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.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.