Preprosthetic correction procedures in patients  with combination syndrome

The long-term use of complete maxillary dentures in the presence of natural residual anterior teeth may cause degenerative changes in the masticatory organ that are classified as signs of Kelly’s syndrome and pose a considerable reconstructive challenge. Failure to provide the patient with proper restorations aggravates destruction in the oral cavity, which is manifested as functional disorders and visible in the patient’s facial appearance. The aim of this paper is to present corrective procedures to be conducted before final prosthetic rehabilitation. The authors discuss the steps that need to be taken in the case of particular pathological symptoms linked with Kelly’s syndrome. The possibilities of prosthetic management with the use of conventional removable dentures and/or the application of intraosseous implants to optimize prosthetic treatment and prevent the destruction of the prosthetic base are also presented.

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Overdentures and overlay dentures in therapy of patients in the developmental age – review of the literature

Prosthodontics ◽

10.5604/01.3001.0011.6811 ◽

2018 ◽

Vol 68 (1) ◽

pp. 101-107

Author(s):

Tamara Pawlaczyk-Kamieńska ◽

Małgorzata Idzior-Haufa ◽

Wiesław Hędzelek

Keyword(s):

Bone Growth ◽

Young Patients ◽

Functional Disorders ◽

Review Of The Literature ◽

Prosthetic Rehabilitation ◽

Facial Skeleton ◽

Time Intervals ◽

Developmental Age

Prosthetic treatment of edentulous children or those with residual dentition requires a long-term and highly complex rehabilitation. To ensure proper course of treatment, the knowledge of facial skeleton development and growth is essential. Early rehabilitation is aimed at restoring malformed tissues and providing proper growth and functioning of the stomatognatic system. The applied restorations cannot interfere with bone growth and should be replaced at given time intervals. Throughout the therapy cooperation of a prosthetician with an orthodontist, oral surgeon, periodontologist, and paedodontist is needed. Such treatment is fundamental in the psycho-social formation of young patients as it results in a significant improvement in their quality of life. The aim of the paper was to present, basing on the literature, modern methods of prosthetic rehabilitation of developmental age patients with morpho-functional disorders of the stomatognatic system, using removable overdentures and overlay dentures. These restorations are of temporary character in children and are used to stimulate growth of the system in a way which would provide best conditions, after the development is completed, for the application of fixed restorations supported on patient’s own teeth or on implants.

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The role of probiotics in correction of microbiocenosis and cytokine balance of the oral cavity of patient with chronic inflammatory disease of periodont

Periodontology ◽

10.33925/1683-3759-2020-25-4-323-330 ◽

2020 ◽

Vol 25 (4) ◽

pp. 323-330

Author(s):

E. S. Ovcharenko ◽

V. V. Erichev ◽

S. I. Risovannij ◽

T. V. Aksenova ◽

S. V. Melekhov ◽

...

Keyword(s):

Oral Cavity ◽

Periodontal Diseases ◽

Treatment Protocol ◽

Chronic Inflammatory Disease ◽

Oral Microbiome ◽

Comprehensive Treatment ◽

Local Immunity ◽

Treatment Techniques ◽

Before And After

Relevance. A long-term inflammation in the oral cavity, unreasonable treatment of periodontal patients with antibiotics cause imbalance between certain types of fungal-bacterial associations accompanied by oral dysbiosis and change of local immune status. So, development and application of new comprehensive diagnosis and treatment techniques in periodontal patients, use of products for correction of microbiota and local immunity are a current and a long-term task. Purpose is to optimize the comprehensive treatment protocol of inflammatory periodontal diseases by introducing probiotics and evaluation of oral microbiome and cytokine profile.Materials and methods. 140 patients were examined. Of these 60 patients had chronic generalized plaque-induced gingivitis and 60 patients suffered from moderate chronic generalized periodontitis. Bacterial and fungal microbiome was assessed and the host immune response was evaluated in all patients before and after the treatment. Half of the patients were treated conventionally and the other half were treated according to a modified scheme: probiotic “Bifidumbacterin Forte” was added.Results. A large number of yeast-like fungi Candida and commensal bacteria were detected in periodontal pockets of patients with chronic generalized plaque-induced gingivitis and moderate chronic generalized periodontitis. That correlates with a significant increase of pro-inflammatory cytokines (TNF-α, IL—8), decrease of concentration of INF-γ and increase of antiinflammatory cytokine IL-4.Conclusion. Changes in clinical, microbiological and immunological values during a modified combination therapy with a probiotic and during a conventional treatment demonstrated that effectiveness of treatment of chronic gingivitis and chronic periodontitis increased by 40% and 37% respectively.

