Oral Rehabilitation Therapies in A Patient with Facial Dysmorphia and Psychiatric Profile - Clinical Case Report

This article describes rehabilitation of one case, complex psychiatric treatment, facial asimetry, with mandibular and maxilla missing teeth and dental disharmony, with a fixed and also removable hybrid prosthesis. Rehabilitation with fixed or removable prosthesis is even more challenging when the edentulous span is long and the ridge is irregular deformities and unfavorable biomechanics encountered at the prosthetic field for complex rehabilitation.In such situation, a fixed-removable prosthesis allows favorable biomechanical stress distribution along with restoration of esthetics, phonetics, comfort, hygiene, and better postoperative care and maintenance</em

In Vivo Evaluation of Biocompatibility of Three Biomaterials Used in Endodontics for Prosthetic Purposes in Complex Rehabilitation Treatment

The ideal biomaterial used in endodontics in the process of sealing the radicular canals should possess a group of qualities for a predictable outcome: biocompatibility, initiation of ontogenesis and cementogenesis, ease of handling, sufficient manipulation time, and convenient price. For a perfect sealing, the root canal treatment can be followed by prosthetic restoration. This study of biocompatibility aims to determine the quantification of the local reaction following the implantation of three biomaterials in the rabbit subcutaneous connective tissue. The used biomaterials with particular reparative properties are: MTA (Mineral Trioxide Aggregate, Dentsply, Tulsa Dental, Johnson City, TN, USA), Sealapex (Kerr, Switzerland), and DiaRoot BioAggregate (Innovative BioCaramix Inc, Vancouver, BC, Canada). The first two biomaterials (MTA, Sealapex) are already being used in endodontic treatments, and the latter was newly introduced during the concrete development of the study. This is an experimental study focused on qualitative and quantitative analysis based on histopathological examination and underlined by the positive result of the study undertaken of the applicability of oral rehabilitation treatments, increasing patients’ quality of life by a significant proportion of 95%, and generating optimal functionality of the stomatognathic system with prosthetic devices as well as accomplishing the objectives of homeostasis

Periodontal Tissue Reaction Consecutive Implantation of Endodontic Materials and Subsequent Integration of Complex Oral Rehabilitation Treatments

Oral rehabilitation is a main branch of dentistry focused on diagnosing the patient’s problem and creating a treatment plan to restore aesthetics, recondition morphologically all components, and recover the functionality of the oral cavity. Biological compatibility of the materials used has a major importance, due to the direct contact with essential tissues, such as the soft and hard tissue of the periodontium and the potential influence on the outcome of the treatment. The present material aims to assess the inflammatory response after subcutaneous implantation of three materials frequently used in endodontics (Mineral Trioxide Aggregate—MTA, DiaRoot BioAggregate, and Sealapex). The evaluation of the reparative tissue reaction after 7, 30, and 60 days, respectively, subsequent to in vivo implantation, was carried out through electron microscopy imaging. Moreover, evaluation of the dynamics of the osteogenesis process was an indicator for the maintenance of internal homeostasis in the context of complex intraoral rehabilitation treatments that include fixed prosthodontics correlated with the particular periodontal-aesthetic aspects and completed by cranio-mandibular repositioning. Our study showed increased absolute values of alkaline phosphatase in all material-implanted cases (more pronounced in MTA and Bio Aggregate), highlighting that this enzyme could be an effective indicator of bone formation, which takes place after the material implantation, with the most significant elevated values at 30 days postoperatively

Management of the Patient Candidate to Prosthetic Implant Solution

The success of any therapeutic solutions is based on psychological training and motivation of the patient. Nowadays, the dentist who uses a prosthetic implant solution has at hand a series of laboratory tests using various radiological software that provides more accurate images. This software that is used at digital radiographs, CT, also allows simulations of the number, the implant positioning, etc. and helps the clinician to explain to the patient the therapeutic solution, the complexity of the dental work, and the need for continuous supervision after the surgery itself

Visual Identity System of a Dental Laboratory

The growing competition in the segment of medical services has introduced the need for clear differentiation and, also, the need for increased visibility. The dental laboratories has to promote the quality of their services, of the materials that they are using, the continuously need for novelty, and never the less the successfully and growing relationships with the dental practices, (“We grow together”) Therefore, having a strong identity system, that is also in accordance with the values, that want to be promoted, is very important

THE IMPORTANCE OF CONTROL ELEMENTS IN THE DENTAL OFFICE MANAGEMENT

In the current economic situation statistical indicators suggest a decline in global and national dental services market under increased competition. So we must take a cost-effective and strengthening market position. Thus it is recommended that the management office to focus on retention and follow active patients and a system of quality control of treatments. In order to achieve these objectives must monitor certain type of control elements medical, economic, management and promotion

