Volume 2, Issue 1, November 2019

Nov 22

Statistical study on the degree of satisfaction of patients with fixed prosthetic dentures.

Adriana-Elena Crăciun 1, Diana Cerghizan 1, Monica Dora Baloș 1, Vadim Gribincea 1, Aurița Ioana Albu 1, Adrian Muică 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania

Edentation is a major emergency and has an echo over the entire stomatognathic system. The treatment of partial edentation has undergone major changes in the last decades for multiple causes, including increasing the level of dental, medical education, introducing new techniques, methods, and materials, increasing the duration of retention of teeth on the arch.
Aim of the study: The aim of this study is to determine the degree of satisfaction of patients with a fixed prosthetic denture, to highlight the importance of communication between doctor and patient with repercussions on the results of prosthetic treatment, and evaluate the degree of awareness of oral health and oral hygiene practices.
Material and Method: For this study it was used a self-designed questionnaire, which explored both clinical and non-clinical dental services. The questionnaire consisted of three parts: first part (A) includes socio-demographic indices, part two (B) includes questions related to the doctor-patient relationship, and in the third part (C) the questionnaire asks questions regarding the general satisfaction of the patients with reference to the prosthetic tratament. The questionnaire also includes the material (s) from which the prosthetic denture is performed and the area of the edentation.
Results: The present study was performed on a batch of 117 people, 48 female, and 69 males between the ages of 21 and 60. Our results show that the majority of patients present metallic-ceramic dentures, located in most cases in the lateral area, and the majority of patients are satisfied with the prosthetic tratament. There were no patients complaining about the result of the tratament. Pacients are delighted by their relationship with medical staff.
Conclusions: The most important finding of this study states that a large proportion of patients showed a lack of knowledge regarding oral hygiene measures and the importance of maintaining a fixed prosthetic denture using a dental abutment. Also, the majority of the doctors did not pay attention to the post-treatment instructions regarding the maintenance of a fixed prosthetic denture.

DOI: https://doi.org/10.2478/asmj-2019-0006

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This entry was posted in Original paper, Volume 2, Issue 1, November 2019 on November 22, 2019
Nov 22

Knowledge and interest of north-central Romanian mothers regarding children oral health prevention – A questionnaire based study.

Adrian Tohati 1, Farah Bechir 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania

Introduction: The development and eruption of teeth should be followed by the dentist, which is why periodic check ups are required.
Aims of the study: This study aims to evaluate the knowledge of the mothers regarding the dental hygiene of the children and the importance of presenting them in the dental office, as well as the knowledge related to the prevention of dental caries.
Material and Methods: A questionnaire comprising 15 questions was developed and handed to 290 mothers in Tirgu Mures. The questions targeted the knowledge related to the dental hygiene of the child, and decay prevention.
The data obtained were processed electronically. 51.7% of the mothers stated that the visit to the dental office should be done every 6 months, and 58.6% opted for a first contact with the dentist at the age of 3 years. 98.2% of mothers consider dental prevention to be important or very important. 75% consider that the child’s hygiene must be done twice daily, and 89% said that they use the toothbrush in the child’s hygiene process. 68% of the mothers know the term of dental sealing, but only 20% resorted to this method of treatment.
Conclussions: The study demonstrates the urgent need to take the lack of interest and information of parents seriously and to develop programs primarily to inform and raise awareness of the population and then to apply different preventive methods.

DOI: https://doi.org/10.2478/asmj-2019-0005

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This entry was posted in Original paper, Volume 2, Issue 1, November 2019 on November 22, 2019
Nov 22

Prevalence of primary and secondary dental dystrophies on a group of preschool and school-age children from Tîrgu-Mureş

Daniela Esian 1, Cristina Bica 1, Ana Petra Lazar 1, Oana Stoica 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania

Introduction: Pediatric Dentistry offers a completely different approach compared to that of adults especially in terms of patient cooperation, problems with growth and development and problems related to dental restoration in the context of a developing dentition.
Aim of the study: The purpose of this study was to assess the prevalence of primary and secondary dental dystrophies among preschool and school-age children.
Material and Methods: The group of 113 subjects with ages between 3 and 11 years was selected from two primary and preschool education establishments from Târgu-Mures. Simultaneously with the clinical examination of dental surfaces, 150 questionnaires were distributed to the parents of the subjects. The dystrophies determined clinically were arranged in a certain category of number, form, volume and structure and were correlated with the answers to the questionnaires.
Results: According to the data most cases of dental dystrophies are represented by dental fluorosis followed by severe early childhood caries S-ECC, and in equal percentages are present dyschromia, imperfect amelogenesis, MIH hypomineralization, dental fusion, macrodontia and hyperdontia.
Conclusions: There are significant correlations between the primary dental dystrophies and factors that intervened during pregnancy and in the post-natal period, both critical periods for dental formation and development.

