Down syndrome (trisomy 21) is the most common autosomal chromosome aberration in human. The incidence of the syndrome varies in 1:700 and 1:1000 live births according to various studies, with 20% of cases. In aborted material proportion is even higher, with 60% of cases. While 20% of cases with Down syndrome are stillborn.
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.
Bruksizam je okluzalna parfunkcija koja se relativno često sreće. Rana dijagnoza i rana terapija blagovremeno bi prevenirale veća oštećenja stomatognatnog sistema koja su posledica ove parafunkcije. Cilj: Prezentacija izrade i primene individualno dizajniranih protezanoćnih proteza kod pacijenta sa stanjem delimične bezubosti sa dijagnostifikovanim bruksizmom. Studija slučaja: Kod pacijentkinje stare 63 godine sa bolnom simptomatologijom primenjene su ekstraoralne i intraoralne kliničke metode za dijagnostifikovanje bruksizma. Pojedinačno dizajnirana proteza-noćna proteza izgrađena je pre i posle protetske rehabilitacije uptrebom dve vrste materijala. Rezultati : Izradom fiksno-mobilne konstrukcije, zaštićeni su zubi i parodontalni kompleks. Odgovarajući na individualno dizajnirane proteze, pacijentkinja je osetila smanjenje intenziteta bolova koji potiču od mastikatornih mišića i temporomandibularnog zgloba. Materijali za izradu ovih proteza dozvoljavaju jednostavnu izradu i primenu u kliničkoj praksi. Zaključak: Upotrebom noćnih proteza kod pacijentkinje sa bruksizmom postignut je uspeh u smislu očuvanja protetičke konstrukcije i poboljšanja zdravlja stomatognatnog sistema.
Background. The difference in the preclinical curriculum and teaching methodology between European and Southeast Asian countries has a great influence on the process of choosing which education model is predominant and, therefore, students’ opinion on the effectiveness of a preclinical coursework is diverse. The objective of the research was to assess the perception of the preclinical coursework in prosthodontics, conservative dentistry, and endodontics among Indian and North Macedonian students. Materials and Methods. This cross-sectional comparative study was carried out among 3rd-year students, final-year students and interns of dental schools of two respective countries. The data were collected in July 2021 using Google Form, a link to which was sent via available social media platforms. The data obtained were analyzed using SPSSv.21.0 (IBM) software. Results. The data on dental students’ perception of the preclinical coursework were obtained, analyzed, compared, and discussed. A total of 50% of Indian students stated preclinical exercises to be good to get knowledge about treating patients, whereas 47% of North Macedonian students felt the average level of knowledge needed for treating patient. Conclusions. In this study, the majority of the students were in favor of attending the preclinical course and understood its importance for building up their confidence, better understanding of the subject and better patient handling in future dental practice. However, there were different students’ opinions on the course content, its duration, exercises, faculty interaction, helpfulness of theory lectures that evidence essentiality to view dental studies from a student-centered perspective.
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