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At least 1,027 records · Page 57Linked to original sources
PubMed2003

Enamel loss and occlusal vertical dimension. Causes and considerations for treatment.

Much of the accelerated or premature loss of vertical dimension experienced by patients is certainly preventable, and prevention should be emphasized. Recommendations on limiting any nicotine and caffeine use, supporting needs for fitness efforts, and assisted or self-management of damaging habits from stress are vital Restoratively along with aesthetics, substantial, functional vertical dimension changes may now be addressed conservatively, using a range of strategies and current state-of-the art materials. Patients should become better informed about the importance of a good dentition for their better general health. Restorative alteration of vertical dimension may not be universally essential. Nevertheless, the profession, patients, and the third-party payment community must unequivocally recognize the physiologic advantage of restoring lost FOVD. The simple replacement of missing or damaged teeth without also reviewing and often addressing related facial proportions, occlusion, and vertical dimension concerns can be too limited a treatment option. Treatment of this current and ever-increasing condition cannot be sparingly restricted to the realm of specialists. In light of current population demographics, general dentists must inform themselves of extensive, currently available information in order to improve their proficiency and gain more confidence in addressing these multifaceted, ever more common problems. Examining all treatment variables in conjunction with the proficient determination for improved masticatory function and durability will increase our potential for achieving more favorable outcomes. New research in these areas will continue to be applied in order to optimally compose and implement modern comprehensive treatment plans and better evaluate post-treatment success. Not taking the interrelated issues discussed in this article into consideration, or a failure to assess and better engage these increasingly widespread needs of our population, could severely compromise the dental health of an increasing number of current and future patients.

Crowns↗
PubMed2003

TMJ fractures in children and adolescents: treatment guidelines.

TMJ fractures must be focused not only as a cause of direct damage to osseous structures, but also of future disturbances of dentofacial development. Treatment is aimed at restoring normal joint function, occlusion and symmetry. Any disturbance of condylar cartilage will result in alteration of mandibular development. The subsequent deformity of jaw and face will depend not only on the type, intensity extent and chronology of the noxious agent, but also on the particular time of occurrence and growth activity. Thus the effect will be more decided if the disturbance occurs early in life, during childhood, when growth activity is greater and mandibular shape and size have not been assumed yet. This report will include basic information on both prevention and first aid in these types of injuries. The correct application of these precautions immediately following the trauma should improve the short and long-term outcome. Information on diagnosis and treatment of lesions of the bone and soft tissues, which may coexist with dental trauma, a critical first step in the overall management of traumatized patients, will be given. Follow-up procedures of these patients will be illustrated. The guidelines described in this paper for the treatment of traumatic TMJ fractures in children and youths are based on our clinical experience. They are intended as an aid to practioners in the management and treatment of these traumas, by professional must always use professional judgement. There are no guarantees of any positive results associated with the use of these guidelines, although it is felt that time and proper treatment will maximize the chances of success.

Adolescent↗
PubMedDate not supplied

Understanding obstructive sleep apnoea.

Obstructive sleep apnoea (OSA) is characterised by various signs and symptoms, but specifically by the occurrence of repetitive episodes of partial or complete collapse of the upper airway, which prevents breathing. This is known as apnoea. Episodes of apnoea are usually accompanied by: loud snoring, excessive daytime sleepiness and a reduction of blood oxygen saturation. OSA is not a condition that develops spontaneously; rather it can best be described as a continuum of snoring. It is estimated to affect around four per cent of men and two per cent of women. The lack of awareness among the general population and physicians means that an estimated 80 to 90 per cent of people with OSA have not received a clinical diagnosis.

Alcoholism↗
PubMed2003

[Myoarthropathy of the temporomandibular joint and masticatory muscles. Pain therapy management and relaxation instead of aggressive surgery].

Temporomandibular pain is often characterized by a mismatch between symptoms and findings. The dentist's well-established therapeutic strategies for the management of acute pain are therefore frequently not effective in patients with painful temporomandibular disorders (TMD). Instead, dentists should apply the tried and tested principles that are applied in general medicine to the diagnosis and treatment of musculoskeletal pain (e.g. arthritic pain or fibromyalgia). When consulted by patients with rheumatic diseases, physicians should routinely enquire whether they also experience temporomandibular pain.

Analgesics↗
PubMed2003

The efficacy of appliance therapy in patients with temporomandibular disorders of mainly myogenous origin. A randomized, controlled, short-term trial.

AIMS: To compare the short-term efficacy of treatment with a stabilization appliance compared with that of a non-occlusal, control appliance in patients with temporomandibular disorders (TMD) of mainly myogenous origin. METHODS: A randomized, controlled trial was performed with 60 patients suffering from myofascial pain. Patients were randomly assigned to a treatment or a control group. The treatment group was treated by means of a stabilization appliance and the control group by means of a non-occlusal appliance. Symptoms and signs were registered before and after 10 weeks of treatment. RESULTS: Improvement of overall subjective symptoms was reported in both groups, but significantly more often in the treatment group than in the control group (P = .000). The prevalence of daily or constant pain showed a significant reduction in the treatment group (P = .028) compared with the control group. There was a significant decrease in the number of tender masticatory muscles in the treatment group (P = .018) compared with the control group. CONCLUSION: The results of this short-term evaluation suggest that the stabilization appliance is more effective in alleviating symptoms and signs in patients with TMD of mainly myogenous origin than a control, non-occlusal appliance. The stabilization appliance can therefore be recommended for the therapy of these patients.

Adolescent↗
PubMed2003

Duct tape, please.

Explore the source record for details and available documents.

Expert Testimony↗
PubMed1992

[Sagittal fracture of mandibular condyle (SFMC) of the children treated by occlusal pad].

We have observed two cases of fresh SFMC of the children treated by occlusal pads and one case of old SFMC not treated. According to the survey of the above two kinds of SFMC, we conclude that: (1) The degree of the fractured fragment of the children are smaller than that in the adult. The outcomes of the cases treated by occlusal pads are good. (2) The condyle will be malformed and adhered to the lateral tubercle of the mandibular fossa in the untreated case. (3) The principles of the treatment of fresh SFMC are to prevent secondary trauma of the joint, to let the residual part of the condyle remodelling under light pressure and to reduce distance between the fractured fragments. The occlusal pad can fulfil these requirements.

Adult↗
PubMed1992

[Anomalies of the inclination of the occlusal plane: early treatment using indirect guide-planes--electromyographic response].

We discuss five cases of ANGLE's malocclusion Classes I, II or III that were rehabilitated basically by: restoration of masticatory function (previously pathological); the use of removable orthopaedic plates with indirect guideplanes. The patients (aged 6-15 years when treatment began) now have symmetrical balanced occlusion. Surface electromyography was used to study the function of the anterior temporal, surface masseter, deep masseter and anterior digastric muscles of 12 patients during rehabilitation of severe malocclusion. Electromyograms were obtained both with and without orthopaedic guideplanes installed. There were no significant differences as regards mean resting myoelectric activity. During maximum voluntary clenching in centric occlusion, the anterior temporal muscles were the most active, followed by the surface masseters. The activity of the anterior temporal muscles during clenching was significantly less (P < 0.01) with guideplanes than without. During lateral displacements, the non-working side anterior temporal muscle exhibited a significantly higher potential than the other muscles monitored, especially with guideplanes installed. The activity was lees with guideplanes during swallowing.

Adolescent↗