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Satisfactory long-term clinical outcomes after bone marrow stimulation of osteochondral lesions of the talus

Knee Surgery Sports Traumatology Arthroscopy ◽

10.1007/s00167-021-06630-8 ◽

2021 ◽

Author(s):

Quinten G. H. Rikken ◽

Jari Dahmen ◽

Sjoerd A. S. Stufkens ◽

Gino M. M. J. Kerkhoffs

Keyword(s):

Bone Marrow ◽

Clinical Outcomes ◽

Degenerative Changes ◽

Osteochondral Lesions ◽

Ankle Osteoarthritis ◽

Bone Marrow Stimulation ◽

Marrow Stimulation ◽

The Mean

Abstract Purpose The purpose of the present study was to evaluate the clinical and radiological outcomes of arthroscopic bone marrow stimulation (BMS) for the treatment of osteochondral lesions of the talus (OLTs) at long-term follow-up. Methods A literature search was conducted from the earliest record until March 2021 to identify studies published using the PubMed, EMBASE (Ovid), and Cochrane Library databases. Clinical studies reporting on arthroscopic BMS for OLTs at a minimum of 8-year follow-up were included. The review was performed according to the PRISMA guidelines. Two authors independently conducted the article selection and conducted the quality assessment using the Methodological index for Non-randomized Studies (MINORS). The primary outcome was defined as clinical outcomes consisting of pain scores and patient-reported outcome measures. Secondary outcomes concerned the return to sport rate, reoperation rate, complication rate, and the rate of progression of degenerative changes within the tibiotalar joint as a measure of ankle osteoarthritis. Associated 95% confidence intervals (95% CI) were calculated based on the primary and secondary outcome measures. Results Six studies with a total of 323 ankles (310 patients) were included at a mean pooled follow-up of 13.0 (9.5–13.9) years. The mean MINORS score of the included studies was 7.7 out of 16 points (range 6–9), indicating a low to moderate quality. The mean postoperative pooled American Orthopaedic Foot and Ankle Society (AOFAS) score was 83.8 (95% CI 83.6–84.1). 78% (95% CI 69.5–86.8) participated in sports (at any level) at final follow-up. Return to preinjury level of sports was not reported. Reoperations were performed in 6.9% (95% CI 4.1–9.7) of ankles and complications related to the BMS procedure were observed in 2% (95% CI 0.4–3.0) of ankles. Progression of degenerative changes was observed in 28% (95% CI 22.3–33.2) of ankles. Conclusion Long-term clinical outcomes following arthroscopic BMS can be considered satisfactory even though one in three patients show progression of degenerative changes from a radiological perspective. These findings indicate that OLTs treated with BMS may be at risk of progressing towards end-stage ankle osteoarthritis over time in light of the incremental cartilage damage cascade. The findings of this study can aid clinicians and patients with the shared decision-making process when considering the long-term outcomes of BMS. Level of evidence Level IV.

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A Clinical Study to Correlate the Facial Form and Maxillary Central Incisor Tooth Form in Males and Females of Davangere Population

Dental Journal of Advance Studies ◽

10.1055/s-0038-1672063 ◽

2016 ◽

Vol 04 (03) ◽

pp. 156-164

Author(s):

Deepak Bansal ◽

Shruti Sharma ◽

Manjit Kumar ◽

Amrit Khosla

Keyword(s):

Facial Appearance ◽

Central Incisor ◽

Incisor Tooth ◽

Maxillary Central Incisor ◽

Anterior Teeth ◽

The Face ◽

Tooth Form ◽

Males And Females ◽

Selection Of ◽

Made In

AbstractAn altered facial appearance is more difficult to face, than problems related to ill-fitting denture or eating. The selection of maxillary anterior teeth for complete denture has long posed problem in clinical practice and a controversy about the best method to employ still exists. An attempt is made in the present study to clinically correlate the face form with maxillary central incisor tooth form in males and females of Davangere population. In 1914, Leon William's projected the “the form method” where he classified facial forms as square, tapering, and ovoid. Maxillary central incisors were selected according to the facial forms.Of total 100 subjects four different tooth forms and face forms were evaluated. They are: square, ovoid, square-tapered, tapered. No significant correlation existed between face form in male and females. Females exhibited greater correlation between face forms and inverted tooth form but that correlation is not sufficient to serve as a guide for selection of anterior teeth.

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Premature loss of primary anterior teeth due to trauma - potential short- and long-term sequelae

Dental Traumatology ◽

10.1111/edt.12081 ◽

2013 ◽

Vol 30 (2) ◽

pp. 100-106 ◽

Cited By ~ 26

Author(s):

Gideon Holan ◽

Howard L. Needleman

Keyword(s):

Anterior Teeth ◽

Short And Long Term

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A long-term follow-up case after combined periodontal and orthodontic treatment for aggressive periodontitis with pathologic migration of the anterior teeth

Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology) ◽

10.2329/perio.49.316 ◽

2007 ◽

Vol 49 (4) ◽

pp. 316-322

Author(s):

Chiemi Mori ◽

Hiromi Okochi ◽

Eiko Koide ◽

Kyoko Yamaba ◽

Kazuyo Yamada ◽

...

