CEPHALEA FROM OROFACIAL ORIGIN - CONTEMPORARY DENTAL PROSTHETIC TREATMENT

Introduction׃ Cephalea from orofacial origin is manifested in patients diagnosed with different etiological factors such as traumatic occlusion, bruxism and loss of occlusal support. Early diagnosis enables its timely removal. Aim: Establishment of contemporary dental prosthetic treatment in patients with cephalea from orofacial origin. Material and methods: In this study 120 patients were diagnosed, followed, analyzed and treated. They were divided into two groups. The first group consisted of 60 patients, subdivided by ethiological factors: traumatic occlusion, bruxism and loss of occlusal support. The second group consisted of 60 patients, representing the control group. The research was performed in the private polyclinic, Kavaja, Pristina, Kosovo and at the PHI University Dental Clinical Center “St. Panteleimon”, Skopje, Republic of North Macedonia. The diagnosis of traumatic occlusion, bruxism and loss of occlusal support was made with clinical and paraclinical methods. Helkimo Index for dysfunctional changes was applied through anamnestic questionnaires and clinical examinations. A therapeutic approach consisting of three stages was established: first aid, initial therapy and long-term therapy. Results and Discussion: Patients were appropriately treated medically, followed by removal of the etiological factors. Prosthetic restorations, butterfly deprogrammer and stabilization splints were manufactured (except for the control group). This led to overall success and rehabilitation of the treated patients. Conclusion׃ This study contributes with a contemporary prosthetic clinical approach to cephalea from orofacial origin. The elimination of pain and etiological factors, preserves the longevity of the definitive prosthetic restorations thus improving patients\u27 quality of life

The Impact of Prosthetic Treatment on Patients with Disabilities – Literature Review

The primary purpose of prosthodontics treatment is to improve oral health, function, and aesthetic appeal for individuals and groups using various dental prostheses. According to the 2011 World Report on Impairment by the World Health Organization (WHO), Due to aging populations, social disability will become an issue of increasing concern in the coming years. Even simple tasks, such as cleaning one\u27s teeth, might be troublesome in prosthodontic therapies for people with special needs. In general, individuals with disabilities have poor health, less education, fewer economic possibilities, and higher levels of poverty than those without impairments. Concerns exist with oral health and overall dental care access for the same reasons. Historically, patients with mental, social, and physical disabilities were excluded from prosthodontics since various specific and general problems that they show allegedly prevented the application of implants as an element of dental treatment. (7) However, these patients need oral fixed rehabilitation since neurologic impairment, neuromuscular conditions, genetic abnormalities, and oro-craniofacial malformations are associated with a higher incidence of dental agenesis and the inability to maintain sufficient oral hygiene. In the prosthodontic literature, studies have revealed changes in quality-of-life scores for socially impaired patients treated with single crowns, fixed dental prostheses, and removable dental prostheses, both with and without implants. Oral health is an essential component of overall wellness. To improve the oral health of people with disabilities, whether those limitations be social or intellectual, all dental specialties must be involved. It may be of future interest to investigate how the forms of prosthodontic therapies influence the oral microbial status in the context of oral health and disease in this special needs cohort