THE QUALITY OF DENTAL CARE SERVICES PROVIDED BY THE PRIVATE OFFICES IN IASI – PILOT STUDY RESULTS

Aim of the study was to identify the degree of satisfaction of patients about quality of the private dental medicine practices from Iasi, Romania. Material and methods. The authors of this study tested a representative sample of the population, consisting of 144 people, with different professions and ages. The data collection tool was an original questionnaire. Through its administration, it was intended to assess the patient’s satisfaction with the dental care they received in different dental offices in Iasi during year 2018. Results. The results of the study show that 74.31% of the total patients surveyed are satisfied with the clinical quality of the dental care received, and 18.06% of them are worried about the high prices. The questioned patients believe that dentists with private practice have the necessary equipment and materials to provide dental services at the proper quality. Conclusions. Our study offers useful information for quality management of dental medicine services provided to the local population

STRATEGIES FOR INCREASING THE EFFICIENCY OF THE DENTAL PRACTICE ACTIVITY – PART II

Dentists are constantly looking for strategies to make their work more efficient. These strategies are related to different aspects regarding the organizational activity of the dental practice, with the aim of achieving an improvement in the dental services offered. In the first part of the article, we presented some of the strategies that can be used, such as the creation and implementation of a standardized protocol for the entire team that, in addition to operating times, also provides for the necessary tool kits and cutters, all in an ergonomic environment and with an efficient organization of the workspace. The method of working at “4 hands” will increase the fluidity and focus during the procedures, which leads to a shorter working time with the aim of a predictable treatment and a dental service of an improved quality. These strategies can only be implemented by a responsible team based on quality professional communication. The application of these strategies can significantly streamline the activity of the dental office, bringing financial and human benefits and an increase in the quality of the medical act in a less stressful environment without an increase in fees

[WITHDRAWN] Interdisciplinarity in Complex Therapeutic Approach of Psychiatric Patients with Dysfunctional Syndrome of the Stomatognated System

Diseases in the maxillofacial sphere and especially the dysfunctional syndrome of the stomatognathic system have many connections and interferences with the psychiatric pathology and why not last, but not least the appearance and aesthetics that have an impact on social life and success. On the other hand, there has been a significant increase in the use of antipsychotics in recent decades. The negative impact on oral health has also increased. The ability to diagnose mental illness is essential due to the social stigma associated with these disorders and a correct differential diagnose as well. This article describes the oro-dental rehabilitation of one case, psychiatrically treated, with mandibular and maxilla missing teeth and dental destruction and prosthetic damage, temporomandibular disorders pathology due to the disbalanced occlusion and depression and anxiety, with specific medication, fixed and removable hybrid prosthesis and intra oral complex rehabilitation.Editor's Note | On 27.11.2023 the authors requested the paper withdrawal. Based on their request, the case is sent into analysis to the LUMEN Committee of Research and Publication Ethics. A decision on this case will be available online soon.Later edit | 15.12.2023 : The publisher requested each author to confirm by email its willingness to withdraw the paper from publication. Based on all the authors' confirmations the LUMEN Committee of Research and Publication Ethics will be able to finish its analysis and give a final decision.Decision | 15.01.2024: Based on the analysis of the authors' requests and the case information, the LUMEN Committee for Research and Publication Ethics decided the paper retraction. The retraction was based on duplicate publication.</p

Periodontal Disease Diagnosis in the Context of Oral Rehabilitation Approaches

Periodontal diseases generally correspond to a disturbance in the balance between the host’s defense and the micro-organisms colonizing the periodontal environment. The exact mechanisms underlying the destruction of the periodontium remain to be fully elucidated. Our study aims to quantify the main bacteria pool involved in periodontal pathology and associate it with other factors involved in the onset of periodontal disease so that an accurate diagnosis with profound implications for the therapeutic algorithm can be developed. Micro-Ident tests, based on the polymerase chain reaction (PCR) technique, were used for the study group, chosen for their high specificity in identifying periodontopathogenic bacteria and determining their relative numbers. The results of our study indicate an increased concentration of 4.50 (number of strains) for Capnocytophaga, followed by Tannerella forsythia, in a concentration of 3.50; the next highest concentration percentages are for Treponemei denticola, and Prevotela intermedia, low concentrations were found for Fusobacterium nucleatum and Porphyromonas. The concentration of each type of bacteria is reflected in the clinical picture and constitutes the starting point for a targeted antibiotic therapy. Following the effects of antibiotic-targeted therapy obtained from the evaluation of the micro-IDent B test results on the periodontium of the supporting teeth, we observed that the values of the periodontal indices change slightly at 3-month intervals with a predominance of plaque, bleeding, and gingival indices, and less in the indices concerning the depth of the probing pocket and the loss of attachment on the buccal and oral surfaces. In conclusion, our study emphasizes a direct relationship between the subgingival tartar presence and the patients age, gingival recession, presence of periodontal pockets, dental mobility, as well as the periodontal indexes: plaque index, bleeding index, and gingival index. The correlation of negative values of periodontal indices with the nature of the involved bacteria materializes in relevant starting points in the elaboration of the periodontal diagnosis of the therapeutic plan and predictability of the prognosis of oral rehabilitation