Keyword(s):

Orthodontic Treatment ◽

Aggressive Periodontitis ◽

Anterior Teeth ◽

Long Term Follow Up

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Periodontitis subject with failing dentition and management with cross arch bridge and implants

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20160717 ◽

2016 ◽

Vol 2 (3) ◽

pp. 58

Author(s):

Farhan Durrani

Keyword(s):

Periodontal Disease ◽

Tooth Loss ◽

Disease Recurrence ◽

Prosthetic Rehabilitation ◽

Long Term Follow Up ◽

Full Mouth Rehabilitation ◽

Severe Periodontal Disease ◽

Arch Bridges

<p class="abstract"><span lang="EN-US">Severe periodontal disease often leads to tooth loss, necessitating prosthetic rehabilitation to restore function and aesthetics. The concept of perio-prosthetic treatment using extensive bridges of cross-arch design was introduced approximately 30 years ago. Long term follow-up studies have shown that teeth with reduced periodontal support can be used as abutments for extensive fixed prostheses, provided periodontal disease had been treated successfully and an effective recall program had been instituted to prevent periodontal disease recurrence. Implants along with cross arch bridges in controlled periodontitis subject have never been used together for complete full mouth rehabilitation.</span></p>

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Looking For Polycyclic Aromatic Hydrocarbon Metabolizing Microorganisms In The Oral Cavity of Smokers

10.21203/rs.3.rs-929320/v1 ◽

2021 ◽

Author(s):

Lin Tao ◽

M. Paul Chiarelli ◽

Sylvia I. Pavlova ◽

Joel L. Schwartz ◽

James V. DeFrancesco ◽

...

Keyword(s):

Oral Cavity ◽

Large Scale ◽

Soil Microbes ◽

Polycyclic Aromatic ◽

Pah Exposure ◽

Resistant Strains ◽

Oral Microbes ◽

Bacteria And Fungi

Abstract Certain soil microbes resist and metabolize polycyclic aromatic hydrocarbons (PAHs). The same is true for certain skin microbes. Oral microbes have the potential to oxidize tobacco PAHs to increase their ability to cause cancer. We hypothesized that oral microbes that resist high levels of PAH in smokers exist and can be identified based on their resistance to PAHs. We isolated bacteria and fungi that survived long term in minimal media with PAHs as the sole carbon source from the oral cavity in 11 of 14 smokers and only 1 of 6 nonsmokers. Of bacteria genera that included species that survived harsh PAH exposure in vitro, all were found at trace levels on the oral mucosa, except for Staphylococcus and Actinomyces. Two PAH-resistant strains of Candida albicans (C. albicans) were isolated from smokers. C. albicans is found orally at high levels in tobacco users and some Candida species can metabolize PAHs. The two C. albicans strains were tested for metabolism of two model PAH substrates, pyrene and phenanthrene. The result showed that the PAH-resistant C. albicans strains did not metabolize the two PAHs. In conclusion, evidence for large scale oral microbial metabolism of tobacco PAHs by common oral microbes remains lacking.

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Hypospadias: clinical approach, surgical technique and long-term outcome

BMC Pediatrics ◽

10.1186/s12887-021-02941-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Pier Luca Ceccarelli ◽

Laura Lucaccioni ◽

Francesca Poluzzi ◽

Anastasia Bianchini ◽

Diego Biondini ◽

...

Keyword(s):

Functional Outcome ◽

Surgical Repair ◽

Adult Life ◽

Clinical Approach ◽

Term Outcome ◽

Long Term Outcome ◽

Initial Surgery ◽

Significant Difference ◽

Corrective Procedures

Abstract Background Hypospadias is one of the most common congenital abnormalities in male newborn. There is no universal approach to hypospadias surgical repair, with more than 300 corrective procedures described in current literature. The reoperation rate within 6–12 months of the initial surgery is most frequently used as an outcome measure. These short-term outcomes may not reflect those encountered in adolescence and adult life. This study aims to identify the long-term cosmetic, functional and psychosexual outcomes. Methods Medical records of boys who had undergone surgical repair of hypospadias by a single surgical team led by the same surgeon at a single centre between August 2001 and December 2017 were reviewed. Families were contacted by telephone and invited to participate. Surgical outcome was assessed by combination of clinical examination, a life-related interview and 3 validated questionnaires (the Penile Perception Score-PPS, the Hypospadias Objective Score Evaluation-HOSE, the International Index of Erectile Function-5-IIEF5). Outcomes were compared according to age, severity of hypospadias, and respondent (child, parent and surgeon). Results 187 children and their families agreed to participate in the study. 46 patients (24.6%) presented at least one complication after the repair, with a median elapsed time of 11.5 months (6.5–22.5). Longitudinal differences in surgical corrective procedures (p < 0.01), clinical approach (p < 0.01), hospitalisation after surgery (p < 0.01) were found. Cosmetic data from the PPS were similar among children and parents, with no significant differences in child’s age or the type of hypospadias: 83% of children and 87% of parents were satisfied with the cosmetic result. A significant difference in functional outcome related to the type of hypospadias was reflected responses to HOSE amongst all groups of respondents: children (p < 0.001), parents (p=0.02) and surgeon (p < 0.01). The child’s HOSE total score was consistently lower than the surgeon (p < 0.01). The HOSE satisfaction rate on functional outcome was 89% for child and 92% for parent respondents. Conclusion Surgeons and clinicians should be cognizant of the long-term outcomes following hypospadias surgical repair and this should be reflected in a demand for a standardised approach to repair and follow-up.

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