Introduction: Cephalea from orofacial origin is a diffuse, mild to moderate pain that appears as a bandage around the head. There are many different etiological causes of dental origin that contribute to the appearance of cephalea. Purpose: The purpose of our research is dental treatment of patients with traumatic occlusion, bruxism and loss of occlusal support, which have a pathological condition - cephalea from orofacial origin. Material and methods:For the purposes of this paper, 15 patients with cephalea from orofacial origin were analysed, diagnosed and treated. The control group consisted of 15 patients without etiological factors. A butterfly deprogrammer and a stabilization splint were made depending on the indication. Results and discussion: According to our patient study results, it appears to be a link between inadequately made prosthetic devices, bruxism and loss of occlusal support with cephalea. The therapy should help the patient urgently and continue to relieve the cephalea symptoms from orofacial origin. The results show an improvement in 86.7% of the examinees. Conclusion: The butterfly deprogrammer and stabilization splint are new methods that can contribute along with other therapeutic modalities in improving the quality of life in a patient with cephalea from orofacial origin.
Introduction: Partial edentulousness has always been a challenge for dental treatment, especially if the patient needs complex dental treatment. The purpose of this article is to represent the possibilities of treatment for patients with partial edentulousness. Case series: For the purpose of this study, three patients have been examined, diagnosed and treated for their diagnosis -partial edentulousness. The patients were treated in accordance to their skeletal classes, imitating nature. The persisting natural teeth were examined, treated and prepared for the complex fixed -removable dental constructions using attachments. The stomatognathic system was carefully examined, with extraoral and intraoral measurements. Conclusion: Every patient needs to be individually treated for optimal results. Still, the combination of fixed-removable complex construction remains the golden standard for patients who have healthy (or treated) permanent teeth and, for several reasons, are not candidates for implants. The individual characteristics of each patient need to be imitated, thus mimicking nature. The combination of fixed -removable dental constructions is a good solution from a functional -aesthetic aspect for the mutual satisfaction of the patient and the prosthetic team.
The occlusal parafunctions do not belong to the group of physiological functions such as speech, breathing, chewing and swallowing. The parafunction associated with clenching of the teeth is known as bruxism. In this state as therapeutic measurments success can be achieved using specially designed dentures.
Summary Background/Aim: Bruxism is a parafunctional habit that has multiple etiology. Globally it is a widespread problem. The purpose of this study was to assess the presence of pain, stress and to understand the emotional factor and their relations to the occurrence of bruxism. Material and Methods: For the purpose of this paper, 40 patients with partial edentuloissness and bruxism were treated prosthetically and with night dentures. They were assessed for the degree of the pain they feel and were given questionnaires for the level of stress they feel and for their psychological situation. The control group consisted of 40 patients who were not treated but were diagnosed with the same methods like the previous group. Results: Patient feel pain from the consequences of bruxism, disregarding the statistical significance related to gender. Stress pays a major role as we live in a dynamic and demanding society. The more competitive and ambitious the person is the more there are possibilities for occurrence of bruxism. Emotions are a very complex matter that unconsciously can be connected to the presence of bruxism. Conclusions: Besides prosthetic rehabilitation, sometimes a multidisciplinary approach is needed. Dentists should be aware of their role as psychiatrist and need to be educated of the principles of a patient’s analysis and of the cognitive behavioral therapy.
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