and prosthetic restoration with the same crown. Patient satisfaction was measured on the visual analog scale as 10/10. The second case involves a 26-year old female, who presented with a chief complaint of chronic lingering pain on tooth #9. The tooth structure was extensively damaged and un-supportive of the ferrule, therefore, it was decided to build a metal post and core instead of a fiber post. The prosthetic restoration was made with a monolithic zirconia crown and the patient was followed up twice in 6 months and graded the satisfaction as 10/10 on a visual analog scale. Results: The most common type of posts used in dentistry has been cast post and cores in the last decade which generally includes an additional laboratory stage where a custom post is prepared according to the impression taken from the prepared post space. Conclusions: Both the presented cases explain an interesting advantage of restoring a root canal treated tooth with a metal post and core system which implies that in a prefabricated post and core restored tooth failure, a metal post, and core can potentially be the treatment of choice instead of extracting the tooth. Keywords: post and core; special needs; cast metal post.

scholarly journals Alternative Conservative Approach for Tooth Build-Up in Patients with Special Healthcare Needs

2021 ◽  
Vol 6 (09) ◽  
pp. 616-619
Author(s):  
Mayank Kakkar ◽  
Vijay Rahul Markonda Patnaik ◽  
Shaima Malik ◽  
Shilpa Singh ◽  
Adela Planerova
Keyword(s):  
Visual Analog Scale ◽  
Case Series ◽  
Chief Complaint ◽  
Analog Scale ◽  
Core System ◽  
Tooth Structure ◽  
Cast Metal ◽  
Healthcare Needs ◽  
Post And Core ◽  
Metal Post

Purpose: The success of an artificial crown mainly depends on the biomechanical factors such as bonding capacity of cement between the crown and abutment tooth, and root strength of the abutment tooth. In this case series, we aim to provide insight on the potential use of the cast metal post and cost for patients with intellectual disabilities and severely compromised tooth structure. Material and Methods: The first patient was a 41-year old male with the chief complaint of a dislodged porcelain fused metal (PFM) crown of tooth #20 (mandibular left second bicuspid). The patient was informed about the advantages, disadvantages, and risks of each option. After further consideration and discussion with the parents and the patient, we decided to rebuild the coronal tooth structure with the cast metal post and core and prosthetic restoration with the same crown. Patient satisfaction was measured on the visual analog scale as 10/10. The second case involves a 26-year old female, who presented with a chief complaint of chronic lingering pain on tooth #9. The tooth structure was extensively damaged and un-supportive of the ferrule, therefore, it was decided to build a metal post and core instead of a fiber post. The prosthetic restoration was made with a monolithic zirconia crown and the patient was followed up twice in 6 months and graded the satisfaction as 10/10 on a visual analog scale. Results: The most common type of posts used in dentistry has been cast post and cores in the last decade which generally includes an additional laboratory stage where a custom post is prepared according to the impression taken from the prepared post space. Conclusions: Both the presented cases explain an interesting advantage of restoring a root canal treated tooth with a metal post and core system which implies that in a prefabricated post and core restored tooth failure, a metal post, and core can potentially be the treatment of choice instead of extracting the tooth.

scholarly journals Masking Conventional Metallic Cast Post for Enhancing Esthetics

2016 ◽  
Vol 6 (1) ◽  
pp. 85-89 ◽  
Author(s):  
Jyoti B Nadgere ◽  
Naisargi P Shah ◽  
Amit Mahadeo Gaikwad
Keyword(s):  
Case Report ◽  
Metal Core ◽  
Metallic Core ◽  
Tooth Structure ◽  
Custom Made ◽  
All Ceramic ◽  
Post And Core ◽  
Ceramic Restorations ◽  
Labial Surface ◽  
Metal Post

ABSTRACT Loss of tooth structure occurs due to caries, endodontic treatment, or fracture caused by trauma; restoring these teeth is difficult task for a clinician. Post and core is an option for teeth when excessive tooth structure is lost and teeth need to be restored with crown and bridge procedure. They can be prefabricated post with composite built up or a one-piece custom-made post. The custom-made cast metal post and core have disadvantage due to their color that imparts grayish hue to overlying ceramic restorations. Masking the metal core can enhance the esthetic of all ceramic restorations that are placed over the cast post and core. A case report is being presented where the metallic core was masked with ceramic built up on labial surface of metal core. How to cite this article Shah NP, Gaikwad AM, Ram SM, Nadgere JB. Masking Conventional Metallic Cast Post for Enhancing Esthetics. J Contemp Dent 2016;6(1):85-89.

