scholarly journals The Role of Orthodontic Treatment and Prosthetics during the Recovery Period after Surgical Treatment

2021 ◽  
pp. 156-162
Author(s):  
Timerlan Aslambekovich Kadiyev ◽  
Muslim Kazbekovich Aigumov ◽  
Tatyana Timokhina ◽  
Kirill Dmitrievich Baranov ◽  
Marina Mikhailovna Krekova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Orthodontic Treatment ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Recovery Period ◽  
Interdisciplinary Approach ◽  
Postoperative Rehabilitation ◽  
Appropriate Treatment ◽  
Final Treatment

The present paper considers the role of orthodontic treatment and prosthetics in the recovery period after surgical treatment of an injury to the maxillofacial area. Analyzing the sources within the framework of the research topic, the author cconcludes tthat surgical treatment of maxillofacial trauma and postoperative rehabilitation often requires an interdisciplinary approach, which makes it a difficult task. This is due to the fact that these injuries usually affect several structures of the oral cavity and face, including hard and soft tissues, often causing malocclusion. Thus, the clinical picture and the appropriate treatment strategy may vary greatly from one person to another. Therefore, before drawing up a final treatment plan, a thorough and thoughtful multidisciplinary assessment of each patient is necessary.

scholarly journals Orthodontic Management in Aggressive Periodontitis

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Rajesh Gyawali ◽  
Bhagabat Bhattarai
Keyword(s):  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Treatment Plan ◽  
Orthodontic Tooth Movement ◽  
Interdisciplinary Approach ◽  
Aggressive Periodontitis ◽  
Rapid Progression ◽  
Orthodontic Patients ◽  
Proper Force

Aggressive periodontitis is a type of periodontitis with early onset and rapid progression and mostly affecting young adults who occupy a large percentage of orthodontic patients. The role of the orthodontist is important in screening the disease, making a provisional diagnosis, and referring it to a periodontist for immediate treatment. The orthodontist should be aware of the disease not only before starting the appliance therapy, but also during and after the active mechanotherapy. The orthodontic treatment plan, biomechanics, and appliance system may need to be modified to deal with the teeth having reduced periodontal support. With proper force application and oral hygiene maintenance, orthodontic tooth movement is possible without any deleterious effect in the tooth with reduced bone support. With proper motivation and interdisciplinary approach, orthodontic treatment is possible in patients with controlled aggressive periodontitis.

Significance of Perinatal Anamnesis for Determination of Treatment Plan and Subsequent Neurological Prognosis for Children with Anomaly Chiari 1

10.12737/4998 ◽  
2014 ◽  
Vol 21 (2) ◽  
pp. 54-57
Author(s):  
Козлитина ◽  
T. Kozlitina ◽  
Глаголев ◽  
Nikolay Glagolev
Keyword(s):  
Cervical Spine ◽  
Surgical Treatment ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Neurological Status ◽  
Pathological Process ◽  
Spine Injury ◽  
Normal Birth ◽  
And Function ◽  
Conservative And Surgical Treatment

The injuries of the cervical spine injury craniovertebral transition, involving in pathological process of vertebral arteries or the spinal cord can cause obstetric benefits as pathological and normal birth. In this article the authors evaluate the effects generic posttraumatic changes soft tissues of the cervical spine in the development of vascular disorders in the field craniovertebral transition. For this study, 112 patients with Chiari anomaly 1, received conservative and surgical treatment, were ex-amined. Children from 2 to 18 years were divided into two groups: the 1st group - children (55 patients) without surgical treatment, and the 2nd group of children after decompressive trepanation about Chiari anomaly 1. Common neurological status, anatomy and function of blood vessels at the level craniovertebral transition were assessed in all children. Perinatal anamnesis, including: cesarean section, rapid delivery, entanglement neck child´s umbilical cord, and use of obstetric benefits in the form of application of forceps and receive «squeezing», was studied. Changes in the normal course of delivery, pointing to birth trauma level craniovertebral transition were noted in 96 patients (85,7%). This fact may have prognostic value in the treatment and follow-up care of children with Chiari anomaly 1.

scholarly journals The Role of Operation in the Treatment of Boerhaave’s Syndrome

