RESUMEN
Dentures, as versatile dental prostheses, wield a multifaceted influence on individuals' lives, profoundly affecting both their oral health and overall quality of life. The clinical manifestations of denture-related concerns encompass a spectrum of physical, psychological, and functional dimensions. Physically, dentures restore masticatory function and address aesthetic concerns, bridging the gap between tooth loss and oral functionality. Psychologically, they elevate self-esteem and reduce social anxiety, facilitating enhanced self-confidence and improved social interactions. Functionally, dentures enhance articulation and speech clarity, enabling effective communication. Effective denture management, in the contemporary landscape of dental care, involves a comprehensive approach that combines precision, technology, hygiene, and patient education. Digital dentistry techniques ensure precise denture fitting, and advanced technologies facilitate regular check-ups, leading to well-fitting, comfortable dentures. Meticulous denture hygiene practices prevent oral health complications. Patient education empowers individuals to maintain their oral health effectively, while addressing psychosocial concerns remains a crucial empathetic dimension of patient care. In conclusion, dentures have evolved as transformative solutions for individuals facing tooth loss, addressing clinical manifestations related to impaired oral function, aesthetic concerns, and psychosocial challenges. Modern denture management embraces the latest dental technologies, hygiene practices, and patient-centered approaches to optimize outcomes. Staying current with advancements in denture care ensures that these dental prostheses continue to enhance oral health and overall well-being effectively, reaffirming their indispensable role in modern dentistry.
RESUMEN
A perforation is an artificial communication that occurs between the root canal system and the tissues enclosing a tooth. It can be made by the dentist during tooth preparation and passage into the root canal system, or it can happen naturally due to resorption or dental decay and cause connectivity between the root canal and periodontium. Both iatrogenic and non-iatrogenic factors can lead to a root being perforated. Most often, it happens at the coronal aspect of the tooth. Iatrogenic perforations can always be distinguished by the extensive bleeding that occurs after the wound. Serous discharge or fistula from the perforated site, sensitivity on percussing, isolated periodontal pocketing, and chronic gingivitis when the inflammation has reached the alveolus can all be signs of unresolved perforations. Cone beam computed tomography can be used to correctly identify and evaluate resorbing lesions and subsequent perforations. Successful perforation management involves adequately sealing the breach, using the right material, and closing the perforation in the right place as soon as feasible. Perforation management can be done in one of two ways: non-surgically or surgically. The prognosis of teeth with root perforations that have had endodontic treatment relies on a number of variables, including the amount of time that passed before the defect was sealed, the site of the perforation, the effectiveness of the perforation seal, and the size of the perforation. Due to the poor prognosis, teeth with suboptimal periodontal health or those with very wide perforations may be extracted.