DOCSLIB.ORG

Esthetic Treatment of Anterior Spacings in a Patient with Localized

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Esthetic Treatment of Anterior Spacings in a Patient with Localized pISSN, eISSN 0125-5614 Case Report M Dent J 2019; 39 (2) : 53-63 Esthetic treatment of anterior spacings in a patient with localized microdontia using no-prep veneers combined with periodontal surgery: A clinical report Pajaree Limothai, Chalermpol Leevailoj Esthetic Restorative and Implant Dentistry, Faculty of Dentistry, Chulalongkorn University Objectives: This case report describes the treatment of a patient with maxillary anterior spacings, resulting from microdontia, using a multidisciplinary approach to improve her esthetic appearance. Materials and Methods: A 23-year-old Thai female patient had multiple spaces between her maxillary anterior teeth with a high smile line and an unsymmetrical gingival level. The Recurring Esthetic Dental (RED) proportion was used to determine the widths of maxillary teeth and Bolton’s analysis was used to confirm the RED results, after that a diagnostic wax-up model was fabricated. Esthetic crown lengthening was performed from the right maxillary canine to the left maxillary canine to reduce excess gingival exposure and increase the length of the teeth according to the proportion acquired from the calculation. After complete gingival healing, no-prep ceramic veneers were placed on the maxillary anterior teeth using the IPS Empress® Esthetic ceramic system. Results: The no-prep veneers preserved all tooth structures and gave a satisfactory esthetic result. The patient was satisfied with the outcome. The final restorations closed the spaces with the natural appearance the patient desired. The function and occlusion of the restorations were good. The veneers and the periodontal tissues were in good condition at the 1-year recall. Conclusion: The multidisciplinary approach and no-prep ceramic veneers used in this case restored the maxillary anterior spacing and provided an excellent esthetic outcome. However, successful treatment in the anterior esthetic zone requires a thorough diagnosis and meticulous step-by-step treatment planning. Keywords: ceramic veneer, maxillary anterior spacing, microdontia, no-prep veneer How to cite: Limothai P, Leevailoj C. Esthetic treatment of anterior spacings in a patient with localized microdontia using no-prep veneers combined with periodontal surgery: a clinical report. M Dent J 2019; 39: 52-63. Introduction clinical outcome, both dental practitioners and laboratory technicians must carefully consider the available treatment options that provide long-term People have become increasingly concerned success and outstanding esthetic results. [1] about esthetics. Therefore, a perfect smile can give Anterior teeth spacing is a type of malocclusion patients more confidence and feel comfortable in whose effect is mostly esthetic. Microdontia is a social situations. Esthetic dental treatment plays condition in which the teeth are smaller than average an important role in improving a personal appearance due to the underdeveloped permanent teeth and through a great smile that also has good clinical typically creates gaps in the dental arch. Abnormal function. Thus, esthetic dental treatment is a tooth morphology, including tooth shape and combination of art and science. To obtain the desired size, result from genetics, specific syndromes, Correspondence author: Pajaree Limothai Esthetic Restorative and Implant Dentistry, Faculty of Dentistry, Chulalongkorn University 34 Henri-Dunant Road, Patumwan, Bangkok, 10330, Thailand Tel: 02-218-8664 Fax: 02-218-8664 Mobile: 083-429-9917 E-mail: [email protected] Received : 5 April 2019 Accepted : 5 June 2019 Pajaree Limothai, et al environmental factors, trauma, medication use, In 1955, acid etching of the enamel surface and radiation patients receive while their teeth was introduced by Buonocore. [16] Subsequently, are developing. [2-4] Previous studies found Bowen developed the first bonding system. that 5.7–7.98% of females were affected by [17, 18] Due to improvements in ceramic materials microdontia and hypodontia, which was higher and bonding procedures, patients can now than that of males (3.1–5.8%) [5-8] receive bonded restorations that do not require Selecting the appropriate treatment preparing sound tooth structure. This allows modalities for anterior teeth spacing caused dentists to fabricate ceramic restorations that by microdontia requires the expertise of the are very thin (0.3 mm thick). [19-21] Thus, no-prep dentists and a multidisciplinary approach. veneers can be either partial or complete facial Orthodontic treatment alone cannot completely coverage veneers. close these spaces while maintaining the correct This clinical case report describes the occlusion and a satisfactory esthetic result. sequence