RESUMO
INTRODUCTION: The evaluation of orofacial damage is an emerging branch in the forensic sciences, specifically in forensic odontology and medicine. One of the major limitations during the evaluation of forensic orofacial damages is establishing the consolidation date of acquired lesions. The consolidation date is defined as the moment from which orofacial damages are considered irreversible. AIM: To stress the relevance of knowing the consolidation date in children who underwent orofacial trauma, and to enhance forensic expertise on the evaluation of dentomaxillofacial damages. MATERIAL AND METHODS: Ninety-six patients, aged between 11 and 31 years old, treated at the dental clinics of the Federal University of Minas Gerais, Brazil, were selected for forensic orofacial evaluation. All the patients presented at least one traumatically avulsed tooth and a temporary partial denture. RESULTS: The mean age for the traumatic avulsion was 10,3 years old. The mean time for the placement of a prosthesis was 2,9 years after the initial consultation. The mean time for the use of prosthesis was 2,2 years. No significant differences were observed regarding orofacial damage outcomes between patients younger or older than 18 years of age. It was observed that patients using temporary removable partial dentures presented a 3,6-fold greater possibility of developing socially significant sequels if compared with patients using temporary fixed partial dentures. CONCLUSION: Knowing the consolidation date of orofacial damageenables the prediction of the potential development of social sequels in children and adolescents who isaster victim identification (DVI) is an intensive and demanding task involving specialists from various disciplines. The forensic dentist is one of the key persons who underwent traumatic dental avulsion.
Assuntos
Atividades Cotidianas , Qualidade de Vida , Avulsão Dentária/psicologia , Adolescente , Comportamento do Adolescente , Adulto , Fatores Etários , Brasil , Criança , Comportamento Infantil , Prótese Parcial Fixa/psicologia , Prótese Parcial Temporária/psicologia , Ingestão de Alimentos/fisiologia , Emoções , Traumatismos Faciais/fisiopatologia , Traumatismos Faciais/psicologia , Feminino , Odontologia Legal , Humanos , Relações Interpessoais , Masculino , Higiene Bucal , Sono/fisiologia , Sorriso , Fala/fisiologia , Avulsão Dentária/fisiopatologia , Adulto JovemRESUMO
The transition of patients from a dentate state to an implant-supported restoration requires significant planning. Traditionally, protocols have included the extraction of teeth and interim use of a removable prosthesis. Newer protocols include approaches to decrease the period of time a patient is required to use a traditional denture. The authors' purpose is to outline options and provide clinical examples when transitioning patients from natural dentition to an implant-supported prosthesis.
Assuntos
Atitude Frente a Saúde , Implantes Dentários/psicologia , Dentição , Planejamento de Assistência ao Paciente , Adulto , Prótese Dentária Fixada por Implante , Planejamento de Dentadura , Prótese Total Imediata , Prótese Parcial Imediata , Prótese Parcial Temporária/psicologia , Feminino , Humanos , Masculino , Mandíbula/cirurgia , Maxila/cirurgia , Pessoa de Meia-Idade , Fatores de Tempo , Extração Dentária/psicologiaRESUMO
A clinical case is presented in which the patient's natural teeth were used in an interim partial denture. The patient accepted this treatment despite his reluctance to have the periodontally hopeless anterior teeth extracted. This technique may be used when the patient is emotionally unprepared for tooth loss, when the teeth to be replaced are highly characterized, or when no suitable denture tooth is available.
