POSSIBILITIES TO IMPROVE THE EPIDEMIOLOGICAL RESEARCHES REGARDING THE ORAL HEALTH IN ROMANIAN N-E AREA

The application of effective strategies for implementing clinical and health services interventions is an issue that concerns many researchers and healthcare providers. An objective of an effective epidemiological research regarding the oral health must be the measuring of the socioeconomic, and systemic status factors, to establish correlations between the investigated factors and the oral health status. Also the epidemiological researches must be focused on recording the usual dental and periodontal indices as well as on finding sensible immunological predictors linked to periodontal disease, a chronic pathology that affects all age categories and is associated to many general diseases. The epidemiological studies performed in N-E areas of Romania can increase the knowledge of the oral health status and factors that influencing it, as well as will determine the correlations between these factors and the health status of the oral cavity. The results of epidemiological studies can help to establish clinical and paraclinical indicators in the establishment of an oral diagnosis with high predictability. The creation of a database to national and international level regarding oral health in Romanian N-E area, can conduct to the implementation of a new prevention programs in areas where the results of the epidemiological study will find a high prevalence of the oral diseases

ORAL AND FOOD HYGIENE HABITS OF SCHOOLCHILDREN IN IASI, ROMANIA

The aim of the present study was to assess the oral and food hygiene habits of school children in Iasi in order to establish the necessary preventive measures. Material and methods: The study was cross-sectional and included 533 children aged between 7 and 12 years in Iasi. For the assessment of food hygiene habits, a questionnaire was used to record food consumption over a 4-day period. For oral hygiene assessment, the Silness-Löe bacterial plaque index was used. Results: the highest percentage of the children (43.71%) declared a moderate consumption of carbohydrates. Most of the investigated subjects (61.16%) declared a high frequency of sugar consumption. 45.59% of the children in the study had a less good oral hygiene. Conclusion: The results of the study highlight the need for effective oral health education, addressed not only to children but also to parents and teachers

EFFECTS OF PERIODONTAL THERAPY ON CLINICAL PARAMETERS IN PATIENTS WITH RENAL DISORDERS

Introduction. Chronic renal disease (BRC) is considered worldwide as a public health problem, mainly due to high morbidity and mortality. Chronic periodontitis (PC) is an immune-inflammatory disease caused by Gram-negative bacteria that destroy tooth support tissues and which induce local inflammation associated with an inflammatory systemic response. Recent studies have shown an association between high levels of reactive protein C PCR) and interleukin-6 (IL-6) and periodontitis, an association that decreases after periodontal treatment (periodontal therapy). Because of this association with the systemic inflammatory response, PC has recently been included as a risk factor for BRC. The purpose of the study. In this study we wanted to evaluate the clinical effect of periodontal treatment in patients with CKD and CP. Materials and methods. The patients were divided into two groups: the first group consisted of CKD patients who were conservatively treated with periodontal treatment and the second group was a control group consisting of patients without any systemic disease who presented moderate to severe CP, also undergoing conservative periodontal treatment. Results. At baseline, PC was more severe in BRC group than in the control group, as most of the sites with the periodontal pocket depth PPD ≥ 5mm periodontal (p = 0.03) and loss of attachment CAL (p = 0.003). However, the results of periodontal treatment were noticeably improved only in the group of patients with periodontal disease but without chronic conditions. Conclusions. Successful periodontal disease reduces the abnormal level of clinical parameters and that can induce an increase of systemic inflammatory response, indicating that it can be animportant intervention therapy at patients with chronic kidney disease

