Volume 2, Issue 2, December 2019

Jun 11

The multidisciplinary approach of a patient with Sjögren´s Syndrome in the dental office – case report

Tatiana-Maria Coman 1, Anca-Diana Mănărăzan 1, Adelin-Sebastian Cîrstea 1, Dorin-Ioan Cocoș 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania

Introduction: Oral rehabilitation is based on establishing a correct diagnosis and designing a plan to give appropriate treatment to each clinical case. Patients’ aesthetic requirements show an increasing trend in current practice. Sjögren’s syndrome and obesity can have a negative impact on a person’s quality of life, and it is therefore imperative to identify and reduce these significant barriers to paving the way for better oral health and the overall well-being of the individual. Hypertension NYHA II type patients may present oral manifestations like ageusia, burning sensation, xerostomia, lichenoid reactions or gingival hyperplasia. Case presentation: This time, at our clinic, a 71-year-old man requested a complex oral rehabilitation. He presented partial edentulism at both arches. We are talking about a non-smoking patient, with chronical medication treatment for the mentioned pathology. Conclusions: A well-controlled hypertensive patient is not a risk in clinical practice. When choosing an implant based therapy, the old age of the patient can be considered a negative factor for successful results, but it is not a strict contraindication. This case report shows the most suitable treatment solution, regarding all the advantages and disadvantages of other treatment options, represented by implant supported fixed prosthetic restaurations.

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This entry was posted in Case report, Volume 2, Issue 2, December 2019 on June 11, 2020
Jun 11

The importance of implant-supported overdentures in a bimaxillary complete edentulous patient – case report

Valentin Melchner 1, Edwin Sever Bechir 2, Florentin Daniel Berneanu 2
1 Dental Medicine Clinic Dr. Melchner Valentin, Munchen, Germany
2 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania

Introduction. Complete edentulism is escorted by various comorbidities, which affect an individual. The management of edentulous patients was approached since the early days of dentistry.
The aim of this case report was to present the implanto-prosthetic rehabilitation of a bimaxillary complete edentulous patient with implant-supported overdentures, by using Straumann dental implants.
Case presentation. This case report presents the applied treatment to a bimaxillary complete edentulous patient, where the predictable osseointegration and implant stability after the placement of implants was possible, with the purpose to support the overdentures.
Conclusions. The oral rehabilitation of complete bimaxillary edentulism through implant-supported overdentures is a procedure with a predictive treatment that presents beneficial aspects in the quality of life of the patients.

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This entry was posted in Case report, Volume 2, Issue 2, December 2019 on June 11, 2020
Jun 11

Comparative study of the comfort in patients rehabilitated with three types of partial dentures

Farah Bechir 1, Ilinca Suciu 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures

Introduction: At present, the researchers are targeted to improve and increase the biocompatibility of dental materials that are in direct contact with biological tissues. The biocompatibility of the dental materials that contact the tissues of the oral cavity present relevance for the patient, clinician, dental technician, and manufacturer.
Aim of the study: The aim of this study was represented by the comparative research regarding the comfort of the patients wearing removable partial prostheses with clasps made of wire and flexible polymers.
Material and Methods. Patients wearing partial dentures from Meliodent heat-cured acrylic resins with wipla wire clasps, flexible partial dentures made from Valplast and dentures with clasps of CuSil silicone rubber participated in this study. The research was performed on 3 groups, of 8 patients each, in which comfort levels (according to 5 criteria) were determined, after 6, 12, 18, respectively 24 months of the partial removable prostheses insertion in the oral cavity.
Results. Presence of decubitus lesions of the oral mucosa in the clasps areas was noticed mostly in the Valplast polyamide dentures (37.5%), existence of color changes at the base of prostheses and of clasps area appeared in 37.5% of the third group (CuSil PAD) patients, no patient included in the study presented allergic reactions and at the third and fourth recall, only 1 patient of all groups complained of unpleasant taste in the oral cavity.
Conclusion. The removable prosthetic restorations with clasps made of flexible polymers and CuSil gaskets of silicone rubber, although initially much more comfortable and therefore much better accepted by patients, after two years were no longer active, could not be activated and necessited technical restorations, compared to those made of wipla wire clasps, which were activated with pliers, or, in the case of fracture, were replaced by the technician in the dental laboratory.

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This entry was posted in Case report, Volume 2, Issue 2, December 2019 on June 11, 2020
Jun 11

Taking dental impressions of dental medicine students: with and without vomiting reflex

Molnar-Varlam Cristina 1, Szekely Melinda 1, Tudor Sîrbu 1, Moldovan Iunia-Beatrice 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania

Introduction: It is a well-known fact that during a dental impression, some patients suffer from the gag reflexes.
Aim of the study: Even if the main tendency is to use medication, our goal is to find a way to combat it.
Material and methods: With the help of our 155 volunteering students, from UMFST Târgu Mureș, who agreed on having their dental impression taken, using alginate material, we tried to combat the gag reflex, using the following techniques: the high-leg method, salt crystals, as well as using a special impression tray.
Results: When we applied all of these methods, great attention was payed, as we diligently wrote everything down. After all the work was done, we obtained the following results: 130 did not show any vomiting signs, 17 of them presented moderate vomiting reflex and only 8 of them have shown extreme vomiting reflex, leading to the point where the impression could not be performed.
Conclusions: On the one hand, for the less informed people, these techniques present a better outcome; on the other hand, however, we wish to highlight one thing: the skills of the doctor are of utmost importance.

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This entry was posted in Original paper, Volume 2, Issue 2, December 2019 on June 11, 2020
Jun 11

The role of carious lesions in the occurrence of pathological modifications in deep periodontal level – radiographic evaluation

Ana Petra Lazăr 1, Alexandru Vlasa 1, Bukhari Csilla 1, Buka Imola 1, Luminița Lazăr 1
1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures

In the etiology of periodontal disease, dental caries act as a favoring factor. The purpose of our study was to evaluate the role of untreated or incorrectly treated carious lesions in the occurrence of pathological changes in the periodontal support. Material and methods: In order to evaluate the impact of the dental caries in the appearance of destructive lesions at the periodontal level, we examined 378 X-rays. The radiographies were selected based on the presence of approximal dental cavities, untreated or incorrectly treated and we appreciated the association of these factors with the presence and the level of bone resorption of the interdental septum. Results: On the 378 radiographies we examined, it was discovered the presence of 398 approximal carious lesions, of which 146 were associated with bone resorption. The examined radiographies permitted us to evaluate 1512 fillings inserted in second class cavities, of which 1103 were correctly done, and 309 were incorrect and associated with bone resorption phenomena. Incorrectly done restorations were associated with bone resorption phenomena due to the lack of contact with the adjacent tooth for 213 of these, and because of an inaccurate adaptation at the level of the gingival threshold for 96. Conclusions: The dentist has to pay a special attention to the approximal coronary restorations because these can favor the retention of bacterial plaque and, in most cases, can lead to bone loos in the alveolar ridge area.

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This entry was posted in Original paper, Volume 2, Issue 2, December 2019 on June 11, 2020
Jun 11

2020 The year of your choice between digital and conventional dentistry.

Bogdan Oprea 1

We are at the end of 2019, and, as usual, at the end of the year, it is a time of balance and plans for the coming year (2020).
If we look back at what happened professionally, technologically in the year just ended; certainly, an essential aspect worth analyzing is the progress of digital technologies and their increasingly active presence in the various branches of dentistry.

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This entry was posted in Editorial, Volume 2, Issue 2, December 2019 on June 11, 2020