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The use of the lingual technique in correcting orthodontic abnormalities
No full textThe number of adult patients requiring orthodontic treatment is increasing and the lingual braces compared to braces on the vestibular side of teeth fulfills more their requirements.
The aim of this paper is a presentation of the lingual technique application to patients with midline diastema (diastema mediana) and teeth infraposition, as well as presentation of personal experience and guidance of therapy with this technique by presenting data before and after therapy.
Patients with significant aesthetic problems like midline diastema, frontal tooth infraposition and frontal tooth protrusion have been treated. In these cases was used the direct method of lingual technique with Forestadent 2D and 3D braces.
Patients had no difficulty during the therapy. After treatment, have been achieved very good functional and aesthetic results, and compared to the orthodontic apparatus placed on the vestibular surfaces of the teeth, have been used weaker elastic forces.
The use of the lingual technique has shown success in this type of orthodontic abnormalities and is much more convenient for the patient, as this technique does not interfere with aesthetics, hygiene can be maintained easier, there will be no roughness or loss of brightness of the vestibular surfaces of teeth that often occurs in the fixated apparatus on the vestibular side of the teeth. Some patients have reported mild speech obstacles that disappeared within two weeks
Prophylaxis in Orthodontics and Dentofacial Orthopedics
No full textThe quote in medicine Prevention is better than cure , undoubtedly has a special value in orthopedics of the jaw. Prophylaxis in dentistry mostly means prophylactic measures against caries and periodontopathy, while prophylaxis in orthopedics of the jaws means preventing the development of anomalies, reducing them, and early detection of them for efficient treatment. In this presentation will be described some of the prophylactic measures I have used during my professional work in Dentofacial Orthopedics. Not all congenital anomalies are inherited, and we can definitely prevent them from occurring. Premature loss of deciduous teeth leaves consequences in the development of permanent teeth and jaws, may lose the supporting areas of deciduous teeth, and develop orthodontic anomalies such as: Retention of permanent teeth, lack of place for permanent teeth development, teeth crowding, and jaw abnormalities. Permanent tooth loss can also cause abnormalities such as interdental diastema, tooth migration, inclination, rotation, etc. Prophylaxis is of particular importance in pregnant women, children with deciduous, mixed, and permanent dentition. Prophylaxis includes the removal of bad habits such as: Lip sucking (upper or lower lip), thumb sucking, tongue interposition between teeth, nail biting, breathing through the mouth, etc. Removing the soothing pacifier or pacifier after the age of twelve months prevents early childhood caries, open bites, and other orthodontic abnormalities. In the case of premature loss of deciduous teeth, a space maintainer must be applied for normal development of permanent teeth. The use of the vestibular plate prevents the development of open bites also in deciduous dentition. Based on the cases treated in my clinic, I conclude that the application of these prophylactic measures is very successful in preventing dentofacial abnormalities. Through these measures, even congenital skeletal abnormalities can be better managed, utilizing the forces of growth and development of the jaws and teeth
Combined Orthodontic-Prosthetic Treatment in Patients with Bruxism
No full textOrthodontic treatment in some cases alleviates or is a necessity for successful prosthetic treatment. The aim of the study is to present orthodontic-prosthetic treatment in third degree bruxism patients and the relationship between orthodontics and prosthetics. The 47-year-old patient is treated with a fixed appliance in the lower jaw (aesthetic braces) and teeth splint (Erkodur 2 mm) in the upper jaw. The reverse occlusion in the frontal region is corrected with the intrusion and the retrusion of the frontal teeth of the lower jaw. After orthodontic treatment, frontal teeth of the lower jaw 33 to 43 are fixed with Reteiner then the prosthetic compensation of the missing teeth in the both jaws are done with Zirconia crowns and bridges with CAD-CAM technique. Aesthetics and function after orthodontic-prosthetic treatment of bruxism has been very satisfying. The reverse occlusion is corrected and teeth abraded surfaces from bruxism were compensated. At the end of the treatment, occlusion and ideal articulation is achieved and the patient has no longer expressed bruxism. Based on patient examination, model analysis, OPG and photos before and after treatment, we can conclude that the treatment has been very successful. In the presented case, occlusal disorder and missing teeth could have been the cause of bruxism. Achieved success is stable even 9 years after treatment
Orthodontic Treatment of Maxillary Protrusion in Adults
No full textOrthodontic treatment in adults from the age of 21 and older, according to Moyers, is belated treatment; according to German group of authors, the end of age 18 and higher is the border line for Belated Treatment. This rule does not apply for all abnormalities, e.g. accentuated sceletal abnormalities, in which a belated orthodontic treatment could be even in the age of 12. Definitions: Adult treatment and Belated treatment all the same are not identic but launching a therapy in short-fall of growth and development is valid for both mentioned. In this case will be presented an orthodontic treatment in adult with maxillary protrusion and increased overjet. Fixed (Edgewise technique) treatment was used - with Headgear and Quadhelix as orthodontic aids. Due to processes of bone destruction, growth and remodeling in parodontium is slower in adults, continued elastic forces should be applied in lower intensity compared on that used in adolescents. In this case, after clinic examination and orthodontic analysis, it was decided to extract first maxillary premolars. Based on comparison of models, photographs, and cephalometrics analysis before and after treatment, we can conclude that results were good enough, maxillary frontal teeth were retruted, occlusal relationship improved, and esthethics is improved. The treatment has lasted 12 to 15 months whereas retention phase has lasted more than in young patients
Geriatric Dentistry: Challenges and Strategies for Improving Oral Care in the Elderly
No full textAs life expectancy continues to rise and demographic shifts reshape the population landscape in Kosova, geriatric dentistry is emerging as a vital pillar of the national healthcare framework. Oral health in older adults plays a crucial role in overall well-being and is closely linked to chronic diseases such as diabetes, cardiovascular conditions, and neurodegenerative disorders. Despite this importance, the field of geriatric dentistry in Kosovo remains underdeveloped, marked by a lack of specialized public health policies, a shortage of trained professionals, and economic barriers that render oral healthcare inaccessible for a large segment of the elderly population. This study investigates the key challenges facing oral health in Kosovo’s aging population, analyzing socio-economic determinants, institutional capacities, and prevailing clinical practices. Drawing on a systematic review of literature and existing national data, the article proposes evidence-based strategies to enhance geriatric dental services. These strategies include increasing public awareness of oral health as a component of healthy aging, introducing targeted training programs for dental and healthcare professionals, and enacting inclusive public policies that secure sustainable funding for geriatric oral care through the national health insurance system. The findings underscore the urgent need for a redefined approach to geriatric dentistry in Kosova, one that embeds oral health into the broader continuum of holistic geriatric care. Advancing both access to and quality of dental services not only mitigates oral and systemic disease burdens but also enhances quality of life, preserves human dignity, and fosters functional autonomy in later life
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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