of conservative treatment procedures According to Fekonja et al., 37.9% of subjects performed on a female patient at the Esthetic who were affected by dental anomalies require Restorative and Implant Dentistry clinic at the treatment by dental specialists, including restorative Faculty of Dentistry, Chulalongkorn University. dentists, periodontists, prosthodontists, oral and The patient was chosen because of her dental maxillofacial surgeon. They also found that 92.4% anomalies; microdontia that caused multiple of the patients were satisfied with the treatment spaces in the anterior maxillary region, and an outcome. [9] Treatment options for microdont teeth excessive gingival display. Her treatment included are based on the patient’s complaints and expectations esthetic crown lengthening and no-prep veneers and range from orthodontic treatment, restorative that comprised a combination of partial and treatment, extraction followed by tooth replacement, ultrathin ceramic veneers. or no treatment. [10] To close the spaces, direct composite restorations are the most conservative Clinical report approach because this method can be performed A 23-year-old Thai female presented at the without removing tooth structure. [11] Another Esthetic Restorative and Implant Dentistry Clinic, minimally invasive option is traditional porcelain Faculty of Dentistry, Chulalongkorn University, laminate veneers (PLVs). This is an indirect restorative Bangkok, Thailand with a chief complaint of technique that requires minimal enamel reduction multiple spaces between her upper anterior teeth and gives a superior esthetic appearance, higher which caused by microdontia (Figure 1). Her major abrasive resistance, and good color stability. concern was an unesthetic appearance and she However, the mean enamel thickness at the cervical desired to close these gaps in a manner that area of the central and lateral incisors are 345µm resulted in a natural look. The patient had never and 235µm respectively. Thus, a 0.5 mm chamfer undergone orthodontic treatment and was satisfied preparation creates a dentin exposure at the with her tooth color. A brief evaluation of her porcelain veneer margins. [12] Long-term studies medical history indicated no immediate concerns. reported that the survival rate of porcelain veneers The treatment began with a clinical was 97.5%. [13, 14] In addition, veneers with their examination, and a series of pre-operative intra- preparation margin in enamel are more likely to and extra-oral photographs were taken. These have a long-term success compared with those photographs were used to determine the facial bonded to dentin. [15] profile, smile line, gingiva zeniths, occlusal planes, tooth color, and shape. A preliminary impression 54 M Dent J 2019 August; 39 (2): 53-64 Esthetic Treatment of Anterior Spacings in a Patient with Localized Microdontia using No-prep Veneers combined with Periodontal Surgery: A clinical report was taken with alginate to fabricate diagnostic casts, followed by a facebow transfer and bite registration. Her intra-oral examination revealed generalized spacing and abnormal tooth shape and size of the upper anterior teeth from the right maxillary canine to the left maxillary canine (Figure 2), and mild gingival inflammation due to dental plaque-induced gingivitis. A thick gingival biotype Figure 3 Periapical radiographs of the anterior dentition demonstrated sound maxillary teeth and and high frenum attachment were observed. normal pulp and periapical tissue. Radiographic evaluation revealed a healthy periodontium and a normal pulp and periapical The overjet and overbite were 2 mm. The condition. (Figure 3). The occlusal relationship dental midline was deviated 1 mm to the right classification was class I molar and class I canine. compared with the facial midline. The facial analysis revealed that her interpupillary line and commissural line were parallel to a horizontal line. The patient had a normal profile (skeletal class I). The smile analysis indicated that the patient had a high lip line with excessive gingival exposure and an asymmetrical gingival level between the left and right sides of the upper dental arch at full smile. The curvatures of the upper anterior teeth and the lower lip line were harmonious (Figure4). The evaluation of the inclination and arrangement of the patient’s maxillary anterior teeth revealed that the maxillary lateral incisors had a slight distal flare. Figure 1 A 23-year-old Thai female patient presented with a chief complaint of her anterior teeth The examination of the tooth color and characteristics spacings. Patient’s full-face photographs: (A) found that the maxillary central and lateral incisors Rest position and (B) Full smile. had a light yellowish color, pronounced macro- and micro- texture on the tooth surfaces, and a halo effect at the incisal edges.
