ABSTRACT
This article demonstrates the clinical application of biomechanical and occlusal principles to conservatively provide optimal clinical outcomes in restoring an eroded anterior dentition. The authors manage a challenging case involving limited palatal clearance (ie, deep bite) coupled with palatal erosion and wear by combining the centric relation (CR) and Dahl principles to create anterior interocclusal space to reduce the need for more invasive palatal reduction. The combined use of adhesive restorations-resin composites on the palatal surface and indirect porcelain veneers on the facial/incisal surfaces-through enamel and dentin bonding helped optimize esthetic and functional/biomechanical aspects. This ultraconservative approach enabled the desired esthetic and biomechanical outcomes to be achieved through the treatment of localized anterior tooth erosion and wear. In short, when treating eroded maxillary anterior teeth with deep bite, adequate restorative space should first be created by conjoining CR and Dahl principles before using adhesive dentistry to restore with bonded composites and porcelain veneers.
Subject(s)
Dental Restoration, Permanent/methods , Dental Veneers , Esthetics, Dental , Tooth Erosion/therapy , Adult , Centric Relation , Dental Bonding , Dental Porcelain , Female , Humans , Incisor/pathology , MaxillaABSTRACT
OBJECTIVE: The objective of this study was to translate the Geriatric Oral Health Assessment Index (GOHAI) into the Hindi language and assess its validity and reliability for use among people in India. MATERIALS AND METHODS: GOHAI was translated into the Hindi language and self-administered to 420 subjects aged 55 years or above. The measures for reliability, and concurrent, convergent, and discriminant validity were assessed. The questionnaire sought information about sociodemographic details, habits related to tobacco, dental visits, tooth brushing, and self-reported perceptions of general and oral health. RESULTS: Cronbach's alpha (0.774) showed high internal consistency and homogeneity between items. Low GOHAI scores were associated with the perceptions of poor oral and general health, low satisfaction with oral health, and a perceived need for dental care. Respondents with high socioeconomic status were likely to have high GOHAI scores. CONCLUSION: The Hindi version of the GOHAI demonstrated acceptable validity and reliability, and will be an important instrument to measure oral health-related quality of life (OHRQoL) for people in this region.
ABSTRACT
BACKGROUND: Postmenopausal women have shown proactive willingness to take responsibility for their changing health care needs. The example of osteoporosis is a model that when educated of their bone health status, this cohort follows through with prevention and treatment regimens. Postmenopausal status is considered to be a risk factor for periodontitis. It is known that up to 50% of periodontal disease goes undiagnosed. The goal of periodontal therapy is to prevent tooth loss. OBJECTIVE: Is there a need, then to educate and inform postmenopausal women of their periodontal status? Can dentists provide a greater service to this cohort by increasing education and information? MATERIALS AND METHODS: The current study compares patient perception to actual clinical findings in 94 postmenopausal women. Patients are informed of their diagnosis, and educated about the disease, its risk factors and preventive and treatment modalities. Detailed interviews examine the patient intentions to follow up on preventive and treatment regimens suggested. RESULTS: Although 97.8% of participants reported having "healthy gums", 36.2% had severe periodontitis in at least one site. Interviews reveal that patients associated disease with abscess, and would be likely to follow prevetive and treatment regimens when they were informed of their diagnosis and educated on the topic. CONCLUSION: The findings suggest a need to make education a priority when treatment postmenopausal women.