DOI: https://doi.org/10.2478/asmj-2019-0004

Keywords: , , , ,
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This entry was posted in Original paper, Volume 2, Issue 1, November 2019 on November 22, 2019
Nov 22

Orthodontic treatment of patients with obstructive sleep apnea syndrome (OSAS)

Mariana Păcurar 1, Eugen Bud 1, Silvia Pop 1, Manuela Chibelean 1, Martha Krisztina 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania

The craniofacial skeleton in the growing child is responsive to changing functional demands and environmental factors. Orthopedic modification of facial bones through the application of constant forces over long periods of time has been a mainstay of orthodontic and dentofacial orthopedic therapy.
Aim of the study
The aim of this study was to evaluate changes in pharyngeal structures after rapid palatal expansion (RPE) and compare them with those after using a removable mandibular advancement device (MAD).
Material and methods
In order to accomplish function we modified the pattern of neuromuscular activity throught mandible forward position.
Results
This finding shows that maxillary deficiency and mandibular retrognathism have been reportedly linked to OSA as both etiologic factors and sequelae of prolonged mouth breathing during the period of growth, these illustrate the potential interaction between alteration in respiratory function and craniofacial morphology.
Conclusions
Craniofacial anatomic defects, including inferior displacement of the hyoid bone, larger gonial angle, smaller anterior cranial base, altered anterior and posterior facial heights, and mandibular deficiency, have been suggested as predisposing factors for upper airway obstruction during sleep. Cephalometry has been used extensively in the fields of orthodontics and anthropology to record craniofacial form. Recently, it has been also suggested that cephalometry could be an adjunctive procedure for assessing craniofacial patterns associated with OSAS.
Estimating efficacy of rapid maxillary expansion and mandibular advanced in the treatment of paediatric SDB. This might provide alternatives to primary treatments and/or enhance interdisciplinary treatment planning for the children suffering from OSA. The relationships between maxillofacial malocclusions and upper airway volumes were investigated. Literature studies on the association of upper airway narrowing with dento-skeletal malocclusions have been confirmed by us for the group of patients studied.

DOI: https://doi.org/10.2478/asmj-2019-0003

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This entry was posted in Original paper, Volume 2, Issue 1, November 2019 on November 22, 2019
Nov 22

Assessment of oral mucositis degree due to cytostatic treatment in patients with malignant lymphomas

Adrian Muica 1, Florentin-Daniel Berneanu 1, Liana Hănțoiu 1, Dorner Kinga 1, Adriana-Elena Crăciun 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania

Introduction: Oral mucositis characterized by inflammation of the oral mucosa, ulcers, angular cheilitis, accompanied by pain in the maxillary facial area are symptoms of patients who have undergone cytostatic treatment, affecting over 75% of high-risk patients.
Material and methods: From the total of 182 patients with hematological malignancies, we selected 59 patients, diagnosed with malignant lymphomas and treated at the Hematology Department of the Medical Clinic 1 in Tîrgu Mureș, between July 2013 and June 2016, analyzing the data in the data observation sheets. The study is a retrospective one.
Results: In the group of patients studied, who were treated based on the aforementioned cytostatic plans, we found that the CVP + Rituximab plan frequently causes 1st and 2nd class stomatitis, with no patients with 3rd and 4th class stomatitis. The CHOP + Rituximab therapy plan in a total of 80 applications had complications of 1st and 2nd class stomatitis, much more frequent 1st class without stomatitis of 2nd and 4th degree. Grade III stomatitis occurs in two cases in the CHOP-Bleo belts. Introducing dental medicine in the context of medical multidisciplinarity in oncology hematology is a real necessity because the oral complications of chemotherapy treatments by their severity can lead to compromise of the treatment protocol by reducing the doses or even stopping the treatment
Conclusions: Malignant hemopathies represent a significant percentage in dental disorders, and among them, the maximum severity belongs to the non-Hodgkin and Hodgkin malignant lymphomas. Stomatitis, also called gingivo-toxic stomatitis caused by medication, is an acute oral complication, with erythema and edema of the entire oral cavity. The role of the dentist in the diagnosis, prevention and treatment of oral lesions, following the cytostatic therapy, is extremely important.

DOI: https://doi.org/10.2478/asmj-2019-0002

Keywords: , ,
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This entry was posted in Original paper, Volume 2, Issue 1, November 2019 on November 22, 2019
Nov 22