RESUMO
Because of the vast numbers of potential symptoms and causes, a systematic method is needed to assess patient complaints about fit, esthetics, and feel of complete dentures, permitting the dentist to establish planned corrective procedures. One system is the SOAP method of problem-oriented record notations that defines a systematic way of dealing clinically with patient problems.
Assuntos
Reembasamento de Dentadura , Reparação em Dentadura , Prótese Total , Engasgo , Humanos , Registro da Relação Maxilomandibular , AnamneseRESUMO
Dentists should obtain from their local governmental dental licensing board a copy of the regulations that control their professional lives. These regulations should not be taken lightly because failure to follow them has cost practitioners their licenses and their livelihoods. Taking an active role in dental-related litigation is totally under the prosthodontist's control. His expertise is in extreme demand by insurance companies, our court system, and fellow professionals. Prosthodontists have the right to be selective in which matters they become involved but they should always be prepared, be thorough, and be objective.
Assuntos
Odontólogos , Legislação Odontológica , Relações Dentista-Paciente , Prova Pericial , Humanos , Consentimento Livre e Esclarecido , Relações Interprofissionais , Imperícia/legislação & jurisprudência , Administração da Prática OdontológicaRESUMO
There were minimal differences in longitudinal periodontal effects when fixed and removable partial dentures were compared. Both treatment alternatives provide long-term periodontal health and should be considered for the restoration of a partially edentulous arch. Regardless of treatment, conscientious home care and professional prophylaxis are recommended.
Assuntos
Dente Suporte , Prótese Parcial Fixa , Prótese Parcial Removível , Doenças Periodontais/diagnóstico , Adulto , Idoso , Reabsorção Óssea/diagnóstico , Cálculos Dentários/diagnóstico , Placa Dentária/diagnóstico , Gengivite/diagnóstico , Humanos , Arcada Parcialmente Edêntula/patologia , Arcada Parcialmente Edêntula/fisiopatologia , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Doenças Periodontais/patologia , Bolsa Periodontal/diagnóstico , Mobilidade Dentária/diagnósticoRESUMO
The periodontal disease variables manifested in the individuals with partial dentures were more severe, which suggests that the contribution of denture status is significant. Age, while related to increased bone loss, did not appear to be of significance. Common sense suggests that poor oral hygiene in persons wearing removable partial dentures also is a contributing factor.
Assuntos
Prótese Parcial Removível/efeitos adversos , Gengivite/etiologia , Doenças Periodontais/etiologia , Adulto , Fatores Etários , Idoso , Processo Alveolar , Análise de Variância , Reabsorção Óssea/etiologia , Estudos Transversais , Cálculos Dentários/etiologia , Placa Dentária/etiologia , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Higiene Bucal , Bolsa Periodontal/etiologia , Análise de Regressão , Mobilidade Dentária/etiologiaRESUMO
In this study, which is the first of its kind, it has been shown that overdenture patients, when compared to complete denture patients, while chewing a test food for a constant number of strokes, expended an equivalent amount of muscle effort, chewed more slowly and efficiently, and evidenced significantly better masticatory performance by producing an increased volume of fine test food particles. These findings provide a sound justification for the extra effort required to retain some natural teeth to provide overdenture services to patients. The fact that patients can masticate food more efficiently with overdentures than with complete dentures justifies the increased cost and time involved in their construction. The longitudinal effects that overdentures have on the basic physiopathologic processed involved in the progression of ridge resorption and the advantages of maintaining periodontal proprioception also should be studied.