The aim of this study was to investigate the effects of the use of an occlusal splint on postural balance considering the occlusal splint as a device for treating temporomandibular joint disorder. A randomized, controlled, prospective clinical trial was conducted. The research group consisted of 49 patients (36 as test group and 13 as control group) between 18 and 75 years old, both genders, diagnosed as temporomandibular disorder by Research Diagnostic Criteria/Temporomandibular Disorders questionnaire and magnetic resonance imaging of the temporomandibular joints. Test group was treated with orientations for physiotherapeutic exercises and occlusal splint, whereas control group received orientation for physiotherapeutic exercises only. Postural equilibrium was evaluated by means of a force plate. After 12 weeks, the groups were re‐evaluated. Patients from both groups presented a significant increase in antero‐posterior speed with eyes closed, test group ( P < 0.001) and control group ( P = 0.046). Only patients of the test group presented a significant increase in antero‐posterior speed with eyes opened ( P = 0.023). We concluded that the use of occlusal splint affected the postural balance.
Prevalence of peri-implant complication is expected to be on the rise with the increased number of implants being placed. Depending on the degree of osseous involvement, the clinician needs to decide if the treatment goal is to arrest the disease progression, regeneration or explantation and replacement. Host's medical status, defect configuration, aesthetic outcome, ability to access for plaque control post-treatment, and the patient's wishes are key factors to consider. The purpose of this review is to provide a contemporary synopsis on the management of peri-implantitis with emphasis on explantation. Guidance on the identification of factors/situations where salvaging an implant may be less favourable is discussed and the various techniques to remove a fractured, or peri-implantitis-affected non-mobile implant are described.
Background: Temporomandibular disorder (TMD) belongs to a heterogeneous group of musculoskeletal and neuromuscular conditions involving the temporomandibular joint complex, musculature and adjacent components. These conditions can generate signs and symptoms and be influenced by an altered biopsychosocial condition. Objective: This study aims to seek information to assist the patient in the presence of TMD signs and symptoms and Orofacial Pain, associated with the period of social isolation during the COVID-19 pandemic. Material and methods: For the preparation of this manual, a bibliographic search was performed in the databases PubMed, Latin American and Caribbean Health Sciences Literature (LILACS), BBO (BVS), Scopus, Web of Science and The Cochrane Library, using the keywords: orofacial pain, temporomandibular disorders, bruxism, stress, anxiety, biopsychosocial, diagnosis, self-care with important information on how to reduce and control the signs and symptoms of TMD and Orofacial Pain in this moment of pandemic that we are experiencing a social detachment. Results: The results show that the pandemic of COVID-19 and the need for social isolation, generates psychological impact that raises the pattern of anxiety and can directly affect patients with bruxism and TMD. Conclusion: Psychological factors associated with the pandemic can lead to an increased risk of developing, worsening and perpetuating bruxism, especially waking bruxism and TMD, so dentists should be aware of the occurrence of signs and symptoms to manage the multifactorial aspects of this condition. At that time, individual self-management strategies are advised for the patient, which consist of self-massage techniques, body education, exercise practices, sleep hygiene, meditation and making available the use of tools and online devices that facilitate this activity.KeywordsOrofacial pain; Temporomandibular disorders; Bruxism; Stress; Anxiety; Biopsychosocial; Diagnosis; Self-care; COVID-19.
This article describes an alternative method for making an impression of implants that will simultaneously capture the soft tissue contours accurately. This customizing of the pick-up impression technique is specifically useful for aesthetic areas.
IntroductionThe technique of retaining roots and utilizing an over denture in patients with worn and non-restorable teeth is not a new approach [1,2]. When teeth are extracted, the residual alveolar bone resorbs and continues to resorb over time [3]. The alveolar resorption is greatest in the first months following extraction of teeth, depending upon biological and mechanical factors. However, the rate of resorption on the mandible is faster compared with the maxilla [4]. In addition, greater bone loss was found in the anterior part of the jaws, especially in the mandible [4]. Resorption of the maxilla is apically and poster apically while the mandible is apically and anteroapically. Consequently, if teeth or roots could be maintained in the anterior region of the mandible, it would be a significant benefit to the patient though bones preservation. Prostheses supported by stud type attachments over roots provide a retentive over denture, which is more stable.The use of an over denture attachment system for a partial/ complete removable prosthesis in a patient with endodontically treated retained roots is a predictable approach. The attachment system provides a balanced solution between functional stability and preservation of roots, maintenance of the alveolar bone, cosmetic appeal and economics. Due to the amount of caries and the condition of this young patient's enamel, the treatment option of choice was to preserve the roots of the mandibular teeth. This clinical report describes the placement of an over denture onto endodontically treated abutments utilizing stud attachments. Lithium disilicate ceramic on lays and/or full coverage restorations on the remaining maxillary teeth were utilized to restore the anatomical tooth structure and vertical dimension of occlusion. Full coverage restorations were placed on the maxillary teeth, premolar to premolar, in order to restore the maxillary teeth. Clinical Case ReportA 22-year-old patient presented to the International Comprehensive Program at New York University College of Dentistry with the chief complaint that his teeth keep fracturing and he also did not like their appearance. He wanted them restored in order to improve his smile (Figure 1). He also exhibited halitosis, closed vertical dimension of occlusion, xerostomia and a history of bruxism. During the review of the patient's medical history, we were advised of the use of hormone replacement therapy for transgender (female-to-male) treatment that consists of androgens like testosterone. This therapy may also contribute to this teenage patient's oral conditions, generalized hypoplasia of the enamel; by AbstractBackground: Evidence suggests that the retention of mandibular roots for the preservation of bone in patients by utilizing an over denture is a conservative approach for a fixed and removable prosthetic reconstruction.
Aim:The purpose of this study was to compare the surface roughness of nano-hybrid composite polished by a multi-step polishing system versus one-step polishing systems.Materials and Methods: Sixty composite specimens were prepared using two brands of nano-hybrid composites, evenly. Within the two groups, the samples were further divided into three groups for three different polishing systems. All specimens were polished following the manufacturer's instructions and then subjected to a profilometer to evaluate surface roughness.Results: There was no difference using the same polishing system on the two different brands of nano-hybrid composites. The mean roughness scores of the composites were significantly less for the multi-step polishing kit than the one-step polishing systems. Conclusion:Multi-step polishing system showed the lowest surface roughness values, meanwhile the one-step polishing systems showed the highest surface roughness values. When using Nano-hybrid composites, the multi-step polishing system offered the best results compared to one-step polishing systems.
Tooth loss due to traumatic dental injury or congenital absence can cause functional and socialpsychological consequences in youth. Pubescent children with missing teeth are often targets for school bullying. The treatment modality chosen can impact their well-being during their formative years. Despite the high success rate in adult patients, implant placement in young patients is not common due to its ankylosed nature and concerns with possible infra-occlusion in the future. However, skeletal growth and remodeling is a continuous process throughout life and postponement of dental implant placement does not necessary prevent future complication or need for replacement. Dental implant placement should be considered as a viable treatment option for pubescent patients if all other conventional alternatives fail to alleviate patients' concerns both functionally and psychologically. This case report evaluates the considerations required to place dental implants in pubescent patients, as well as its advantages and disadvantages.
When Branemark first introduced the concept of osseointegration in 1952, a new era of oral reconstruction emerged [1]. For a long period of time, this machined type of implant was clinically and histologically considered successful for osseointegration. In response to clinical demand, rough surface implants were introduced in the late 80's in order to facilitate bone-implant-contact (BIC) [2,3]. However, plaque can attach up to 25 times more easily to rough surfaces than to machined surfaces
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