Patient’s interest towards interconnection and social implication with trainer doctor model

OED and the dictionary of the world defines a "doctor" 700 years ago and today as a "teacher". The root word for the word doctor derives from Latin "docere", which means "to teach". The doctor contributes to educating patients about a number of medical conditions (the patient is experiencing a number of diseases). In essence, the doctor has the role as a teacher. Doctor-patient interaction works on relational models. The physician-trainer paradigm is required to be introduced to improve patient status. The physician-trainer model is a participatory model that results in achieving the patient's well-being and improving his/her health; the physician uses his or her capacity as a trainer, that is, he has the ability to form and instill adequate conduct for each patient. In this paper, besides highlighting the appetence for the relationship between the trainer and the patient, we tried to quantify the patient's acceptance of the treatment with/without continuous monitoring of the disease (chronic diseases), the degree of reasonableness in accepting the therapeutic behavior, and lastly how the individual feels the change of his status in the patient. The study was conducted on a total of 217 subjects (125 female subjects and 92 male subjects). The applied questionnaire contained 18 questions, structured to help us confirm or not the study's objectives. The results obtained will show us the level of appetite for the trainer-patient relationship

Psychosomatics of the impact of dental radiological investigations on the patient

Radiological diagnosis in dental medicine is of overwhelming importance, helping the dentist to develop and justify his final diagnosis. They are increasingly common situations where diagnosis can only be determined radiologically. It is the patient's right to be informed about his or her state of health and at the same time we add a doctor's duty. In our material, we tried to highlight the impact on the patient the conducting and communicating the outcome of radiological investigations, to prove that there is fear of irradiation and to understand how the radiological image that demonstrates a poor orodental health entails the need for rehabilitation. This statistical study was performed on a total of 223 subjects (128 female subjects and 95 male subjects). The subjects of the study were asked questionnaires whose questions highlight the confirmation or rejection of the proposed objectives. The results obtained will show to what extent the patients have quantified the requirements of the questionnaires. Obtaining responses with a slightly surprising character certifies the rigor of our research

The Verification of the Degree of Concordance of the SMI/CVMS Indexes in Evaluating the Pubertal Growth Stages—Longitudinal Study

The research aims to verify the concordance between the skeletal maturity index (SMI) measured on the hand and wrist X-rays using Fishman method and the cervical vertebral maturation stage (CVMS), measured on the lateral cephalometric X-rays using Baccetti method. The concordance of the two indexes (SMI and CVMS) has been statistically verified with the help of the Cohen’s kappa coefficient, by relating them to the growth stages, within a longitudinal study done upon a group of 38 patients, 22 female and 16 male, aged between 8–18 y, the analyzed investigations being done in series, along the orthodontic treatment. The research showed a strong correlation between the SMI and CVMS indexes within the analyzed group, confirmed by the obtained values (k = 0.84 for female and k = 0.85 for male)

The Verification of the Degree of Concordance of the SMI/CVMS Indexes in Evaluating the Pubertal Growth Stages—Longitudinal Study

The research aims to verify the concordance between the skeletal maturity index (SMI) measured on the hand and wrist X-rays using Fishman method and the cervical vertebral maturation stage (CVMS), measured on the lateral cephalometric X-rays using Baccetti method. The concordance of the two indexes (SMI and CVMS) has been statistically verified with the help of the Cohen’s kappa coefficient, by relating them to the growth stages, within a longitudinal study done upon a group of 38 patients, 22 female and 16 male, aged between 8–18 y, the analyzed investigations being done in series, along the orthodontic treatment. The research showed a strong correlation between the SMI and CVMS indexes within the analyzed group, confirmed by the obtained values (k = 0.84 for female and k = 0.85 for male)

DIMENSION OF THE UPPER LATERAL INCISORS IN HYPODONTIA

Objectives. To evaluate the upper lateral incisors crown dimensions in pacients with hypodontia and to establish a possible correlation between the hypodontia type and the reduced dimensions of these teeth. Materials and methods. For this study we examined 52 dental casts of patients with hypodontia (except third molars) who were reffered to the Orthodontics and Dentofacial Ortopaedics Department of the ”Carol Davila” University of Medicine and Pharmacy in Bucharest, between 2014 and 2018, divided as follows: 24 casts of patients with one absent tooth, 18 – of patients with 2 congenitally missing teeth and 10 – of patients with 3 or more congenitally missing teeth. The age range for the hypodontia subjects was 8-23 years old, with a mean of 13.76 years. The maximum mesiodistal crown dimensions of the upper lateral incisors were measured on the dental casts with a digital calliper. Statistical evaluation was performed using the Microsoft Office Excel 2016. Results and discussion. The prevalence of the microdont maxillary lateral incisors was 51.9%. Most of the upper lateral incisors showing morpho-dimensional coronary changes were noticed among female patients (32.7%) compared to 19.2% for the male sex. In the unilateral hypodontia of the upper laterals, the homologous lateral was always found as microdont. As for the patients with 2 congenitally missing teeth, we observed bilaterally microdont upper laterals, both in cases of second mandibular premolars and mandibular central incisors hypodontia. 80% of dental casts of the subjects with 3 or more congenitally missing teeth had microdont upper lateral incisors. Conclusions. Patients with hypodontia present a dimensional instability of the upper lateral incisors; the most obvious reductions of the largest mesiodistal diameters were registered in cases with severe hypodontia

