SciCombinator

Discover the most talked about and latest scientific content & concepts.

Concept: The Dentist

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After a stroke, patients frequently show compromised swallowing, mastication, and speech, as well as unfavorable motion and deviation of the tongue and mandible. The dentist can improve the oral rehabilitation of a patient with deteriorated facial and oral muscles after a stroke by incorporating orofacial myofunctional therapy. This report describes a method for tongue exercises and correction of mandible deviation in an edentulous patient after a stroke by using a pearl on a wire in the anteriomedian palatal part of the maxillary denture.

Concepts: Patient, Physician, Dentistry, Dentures, The Dentist, Orofacial myological disorders

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This paper aims to provide the dentist with practical guidance on the technique for direct composite restoration of worn teeth. It is based on current evidence and includes practical advice regarding type of composite, enamel and dentine preparation, dentine bonding and stent design. The application of direct composite has the advantage of being additive, conserving as much of the remaining worn tooth as possible, ease of placement and adjustment, low maintenance and reversibility. A pragmatic approach to management is advocated, particularly as many of the cases are older patients with advanced wear. Several cases restored by direct composite build-ups illustrate what can be achieved. The restoration of the worn dentition may be challenging for many dentists. Careful planning and simple treatment strategies, however, can prove to be highly effective and rewarding. By keeping any intervention as simple as possible, problems with high maintenance are avoided and management of future failure is made easier. An additive rather than a subtractive treatment approach is more intuitive for worn down teeth. Traditional approaches of full-mouth rehabilitation with indirect cast or milled restorations may still have their place but complex treatment modalities will inevitably be more time consuming, more costly, possibly require specialist care and still have an unpredictable outcome. Composite resin restorations are a universal restorative material familiar to dentists from early-on in the undergraduate curriculum. This review paper discusses the application of composite to restore the worn dentition.

Concepts: Teeth, Tooth, Dentistry, The Advantage, Dental composite, Pragmatism, Wear, The Dentist

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What reward does a child prefer for behaving well at the dentist?

Concepts: The Dentist

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Planning the treatment of a compromised tooth is challenging but the choice should refer to evidence-based criteria. The Literature proved that patient-related factors influence the treatment plan, but what happens when the patient is a dentist? Aim of the study was to observe whether the dentist goes for the same option suggested to a patient in a hypothetical scenario.

Concepts: Tooth, Planning, The Dentist

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Avulsion of the permanent teeth is one of the most serious forms of traumatic dental injuries, which endangers the patients' quality of life. Therefore, the fast and proper treatment is crucial. In this case report we will discuss the supportive and definitive functional treatment and correct rehabilitation. The traumatic force can cause complex oral and maxillofacial injuries, which comprehensive treatment constitutes a major challenge for the dentist. Here we review functional restoration of dental injuries and their definitive aesthetic solution. Orv Hetil. 2017; 158(33): 1314-1318.

Concepts: Life, Surgery, Teeth, Dental implant, Dentistry, Oral and maxillofacial surgery, Maxillary central incisor, The Dentist

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The dentist should not be alarmist about the risk for the patient of developing medication-related osteonecrosis of the jaw (MRONJ).

Concepts: Health care provider, Patient, Physician, Illness, Patience, Dentistry, The Dentist

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This study aimed to adapt a measure of trust in physicians generally to trust in dentists and to assess the reliability and validity of the measure.

Concepts: Surgery, Physician, Psychometrics, Reliability, Dentistry, Oral and maxillofacial surgery, The Dentist

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An innovative abutment system has recently been developed to address the well-known limitations of screw- and cement-retained implant restorations. This abutment system offers retrievability by replacing the cement layer with a precision-engineered nickel-titanium sleeve that switches between shapes that lock and unlock the prosthesis. The avoidance of cement precludes cement-related periimplant complications, while the elimination of occlusal screw access holes may enable predictable control over occlusion and improve the structural integrity of the prosthesis. By eliminating the need for cement clean up, occlusal access closure, and occlusal adjustments after insertion, the dentist is afforded more time to attend to the patient’s general needs. This paper describes the design rationale for and clinical treatment using this novel abutment system.

Concepts: Structure, Dentistry, Hygiene, Need, Shape, Cleanliness, Supreme Headquarters Allied Powers Europe, The Dentist

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The restoration of proximal surface cavities, originating from Class II carious lesions, to “normal” anatomical specifications is a fundamental objective for the dental practitioner. Cognitive interpretation of tooth morphology attained from evidence-based resources, together with the necessary psychomotor skills for correct design and completion, are considered essential strategies for restoration success. Also, the visualization of the original tooth structure, if present, should substantially benefit the dentist in the creation of a clinically satisfactory restoration. The purpose of this evidence-based review is to define the cause and effect of decisions based on optimum treatment standards of care for the patient. The concepts of form and function, as related to the oral environment, and the consequences of unsatisfactory dental restorative care will be scrutinized. This article will identify and explain the different challenges and solutions for restoration of dental proximal lesions and provide an overview of past, present, and future procedures.

Concepts: Time, Causality, Future, Dental caries, Past, Dentistry, Psychomotor learning, The Dentist