1,721,102 research outputs found

    Innesto connettivale subpeduncolare. [Subepithelial connective tissue graft].

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    Modalità dell'intervento che si realizza in un solo tempo. Illustrato il caso clinico di una paziente ventiseienne

    Craniomandibular disorders and orthodontic treatment need in children

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    Abstract Two hundred and forty subjects (113 boys and 127 girls), divided in three age groups, 7, 11, and 16 years were interviewed and clinically examined to estimate the prevalence of CMDs and the need for functional treatment, and to compare the functional status of the stomatognatic system in two subgroups: those judged to need orthodontic treatment and those judged not to need orthodontic treatment. Signs and symptoms of craniomandibular disorders were quite common and, in most cases, mild. There were significant differences in prevalence of CMDs between sexes. Only 3.7% of the patients were judged to need some functional treatment for CMDs. Trauma to the facial area and headaches were significantly associated with signs and symptoms of CMDs. No indication was found that oral parafunctions produce CMDs. No greater prevalence of CMDs signs and symptoms was found in subjects who needed orthodontic treatment than in subjects who did not need orthodontic treatment. In conclusion, preliminary results of this ongoing study support the contention that the high prevalence of signs and symptoms of CMDs is not really a measure of masticatory dysfunction, and that malocclusion does not appear to cause CMDs and/or to increase craniomandibular treatment need in a young population

    Generalized Juvenile Periodontitis : Report of a familial case followed for five years

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    Abstract The case of a family, followed for 5 years and showing an exceptionally high prevalence of Generalized Juvenile Periodontitis (GJP), is presented. Two siblings were affected by a severe form of GJP meanwhile the dycorial twin of one was periodontally healthy. Both the affected siblings showed infection by Actinobacillus actinomycetemcomitans (Aa), but only one presented a reduced chemotaxis of the peripheral PMNs. The dycorial twin consistently displayed a freedom from Aa and a reduction in the peripheral PMNs chemotaxis. The extraction of the compromised teeth in the two affected siblings has been followed by colonization of new sites by Aa; only repeated administration of systemic tetracyclines seems to protect the subjects from colonization of other sites. These findings may contribute to the understanding of the etiology, pathogenesis, and therapy of juvenile periodontitis

    The therapy of anterior disk dislocation in craniomandibular disorders. A clinical case report

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    The authors discuss the outcomes of therapy for CMDs and present a clinical case reporting an alternative method for the treatment of disc displacement. The orthopaedic therapy for CMDs is based on the use of interocclusal splints. Two kind of splints are prescribed to patients with CMDs: stabilization or repositioning splint. The former is used for a conservative treatment, the latter for irreversible treatment. In view of the poor long-term success of repositioning therapy, the cost of subsequent dental treatment, and the great potential for iatrogenic occlusal and muscular problems, the authors believe that the initial treatment approaches should be, in any case, conservative, reversible, and non invasive. The authors prescribe to their patients the repositioning splint for use either part-time or full time use. Part-time use is effective for preventing disc displacement without reduction. If used full time, once joint noises, pain, and displacement are decreased, the appliance should be adjusted to/or replaced with a stabilization appliance to allow posterior positioning of the mandible into a more physiologically stable position. The authors present a clinical case, a 27 yo female with disc displacement with reduction was treated with stabilization splint. After 6 weeks of therapy she returned reporting a temporary closed lock and sharp pain in the left TMJ. An anterior repositioning splint was fabricated in order to position the mandible forward. After 10 weeks of this treatment the patient reported absence of joint/muscle symptoms and of joint noise.(ABSTRACT TRUNCATED AT 250 WORDS

    Terapia del dislocamento anteriore del disco nei CMDs: Presentazione di un caso

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    The authors discuss the outcomes of therapy for CMDs and present a clinical case reporting an alternative method for the treatment of disc displacement. The orthopaedic therapy for CMDs is based on the use of interocclusal splints. Two kind of splints are prescribed to patients with CMDs: stabilization or repositioning splint. The former is used for a conservative treatment, the latter for irreversible treatment. In view of the poor long-term success of repositioning therapy, the cost of subsequent dental treatment, and the great potential for iatrogenic occlusal and muscular problems, the authors believe that the initial treatment approaches should be, in any case, conservative, reversible, and non invasive. The authors prescribe to their patients the repositioning splint for use either part-time or full time use. Part-time use is effective for preventing disc displacement without reduction. If used full time, once joint noises, pain, and displacement are decreased, the appliance should be adjusted to/or replaced with a stabilization appliance to allow posterior positioning of the mandible into a more physiologically stable position. The authors present a clinical case, a 27 yo female with disc displacement with reduction was treated with stabilization splint. After 6 weeks of therapy she returned reporting a temporary closed lock and sharp pain in the left TMJ. An anterior repositioning splint was fabricated in order to position the mandible forward. After 10 weeks of this treatment the patient reported absence of joint/muscle symptoms and of joint noise.(ABSTRACT TRUNCATED AT 250 WORDS

    Terapia del dislocamento anteriore del disco nei disordini craniomandibolari. Presentazione di un caso clinico. [The therapy of anterior disk dislocation in craniomandibular disorders. A clinical case report]

    No full text
    Abstract The authors discuss the outcomes of therapy for CMDs and present a clinical case reporting an alternative method for the treatment of disc displacement. The orthopaedic therapy for CMDs is based on the use of interocclusal splints. Two kind of splints are prescribed to patients with CMDs: stabilization or repositioning splint. The former is used for a conservative treatment, the latter for irreversible treatment. In view of the poor long-term success of repositioning therapy, the cost of subsequent dental treatment, and the great potential for iatrogenic occlusal and muscular problems, the authors believe that the initial treatment approaches should be, in any case, conservative, reversible, and non invasive. The authors prescribe to their patients the repositioning splint for use either part-time or full time use. Part-time use is effective for preventing disc displacement without reduction. If used full time, once joint noises, pain, and displacement are decreased, the appliance should be adjusted to/or replaced with a stabilization appliance to allow posterior positioning of the mandible into a more physiologically stable position. The authors present a clinical case, a 27 yo female with disc displacement with reduction was treated with stabilization splint. After 6 weeks of therapy she returned reporting a temporary closed lock and sharp pain in the left TMJ. An anterior repositioning splint was fabricated in order to position the mandible forward. After 10 weeks of this treatment the patient reported absence of joint/muscle symptoms and of joint noise
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