Treatment decision‐making for a post‐traumatic malocclusion in an elderly patient: A case report.

Amadi, Jude Ugochukwu; Delitala, F; Liberatore, Gianmauro; Scozzafava, E.; Brevi, Bruno

doi:10.1111/edt.12673

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…While it has been suggested that clinical guidelines often oversimplify treatment decision-making regarding implants, numerous studies highlighted the importance of considering multiple factors before selecting, preparing, or saving implants, particularly the patient’s medical history, bone quality, and implant location [ 30 , 75 , 76 , 77 ]. This was echoed by studies investigating surgical, extractive, and sedative decision making, which suggest consideration of patient factors such as medical history, including oncological prognosis and the level of dental anxiety [ 78 , 79 , 80 , 81 ].…”

Section: Resultsmentioning

confidence: 99%

Determinants of Clinical Decision Making under Uncertainty in Dentistry: A Scoping Review

et al. 2023

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Clinical decision-making for diagnosing and treating oral and dental diseases consolidates multiple sources of complex information, yet individual clinical judgements are often made intuitively on limited heuristics to simplify decision making, which may lead to errors harmful to patients. This study aimed at systematically evaluating dental practitioners’ clinical decision-making processes during diagnosis and treatment planning under uncertainty. A scoping review was chosen as the optimal study design due to the heterogeneity and complexity of the topic. Key terms and a search strategy were defined, and the articles published in the repository of the National Library of Medicine (MEDLINE/PubMed) were searched, selected, and analysed in accordance with PRISMA-ScR guidelines. Of the 478 studies returned, 64 relevant articles were included in the qualitative synthesis. Studies that were included were based in 27 countries, with the majority from the UK and USA. Articles were dated from 1991 to 2022, with all being observational studies except four, which were experimental studies. Six major recurring themes were identified: clinical factors, clinical experience, patient preferences and perceptions, heuristics and biases, artificial intelligence and informatics, and existing guidelines. These results suggest that inconsistency in treatment recommendations is a real possibility and despite great advancements in dental science, evidence-based practice is but one of a multitude of complex determinants driving clinical decision making in dentistry. In conclusion, clinical decisions, particularly those made individually by a dental practitioner, are potentially prone to sub-optimal treatment and poorer patient outcomes.

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Section: Resultsmentioning

confidence: 99%

Determinants of Clinical Decision Making under Uncertainty in Dentistry: A Scoping Review

et al. 2023

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A retrospective study of occlusal reconstruction in patients with old jaw fractures and dentition defects

Ding,

Jing,

Shi

et al. 2024

Chinese Journal of Traumatology

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Occlusal rehabilitation of post-traumatic malocclusion patient after reduction of panfacial fracture, using selective occlusal adjustment and implant prostheses on centric relation: a case report

Kim,

Park,

Lee

et al. 2023

J Dent Rehabil Appl Sci

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Invasive or non-invasive reduction of fractures could be conducted as treatments of traumatic maxillofacial bone fractures. But when suboptimal reduction or malunion of maxillofacial bone fracture occurs, malocclusion could occur as a result of the lost relationship of the mandible and midface. This malocclusion is called post-traumatic malocclusion and orthognathic surgery, orthodontic treatment, selective grinding and prosthetic reconstruction are suggested as treatments for post-traumatic malocclusion after securement of stable TMJ. Stable TMJ is essential for occlusal rehabilitation to prevent occlusal change and relapse of malocclusion. Centric relation and adapted centric posture are suggested as start points of occlusal rehabilitation because they are most stable TMJ position. This case report presents a case in which post-traumatic malocclusion occurred after reduction of panfacial fracture. To rehabilitate full mouth occlusion, selective grinding and prosthetic reconstruction of implant supported fixed prostheses were conducted in centric relation and showed satisfying results in functional and occlusal aspects.

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Treatment decision‐making for a post‐traumatic malocclusion in an elderly patient: A case report.

Cited by 3 publications

References 28 publications

Determinants of Clinical Decision Making under Uncertainty in Dentistry: A Scoping Review

Determinants of Clinical Decision Making under Uncertainty in Dentistry: A Scoping Review

A retrospective study of occlusal reconstruction in patients with old jaw fractures and dentition defects

Occlusal rehabilitation of post-traumatic malocclusion patient after reduction of panfacial fracture, using selective occlusal adjustment and implant prostheses on centric relation: a case report

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