scholarly journals KOMPARASI ELECTROSURGERY, ABRASIVE BUR DAN SCALPEL TECHNIQUE PADA DEPIGMENTASI GUSI DENGAN TEKNIK SPLIT MOUTH (Case Series)

2018 ◽  
Vol 14 (1) ◽  
pp. 20
Author(s):  
RM Norman Tri Kusumo Indro
Keyword(s):  
Wound Healing ◽  
Visual Analog Scale ◽  
Gold Standard ◽  
Case Series ◽  
Analog Scale ◽  
Healing Index

Pendahuluan dan tujuan : pigmentasi gingiva merupakan keluhan estetik utama terutama orang Asia. Pigmentasi melanin disebabkan oleh berlebihnya granul melanin didalan lapisan epitelium gingiva. Senyum yang harmonis dipengaruhi tidak hanya dari bentuk, posisi ,warna dari gigi, akan tetapi gusi berpengaruh. Pigmentasi melanin bukan merupakan kelainan patologis dan tidak berbahaya, penanganan secara estetik dapat dilakukan dengan hasil yang sangat baik. Penatalaksanaan : kasus ini menjelaskan teknik split mouth  pada prosedur depigmentasi dengan tiga teknik yang berbeda. Prosedur dengan pisau bedah,dan dengan mata bur. kedua teknik ini dinilai efektif untuk menangani kasus depigmentasi gingiva. Pengukuran komparasi akan diukur dari wound healing index and visual analog scale. Kesimpulan : teknik dengan pisau bedah merupakan teknik yang paling umum dan memberikan hasil yang baik, kelemahan teknik pisau bedah adalah waktu operasi yang cukup lama. Prosedur dengan bur merupakan teknik yang mulai sering digunakan, teknik ini tidak memakan waktu serta hasil maksimal. Kelemahan teknik ini membutuhkan presisi. Kasus ini akan membahas mengenai kekurangan dan kelebihan dari ketiga teknik tersebut dengan mempertahankan prosedur pisau bedah sebagai terapi gold standard untuk depigmentasi.

Short-term Clinical and Radiographic Results of the Salto Mobile Total Ankle Prosthesis

2017 ◽  
Vol 39 (2) ◽  
pp. 155-165 ◽  
Author(s):  
Dong Dong Wan ◽  
Woo Jin Choi ◽  
Dong Woo Shim ◽  
Yeokgu Hwang ◽  
Yoo Jung Park ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Visual Analog Scale ◽  
Case Series ◽  
Clinical Success Rate ◽  
Radiographic Evaluation ◽  
Analog Scale ◽  
Ankle Osteoarthritis ◽  
Disability Score ◽  
Ankle Prosthesis

Background: The mobile-bearing Salto total ankle prosthesis has been reported to have promising outcomes. However, clinical reports on this prosthesis are few, and most have been published by the inventors and disclosed consultants. Methods: We retrospectively reviewed 59 patients who received Salto prosthesis unilaterally. The average follow-up was 35.9 (range, 6-56) months. Clinical and radiologic results were evaluated. Clinical results were evaluated according to visual analog scale (VAS), American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, Ankle Osteoarthritis Scale (AOS) pain and disability score, and ankle range of motion (ROM) in dorsiflexion/plantarflexion. In the radiographic evaluation, we measured the tibial angle (TA), talar angle (TAL), tibial slope, and talocalcaneal angle (TCA) on weightbearing radiographs. Results: By the last follow-up, 7 of 59 patients (11.9%) had undergone reoperation, and 3 of 59 implants (5.1%) had been removed. The prosthesis survival was 94.9% (95% CI, 89.1%-100%). With any reoperation as the endpoint of follow-up, the clinical success rate was 88.1% (95% CI, 79.4%-96.9%). The mean postoperative visual analog scale score, AOFAS ankle-hindfoot score, and Ankle Osteoarthritis Scale pain and disability score improved significantly ( P < .001). The ankle range of motion also improved from preoperative 33.4 ± 16.6 to 40.3 ± 15.5 postoperatively ( P < .001); however, there was no statistically significant change in plantarflexion ( P = .243). Radiolucent areas and osteolysis were found in 28 (47.5%) and 27 (45.8%) patients, respectively. Heterotopic ossification was observed in 13 patients (22.0%). Conclusions: In this series, early clinical and radiographic outcomes of this prosthesis were promising. We believe the early radiolucent lines were probably due to the gap at the implant and bone interface, and they disappeared at the time of osseous integration. However, longer follow-up is necessary to determine the long-term durability and survivorship of this implant, particularly given the high incidence of postoperative osteolysis. Level of Evidence: Level IV, case series.