Trends in Access to Oral Health Care among Adults from the N-E Region of Romania

Aims and Objectives: To investigate the trends in access to dental services among adults from the N-E region of Romania and to evaluate the factors that influence access to dental care. Material and Methods: A self-administered questionnaire was used to evaluate the access and utilization of dental care among a sample of adults. We collected data on their demographic characteristics, their type of medical insurance, their monthly income, the type of dental office they visited, their reasons for choosing a certain type of dentist office, and their oral hygiene habits. It was found that their financial status determined by the occupation of the individual, as well as their monthly income, influenced their access to medical services. Data were analyzed using SPSS 20.0. Results: Of a total of 696 participants, 55.6% were female, 83.3% were from urban areas, 42.1% were retired, 62.3% of the subjects utilized dental emergency services, and 67.9% of the subjects self-funded their treatment. The reasons for women not attending dental offices included costs (24.3%) and dental fear (9.8%), while men’s reasons were high costs (26.4%) and lack of time (5.9%). Significant differences were recorded between gender and reasons for visiting the dentist (p = 0.018), payment for dental services (p = 0.009), and preferred clinic (p = 0.010). In relation to occupation, there were significant differences for most of the variables evaluated (reasons to visit a dentist, payment for dental services, preferred dental clinic, self-rated oral health, etc.). Conclusions: Gender, occupation, and monthly income levels were found to influence access to dental medicine services of Romanians in the N-E region. Dental services were frequently accessed for emergency reasons. Dental services were found to be paid for by state insurance for those with low monthly incomes and self-funded for those with higher monthly incomes

THE ADVANTAGE OF THE ALL-ON-SIX AND ALL-ON-EIGHT TECHNIQUE COMPARED TO THE ALL-ON-FOUR TECHNIQUE

Edentulism is a prevalent oral health issue that has a detrimental social and psychological impact on patients ‘quality of life. The treatment option adopted has a significant impact on the level of quality with the goal can be achieved. For edentulous patients, implant-supported fixed restorations are a well-established treatment modality. Implant dentistry philosophies and procedures have evolved and changed over the time to give esthetics and functional outcomes. Immediate loading has various advantages over traditional loading without sacrificing the quality of the output. An immediate fixed provisional promotes a high level of patient satisfaction with respect to esthetics, phonetics, mastication and psychological comfort, enabling patients to return to their normal routine and maintain quality of life within a short period of time. Without question, the optimal solution for any edentulous patient from whom it is still clinically viable to place implants is all-on-X dental implant solution. Whether All-on-four All-on-five, All-on-six or any variation of a full implant supported design, there is a best option for quality of life, long term durability, bone maintenance, health improvement and frankly happiness

OUR EXPERIENCE REGARDING PERI-IMPLANTITIS

Although dental implants are most common prosthetic treatment used to replace missing tooth, it gained considerable importance over a decade owing to the availability of advanced techniques that can help in achieving a greater success rate and much better osseointegration. The chances that the implanted tooth can be rejected due to inflammation caused by oral microflora still persist. The term peri-implantitis is used to describe a destructive inflammatory process affecting the soft and hard tissues around osseo integrated implants, leads to the formation of a peri-implant pocket and loss of supporting bone. Predisposing factors are poor plaque control, inflammation, infection, smoking, diabetes and occlusal overload. It is diagnosed on the basis of clinical and radiographic interpretation and still no definitive criteria have been proposed for the diagnosis and treatment of peri-implantitis. However treatment can be both conservative and surgical. The cumulative interceptive supportive therapy protocol serves as good guide for the treatment of the peri-implantitis. Radiological examination it is very important pre- and post-operative assessment of implant surgery. Among all radiological methods, periapical radiography (PA) and cone beam computer tomography (CBCT) are common to asses post-operative peri-implant bone defects

THE SINUS LIFT PROCEDURE APPLIED IN CASES WHERE THE THICKNESS OF THE ALVEOLAR BONE IS INSUFFICIENT USING DOUBLE PRF AS WELL AS IN THE CASE OF AN INTRASINUS MUCOCELE

Missing teeth may result in a functional and cosmetic deficit and have traditionally been replaced with dentures or bridges. Dental implants rely on the maintenance of a direct structural and functional connection between living bone and the implant surface, this is termed osseointegration. Osseointegration has undoubtedly been one of the most significant scientific breakthroughs in dentistry over the past 40 years. Insufficient bone volume is a common problem encounter in the rehabilitation of the edentulous posterior maxilla with implant-supported prostheses. The bone available for implant placement may be limited by the presence of the maxillary sinus together with loss of alveolar bone height. Bone volume may be increased by augmentation, commonly the sinus cavity is augmented with autogenous bone or biomaterials or both. Procedures are variously described in the literature as sinus lift, sinus augmentation, sinus floor elevation or augmentation of atrophic maxillary sinus. Implant placement may be combined with sinus augmentation as one-stage technique. Alternatively sinus augmentation may be carried out as some time prior to implant placement as a two-stage technique