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Dingpei Han ◽  
Zhuoqiong Huang ◽  
Jie Xiang ◽  
Hecheng Li ◽  
Junbiao Hang
Keyword(s):  
Surgical Treatment ◽  
Length Of Stay ◽  
Treatment Strategy ◽  
Time Interval ◽  
Esophageal Rupture ◽  
Spontaneous Esophageal Rupture ◽  
Appropriate Treatment ◽  
Age Range ◽  
Primary Healing

Purpose. This study aims to discuss the appropriate treatment strategy for spontaneous esophageal rupture. Methods. Clinical data from twenty-one cases were retrospectively analyzed. The parameters included etiology, time interval between onset and treatment, therapy methods, prognosis, and length of stay. Results. The ratio of males/females was 17/4, age range was 32–82 years (mean = 43.1), and the time interval between onset and treatment was as follows: <24 h: nine cases (42.8%); 24–48 h: six cases (28.6%); and >72 h: six cases (28.6%). All patients underwent operative treatment, and the following primary healing rates were achieved: <24 h: 88.9%, 24–48 h: 66.7%, and >72 h: 0. No patients died in this study. All patients were discharged with recovery, and the average hospitalization times were 18.1 days (<24 h), 27.8 days (24–48 h), and 51.2 days (>72 h). Conclusions. Surgical treatment remains an effective method for treating spontaneous esophageal rupture, and the shorter the time interval between onset and treatment, possibly the better the prognosis.

scholarly journals THE ROLE OF AESTHETICS IN CONTEMPORARY ORTHODONTIC DIAGNOSIS AND TREATMENT

2018 ◽  
Vol 14 (3) ◽  
pp. 86-90
Author(s):  
Микаел Налбандян ◽  
Mikael Nalbandayn ◽  
Гранд Тер-Погосян ◽  
Grand Ter-Pogosyan ◽  
Лазарь Есаян ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Ethnic Groups ◽  
Orthodontic Treatment ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Diagnosis And Treatment ◽  
Medical Specialties ◽  
Facial Profile ◽  
Treatment Type ◽  
The Aesthetic

Subject. Facial aesthetics is an important motivating factor for many patients seeking orthodontic treatment. An aesthetically pleasing and balanced face is one of the objectives of orthodontic treatment. An understanding of the soft tissues and their normal ranges enables a treatment plan to be formulated to normalize the facial traits for a given individual. Aim. The aim of the present study is to further investigate the use of soft tissue analysis in the quantification of facial profile, and to investigate differences between different ethnic and gender groups. Methodology. A number of studies considered on various aspects of facial measurements in orthodontics. Results. Skeletal, dental and facial profile differences exist, when subjects from distinct ethnic groups are compared. Thus, each group should be evaluated differently, considering their racial characteristics, in order to produce better diagnosis and treatment planning. The necessity and acceptability of teeth extraction during orthodontic treatment and its effects on facial profile, has greatly concerned orthodontists for many years and has not lost its urgency till now. However, the definition of an attractive and pleasing face is subjective, with many factors involved (culture, personality, ethnic background, age). On the other hand, several medical specialties (orthognathic and plastic surgery, orthodontics, dental prosthetics) have the ability to change facial features. Hence, there is a need for clinicians working in the maxillofacial area to know the aesthetic standards of a face that guide the aesthetic soft tissue treatment goals in their patients. Conclusion: It will be useful to conduct investigations for further definitions and observations of correlated relationship between hard and soft tissues of maxillofacial system by taking into consideration: the patient's age at time of treatment, type of anomaly, differences in maxillofacial anatomical structures of various ethnic groups.

scholarly journals A case of giant ameloblastoma: destructive effect on the facial skeleton and soft tissues of the head and neck

2021 ◽  
Vol 49 (10) ◽  
pp. 030006052110501
Author(s):  
Květuše Lovásová ◽  
Branislav Borza ◽  
Peter Kizek ◽  
Milan Almaši ◽  
David Kachlík ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Treatment Plan ◽  
Facial Skeleton ◽  
Unique Case ◽  
Destructive Effect ◽  
Anatomical Structures ◽  
Precise Knowledge ◽  
Appropriate Treatment ◽  
Facial Swelling ◽  
The Face