THE PREVALENCE OF MANDIBULAR MIDLINE DEVIATION IN CHILDREN AND ADOLESCENTS WITH DIFFERENT TYPES OF MALOCCLUSIONS

In this study, the prevalence of mandibular midline deviation in different types of malocclusions were evaluated taking into account sexual dimorphism in patients with mixed and permanent dentition. With the aforementioned aim, a cross-sectional study was carried out on a total of 214 patients (134 females and 80 males) aged between 7-15 years (with a mean age of 9.5 ± 2 years). On the study casts of each subject participating in the study, the displacement of the lower dental midline compared to the upper one was measured in different classes of malocclusion, taking into account sexual dimorphism. Three study groups were formed: first with mandibular midline deviation with values less than 2 mm, second with deviation between 2-4 mm and third with deviation more than 4 mm. Subsequently, the prevalence of the displacement of the lower dental midline was assessed taking into account the sexual dimorphism and the Angle classes malocclusions analyzed (Angle Class I, II/1, II/2, III) and UPC (unilateral posterior crossbite). Mandibular midline deviation greater than 2 mm was observed in more than three quarters (75.7%) of the patients in the studied group. In the five classes of malocclusion, a higher frequency of displacement of the lower dental midline was appreciated in the range of 2-4 mm of 59.8%. In this interval, the highest percentage of displacement was observed in Angle Class II/1 (18.2%), followed by unilateral posterior crossbite UPC (15%) and Angle Class II/2 (13.1%). Most large displacement of the lower dental midline (with a value more 4 mm) was recorded in unilateral posterior crossbite UPC (5.6%). Although the displacement of the mandibular midline was recorded in a slightly increased percentage in males (61.25%) compared to the group of females (58.95%), from a statistical point of view, no notable differences were reported between the two genders. Dental midline deviation changes should be noted and analyzed from the beginning of orthodontic treatment in order not to cause later functional or aesthetic disorder

Statistical Study on the Motivation of Patients in the Pediatric Dentistry

Our statistical study included 344 participants selected from the patients of the Pedodontics–Orthodontics Discipline of the Tîrgu-Mureş University of Medicine and Pharmacy. The patients’ age was between 6 and 18 years, with an average of 13.70 and a standard deviation of 4.62. The study participants were informed and agreed to complete two questionnaires of our conception regarding their health status, oral hygiene, and motivation for pedodontics or orthodontic treatment. The results of the two questionnaires were interpreted according to the gender and age of the patients. Data processing was performed with NCSS/PASS Dawson Edition statistical software, using the CHI2 test, considering a p of less than 0.05 as significant for comparative results. Results showed that girls were more motivated than boys in addressing pedodontic services due to dental, periodontal, and articular problems. Children, aged between 11 and 14 years, were less intrinsically motivated to solve oral health problems due to their low frequency. The intrinsic motivation for a more beautiful dentition was very strong, regardless of age and sex. Girls were more intrinsically motivated for orthodontic treatment than boys. There was a linear increase together in the age of those who wanted to improve their smile and facial appearance. Children between 11 and 14 years had the best self-perception of the appearance of their teeth, mouth, smile, and facial harmony. The strongest extrinsic motivation for orthodontic treatment came from parents or another doctor. The most important reason for orthodontics was dental malpositions, the last one was the improvement of masticatory efficiency. The extrinsic motivation from parents for orthodontics decreases linearly with age, along with the increase in motivation from the person with whom the participants relate emotionally and from the group of friends

THERAPEUTIC POSSIBILITIES OF THE CLASS II/1 ABNORMALITY IN EARLY TEMPORARY AND MIXED DENTITION

Objectives. The establishment of the frequency of class II/1 in the requests of treatment in Clinica de Ortodontie Cluj between the years 2014 and 2017, the clinical and telegraphic evaluation of the cases with class II/1 and the therapeutically approach of class II/1 cases. Material and method. The study was made on a lot of 1,830 patients, which came to two of the clinics’ offices. Results and discussions. The incidence of class II/1 at two of the Clinics offices between the years 2014 and 2017 was 47% (861 cases) of the total of studied cases. The repartition regarding the sexes showed a predominance of 69% at girls (592 cases). Conclusions. The frequency of class II/1 anomalies was high in treatment requests, 47%. Treatment in temporary and mixed dentition was done mainly with the functional appliances. The evolution of cases was favorable generally, demonstrated by clinical and cephalometric modifications.There were some limitations in the treatment with functional and removable appliances, the finishing stages will be done with fixed appliances