The Impact of the Treatment of Pelvic Organ Prolapse with Pessary on Quality of Life and Visual Analog Scale-Case Series

2015 ◽  
Vol 25 (4) ◽  
pp. 282-286
Author(s):  
Burçin KARAMUSTAFAOĞLU BALCI ◽  
Nurcihan ALPER ◽  
Habibe AYYILDIZ ERKAN ◽  
Funda GÜNGÖR UĞURLUCAN ◽  
Önay YALÇIN
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Visual Analog Scale ◽  
Case Series ◽  
Pelvic Organ ◽  
Analog Scale ◽  
The Impact

scholarly journals Esthetic Perception of Various Forms of Anterior Diastemas during Smiling

2019 ◽  
Vol 07 (03) ◽  
pp. 103-109
Author(s):  
Divya Singla ◽  
Neha Stan ◽  
Sanjay Mittal ◽  
Mandeep Bhullar ◽  
Isha Aggarwal ◽  
...  
Keyword(s):  
Nursing Students ◽  
Undergraduate Students ◽  
Visual Analog Scale ◽  
Dental Students ◽  
Chief Complaint ◽  
Analog Scale ◽  
Negative Perception ◽  
Chi Squared ◽  
Nursing College ◽  
Sex Knowledge

Abstract Introduction Midline diastema is a common esthetic problem in mixed and permanent dentition. It is considered attractive in some cultures and unattractive in others. Aim The aim of this study is to compare the perceptions of anterior diastema by dental students and laypersons. Materials and Methods The study was conducted on 100 undergraduate students of Bhojia Dental College (n = 50) and Bhojia Nursing College (n = 50), Himachal Pradesh, India. A self-prepared questionnaire was given, which consisted of two parts: first part had personal details (name, age, sex, knowledge of diastema) and the second part contained an edited photograph of a patient who had reported to the Department of Orthodontics, Bhojia Dental College, with the chief complaint of midline diastema. The photographs were modified by photoediting software and arranged according to the previous studies on anterior diastema by Frush and Fisher, Lombardi, and Simian. A visual analog scale with scores 1–4 (1, most attractive; 2, attractive; 3, less attractive; 4, least attractive) was used to rank these photographs by the students. Comparison between various variables was made by using chi-squared test. Results Smile attractiveness from the most to the least attractive was Simian > Frush and Fisher > Lombardi > midline diastema among both dental and nursing students. Gender and presence of diastema had no relation with the students’ perceptions (p > 0.05). Conclusion The location and width of diastema had an important role in the perception of dental diastemas. Midline diastema was a gap with most negative perception.

scholarly journals Superior gluteal vein syndrome: an intrapelvic cause of sciatica

2019 ◽  
Vol 6 (2) ◽  
pp. 104-108
Author(s):  
Nucelio Lemos ◽  
Laura Cancelliere ◽  
Adrienne L K Li ◽  
Renato Moretti Marques ◽  
Gustavo L Fernandes ◽  
...  
Keyword(s):  
Success Rate ◽  
Scale Score ◽  
Visual Analog Scale ◽  
Task Force ◽  
Case Series ◽  
Visual Analog Scale Score ◽  
Neurovascular Conflict ◽  
Analog Scale ◽  
Retrospective Case ◽  
Pain Scores