Ameloblastoma is a benign odontogenic tumor characterized by slow growth causing painless facial swelling. The tumor can behave locally aggressively, and may have direct destructive effects on the surrounding soft and hard tissues. This paper reports the unique case of a female patient with giant ameloblastoma of the mandible. Computed tomography (CT) revealed an enormous swelling of the left side of the face, resorption of the affected hemi-mandible, left maxilla, and tissues of the temporal, infratemporal, and pterygopalatine fossae. Pressure from the tumor resulted in displacement and destruction of the facial skeleton, upper aero-digestive tract structures, and some structures of the neck. The patient was treated by radical hemimandibulectomy with removal of the tumorous mass. Precise knowledge of the anatomical structures, and their locations and topographical relationships is required in the diagnosis and treatment plan for each surgical procedure in cases of giant ameloblastoma. CT imaging can be used to determine the extent and exact location of the lesion, revealing other important details that may help in selecting appropriate treatment.

Is Understanding Why Necessary for Treatment Choices?

2011 ◽  
Vol 27 (2) ◽  
pp. 81-87 ◽  
Author(s):  
Chantal Berens ◽  
Cilia L. M. Witteman ◽  
Monique O. M. van de Ven
Keyword(s):  
Experimental Study ◽  
Clinical Practice ◽  
Conduct Disorder ◽  
Treatment Plan ◽  
Clinical Psychologists ◽  
Treatment Choices ◽  
Appropriate Treatment ◽  
Treatment Plans

Models of the psychodiagnostic process prescribe that clinicians should analyze explanations for their clients’ problems and subsequently use this information to decide upon the most appropriate treatment plan. However, studies of clinical practice suggest that the role of explanations is minimal, and that considering only symptoms gives clinicians enough information to plan treatment. In this experimental study we tested whether different explanations for the same problem are related to different treatment plans. Analyses of the responses given by 151 psychologists for cases of anorexia and conduct disorder in which the explanations were manipulated, suggest that explanations matter. Different explanations for the same constellation of symptoms were related to different treatment plans. This implies that clinical psychologists do not propose a treatment based on symptoms only. Implications of our findings are discussed.

scholarly journals Orthodontic Treatment Including Autotransplantation of a Mature Tooth

2009 ◽  
Vol 79 (2) ◽  
pp. 387-393 ◽  
Author(s):  
Kazuaki Nishimura ◽  
Shinobu Amano ◽  
Kimihisa Nakao ◽  
Shigemi Goto
Keyword(s):  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Root Resorption ◽  
Treatment Plan ◽  
Primary School Student ◽  
Appropriate Treatment ◽  
Japanese Female ◽  
Old Japanese ◽  
Chief Complaints

Abstract The patient was a 24-year-old Japanese female. The chief complaints were crowding and masticatory dysfunction due to the missing right first molar. Her maxillary first premolars had been extracted when she was a primary school student. We planned orthodontic treatment with extraction of the mandibular first premolars and transplantation of the mandibular left first premolar into the maxillary right first molar area. We made a diagnostic setup model to initiate an appropriate treatment plan for the discrepancy in tooth size ratio. Following the diagnostic setup model, the space in the maxillary right first molar area was closed by a small amount of tooth movement, and a good occlusion was achieved. The patient had been in retention for 7 years, and the occlusion has been maintained very well during this time. In the follow-up, 10 years after autotransplantation, no signs of inflammatory or replacement root resorption were found, and marginal bone support appeared similar to that of neighboring teeth.

scholarly journals Role of chest imaging in the diagnosis and treatment of COVID-19

2021 ◽  
Vol 64 (10) ◽  
pp. 655-663
Author(s):  
Yong Shik Kwon ◽  
Jin Young Kim
Keyword(s):  
Imaging Finding ◽  
Treatment Plan ◽  
Diagnosis And Treatment ◽  
Chest Imaging ◽  
Asymptomatic Patients ◽  
Appropriate Treatment ◽  
Risk Patients ◽  
Polymerase Chain ◽  
Severity Of The Disease

