CENTRIC RELATION BETWEEN CHIMERA AND REALITY- A NARRATIVE REVIEW

Introduction: The multitude of definitions for the centric relation (CR) has sparked extensive scientific debates, marking significant milestones in the evolution of concepts in these fields. The discourse surrounding CR has remained contentious for over a century, and there is still a persistent divergence of perspectives. Aim: This narrative review aims to unravel the evolutionary trajectory of CR definitions, seeking to untangle the existing confusion prevalent within specialized literature. Moreover, it endeavors to provide guiding principles within this contentious domain, offering valuable insights to practitioners, students, educators, and researchers. Discussion: Dentistry has not arrived at a consensus definition and concept of CR. Even in the era of evidence-based dentistry, CR still leaves room for controversy. Conclusion: The evolution of the CR concept and its definition, progressing from the exact specification of the maxillomandibular relationship, temporomandibular joint elements, and hinge axis and to its partial “abandonment” due to the individuality and particularities of the patients, should be contextualized within the functional and adaptable nature of the stomatognathic system

ASPECTS IN TREATING REDUCED EDENTULOUS STATUS BY MINIMALLY INVASIVE BRIDGE FOR A YOUNG PATIENT – CASE REPORT

Aim of the study. For a young patient it is important to re-establish the integrity and the functions of dental arches, quickly and efficient, in optimum conditions, with many advantages. Material and methods The study balanced the possibilities to fabricate a minimally invasive bridge for a young patient in order to appreciate the characteristics of a Maryland bridge in treating a reduced edentulous status. Results The study revealed that a minimally invasive bridge placed in the posterior area of a lower arch, fabricated on a metallic framework and an aesthetic part made by resin composite material represent a favourable option as a temporary reconstruction. Conclusions The precision of such minimally invasive bridges and the variability of the materials and technologies that can be used, determine the young patients to accept them as a treatment for reduced edentulous status

INDIRECT COMPOSITE VENEERS AS A SOCIAL THERAPEUTIC SOLUTION. A CASE REPORT

The modern dentistry area addresses high demands for dental restorations, harmoniously integrating into the homeostasis of the dental system. Modern contemporary aesthetic restorations are commonly associated with the latest CAD-CAM biomaterials and technologies, with prep- and no-prep techniques. Current practice often faces us with an important decision-maker, the socio-economic criterion, which limits the therapeutic options. In this context, the chosen therapeutic alternatives need to restore both aesthetics and functionality to optimal parameters in the financial terms which are accessible to the specific social segment. The article presents the case of a young woman that presented to the dental clinic for aesthetic reasons. The therapeutic option consisted in the restoration of the physiognomic function using composite veneers made by indirect method

ORAL CHANGES IN A GROUP OF PATIENTS WITH HIGH BLOOD PRESSURE –CLINICAL TRIAL

Aim of the study The present study aimed to detect the existence of visible clinical effects in the oral cavity caused by hypertension and its related medication.Material and methods. The study was conducted on a group of 165 patients, 90 men and 75 women aged 20-80 years, the mean age being 53.2 years who were treataed in the Faculty of Dental Medicine in Iasi. All patients included in the study were known as hypertensive patients and were undergoing treatment with antihypertensive drugs. Xerostomia was reconfirmed using a mini questionnaire.Results.The main changes were observed in the oral bleeding and gingival hyperplasia, periodontitis, lichenoid reactions, xerostomia and paralysis of the facial nerve. Gingivitis and periodontitis were confirmed by the Russell periodontal index.Conclusions. In all types of diseases cardiovascular, specific medication has resulted in pathological manifestations in the oral cavit