Abstract The role of malformed or dilated branches of iliac vessels in causing pelvic pain is not well understood. Such vessels may entrap nerves of the lumbosacral (LS) plexus against the pelvic sidewalls, producing symptoms not typically encountered in gynecological practice, including sciatica and refractory urinary and/or anorectal dysfunction. We describe cases of sciatica in which laparoscopy revealed compression of the LS plexus by variant superior gluteal veins (SGVs). In demonstrating an improvement in patient symptoms after decompression, we identify this neurovascular conflict as a potential intrapelvic cause of sciatica. This study is a retrospective case series (Canadian Task Force Classification II-3). Nerve decompression laparoscopies were performed in São Paulo, Brazil. Thirteen female patients undergoing laparoscopy for sciatica with no clear spinal or musculoskeletal causes were included in this study. In all cases, we identified LS entrapment by aberrant SGVs, and performed decompression by vessel ligation. The average preoperative visual analog scale score of 9.62 ± 0.77 decreased significantly to 2.54 ± 2.88 post-operatively (P < 0.001). The success rate (defined as ≥ 50% improvement in visual analog scale score) was 92.3%, over a follow-up of 13.2 ± 10.6 months. Our case series demonstrates a high success rate and significant decrease in pain scores after laparoscopic intrapelvic decompression, thereby identifying pelvic nerve entrapment by aberrant SGVs as a potential yet previously unrecognized cause of sciatica. This intrapelvic neurovascular conflict—the SGV syndrome—should be considered in cases of sciatica with no identifiable spinal or musculoskeletal etiology.

The Evaluation of Patient Satisfaction With Visual Analog Scale After Treatment of Varicosities With Endovenous Laser Ablation: Case Series

2014 ◽  
Vol 23 (1) ◽  
pp. 29-33
Author(s):  
Arif GÜCÜ ◽  
Burak ERDOLU ◽  
Derih AY ◽  
Faruk TOKTAŞ ◽  
Cüneyt ERİŞ ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Laser Ablation ◽  
Visual Analog Scale ◽  
Case Series ◽  
Analog Scale ◽  
Endovenous Laser Ablation

scholarly journals Outcome Evaluation of Patients with Burst Thoracolumbar Fractures: A Case Series

2018 ◽  
Vol 37 (04) ◽  
pp. 304-308
Author(s):  
Mohammad Jamali ◽  
Yashar Goorakani ◽  
Niloofar Solat ◽  
Reza Taheri ◽  
Sulmaz Ghahramani
Keyword(s):  
Functional Outcome ◽  
Visual Analog Scale ◽  
Thoracolumbar Spine ◽  
Case Series ◽  
Outcome Evaluation ◽  
Thoracolumbar Fractures ◽  
Analog Scale ◽  
Short Segment ◽  
Long Term Follow Up ◽  
The Mean

Objective The aim of the present study was to evaluate the outcome of short segment instrumentation in patients affected by burst thoracolumbar fractures. Methods A total of 19 patients with unstable burst fractures of the thoracolumbar spine were eligible for short segment instrumentation. Their functional outcome (by using the Oswestry and Denis scales) and back pain (using the visual analog scale) were evaluated after 12 months. Results The mean age of the patients was 30.7 years old, and most of them were male (n = 15). The mean hospital stay was 4.6 days. The mean ± standard deviation (SD) of the pain score according to the visual analog scale was 1.63 ± 1.25 after 12 months of surgery, and there were no patients classified with grades 4 or 5 on the Denis work scale. The average Oswestry disability index (ODI) was 17% during the follow-ups. Conclusions The outcome of the studied patients, including the clinical pain and the functional outcome of postsurgical patients, suggested that the short-segment instrumentation could be an appropriate method for patients with unstable thoracolumbar junction fractures. However, a long-term follow-up is recommended.

Split Cast Metal Post and Core

2012 ◽  
Vol 2 ◽  
pp. 95-98
Author(s):  
Devendra Chopra ◽  
Naorem Satish Kumar Singh ◽  
Parag Nehete
Keyword(s):  
Cast Metal ◽  
Post And Core ◽  
Metal Post
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