Background: Thousands of new patients are diagnosed with coronavirus disease 2019 (COVID-19) daily worldwide. We reviewed the role of chest imaging in the diagnosis and treatment of patients with COVID-19.Current Concepts: Chest imaging is not recommended as a primary diagnostic tool for COVID-19. However, when real-time polymerase chain reaction is difficult to perform or when COVID-19 is strongly suspected, chest imaging can assist in the diagnosis. Thus, chest imaging is recommended for high-risk patients and patients with worsening respiratory symptoms, but not for asymptomatic patients. Bilateral peripheral pneumonia is a typical imaging finding in patients with COVID-19. However, there are cases where chest imaging shows atypical findings or appears normal. The extent of COVID-19 pneumonia on chest imaging is related to the severity of the disease. The presence and extent of pneumonia on chest imaging can help monitor patients, select appropriate treatment agents, determine whether the patient should be hospitalized, and predict the prognosis.Discussion and Conclusion: Appropriate use of chest imaging is needed for clinicians to help triage patients with COVID-19 and decide on the treatment plan.

scholarly journals The role of AI and machine learning in contemporary orthodontics

2021 ◽  
Vol 11 ◽  
pp. 74-80
Author(s):  
Jean-Marc Retrouvey
Keyword(s):  
Tooth Movement ◽  
State Of The Art ◽  
Treatment Plan ◽  
Digital Technologies ◽  
Computer Assisted ◽  
General Intelligence ◽  
Future Developments ◽  
The Past ◽  
Appropriate Treatment

In the past 20 years, the orthodontic profession has adopted digital technologies such as computer-assisted tooth movement, automated staged dental aligner production, and 3D simulations. Until recently, the use of artificial intelligence (AI) was limited to narrow intelligence and supervised “learning” such as automated cephalometric point recognition, segmentation of teeth from 3D files, and staging of orthodontic treatment. The next step will be to create neural networks based on general intelligence (the human intelligence is considered general intelligence), where the network using powerful computers and complex algorithms will “learn” orthodontic diagnosis and treatment planning to suggest the most appropriate treatment plan for optimized treatments and more predictable outcomes. The objectives of this paper are to describe the state of the art in AI and orthodontics and explore potential avenues for future developments and applications.

scholarly journals Characteristics of surgical treatment of patients with comorbidities in scoliotic disease

2021 ◽  
Vol 98 (11-12) ◽  
pp. 781-787
Author(s):  
E. A. Andronnikov ◽  
N. G. Mikhalkina ◽  
T. V. Alekseeva ◽  
N. V. Gogulina
Keyword(s):  
Surgical Treatment ◽  
Vertebral Deformity ◽  
Adult Population ◽  
Spinal Column ◽  
Early Postoperative Period ◽  
The Body ◽  
Rigid Fixation ◽  
Postoperative Rehabilitation ◽  
Extent Of Disease

A large number of studies deal with the study of the etiology and pathogenesis of scoliotic disease, since it is the most common disease among all the pathologies of the supporting-motor system. Scoliosis is more common in patients aged 4 to 17. Its frequency in the adult population reaches 18.2 cases per 1000 of population. The developed and widely applicable non-surgical therapy of moderate, progressive, and severe extent of disease do not always lead to positive outcomes. A variety of surgical methods for treating scoliosis is successfully used nowadays. Modern types of fixing hardware, including two-leg growing systems, most often used in practice, allow simultaneous correction of vertebral deformity in three planes and reliably stabilize the spinal column in a position closest to the physiological one. Since most organs and systems of the body are affected by scoliosis, it is necessary to take into account the characteristics of the comorbid background of patients for successful surgical treatment and effective postoperative rehabilitation. Comorbidity creates special requirements for surgical and rehabilitation approach to achieve biomechanically correct fitting of the structure and its rigid fixation on the supporting osseous structures. The aim of the study was to identify the most common comorbidities in patients with scoliosis admitted for surgical treatment, to highlight the features of surgical treatment and rehabilitation of these groups of patients. Material and methods. We studied 118 case histories of patients admitted for surgical treatment of scoliosis, monitoring characteristics of the periods of treatment and rehabilitation after surgical correction of vertebral deformity. Results. Degenerative vertebral diseases, cardiovascular development abnormalities and diseases of the gastrointestinal tract were noted with the highest frequency as diseases associated with scoliosis. The characteristics of surgical approach in the correction of vertebral deformity depending on the identified comorbidity are generalized. Conclusions. The revealed comorbidity pattern indicates the fundamental generality of the etiology of scoliosis and these diseases, as well as the pathogenetic role of vertebral deformities in the development of a number of diseases. This fact must be taken into account when planning approaches to surgical interference and individual rehabilitation program in the early postoperative period.

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