Load more

Recommended publications
  • Management of Anterior Spacing with Peg Lateral by Interdisciplinary Approach : a Case Report
    Case Report Management of Anterior Spacing with Peg Lateral by Interdisciplinary Approach : A Case Report Dr Sanjay Prasad Gupta Assistant Professor & Consultant Orthodontist, Department of Orthodontics, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu Correspondence: Dr Sanjay Prasad Gupta; Email: [email protected] ABSTRACT Anterior spacing is a common esthetic problem of patient during dental consultation. The most common etiology include tooth size and arch length discrepancy. Maxillary lateral incisors vary in form more than any other tooth in the mouth except the third molars. Microdontia is a condition where the teeth are smaller than the normal size. Microdontia of maxillary lateral incisor is called as “peg lateral”, that exhibit converging mesial and distal surfaces of crown forming a cone like shape. A carefully documented diagnosis and treatment plan are essential if the clinician is to apply the most effective approach to address the patient’s needs. A patient sometimes requires a multidisciplinary approach to correct the esthetics and to improve the occlusion. This case report describes the management of an adult female patient with a proclined upper anterior teeth, upper anterior spacing, deep bite and peg shaped upper right lateral incisor tooth through orthodontic and restorative treatment approach. Key words: Anterior spacing, Peg lateral, Esthetic, Interdisciplinary approach INTRODUCTION Peg shaped lateral incisors occur in approximately 2% to 5% of the general population, and women show a Maxillary lateral incisors vary in form more than any slightly higher frequency than men. Usually they are found other tooth in the mouth except the third molars. If the equally on the right and left, uni or bilaterally, however variation is too great, it is considered a developmental some studies have shown their bilateral occurrence anomaly.1 Developmental alterations which are most slightly higher than the unilateral occurrence.
    [Show full text]
  • Preventing Malocclusions in the 5 to 7 Year Old - Crowding, Rotations, Overbite, and Overjet
    #27 Ortho-Tain, Inc. 1-800-541-6612 PREVENTING MALOCCLUSIONS IN THE 5 TO 7 YEAR OLD - CROWDING, ROTATIONS, OVERBITE, AND OVERJET Dr. Earl O. Bergersen A DESCRIPTION OF THE PREVENTIVE TECHNIQUE Preventing malocclusions from developing in the young child is easier, less costly and less prone to relapse than using standard braces at 11 or 12 years of age. There are several reasons for these differences. Crowding and rotations develop as the permanent front teeth first erupt into the mouth at 5 or 6 years of age. Once erupted into this crowded state, the fibers that secure the teeth in position develop and increase their resistance to change orthodontically as well as increase their tendency for relapse or return to their original positions once straightened. This technique of guiding the erupting teeth in straight initially then uses these resistant fibers that develop around the teeth as an ally rather than as an enemy by letting them keep the teeth straight and prevent them from becoming crowded at a later time. Also, it is easier to prevent the teeth from overerupting initially into an excessive overbite at the time of their normal eruption than to correct their positions afterwards after the fibers have stabilized then into a malocclusion. Also, the correction of vertical and/or horizontal problems such as an excessive overbite or overjet require sufficient facial growth to stabilize the correction and frequently by 11 or 12 years of age there is an inadequate amount of growth present to avoid substantial relapse (especially in the female and accelerated growing male) and may even require surgery for an ideal correction.
    [Show full text]
  • Glossary for Narrative Writing
    Periodontal Assessment and Treatment Planning Gingival description Color: o pink o erythematous o cyanotic o racial pigmentation o metallic pigmentation o uniformity Contour: o recession o clefts o enlarged papillae o cratered papillae o blunted papillae o highly rolled o bulbous o knife-edged o scalloped o stippled Consistency: o firm o edematous o hyperplastic o fibrotic Band of gingiva: o amount o quality o location o treatability Bleeding tendency: o sulcus base, lining o gingival margins Suppuration Sinus tract formation Pocket depths Pseudopockets Frena Pain Other pathology Dental Description Defective restorations: o overhangs o open contacts o poor contours Fractured cusps 1 ww.links2success.biz [email protected] 914-303-6464 Caries Deposits: o Type . plaque . calculus . stain . matera alba o Location . supragingival . subgingival o Severity . mild . moderate . severe Wear facets Percussion sensitivity Tooth vitality Attrition, erosion, abrasion Occlusal plane level Occlusion findings Furcations Mobility Fremitus Radiographic findings Film dates Crown:root ratio Amount of bone loss o horizontal; vertical o localized; generalized Root length and shape Overhangs Bulbous crowns Fenestrations Dehiscences Tooth resorption Retained root tips Impacted teeth Root proximities Tilted teeth Radiolucencies/opacities Etiologic factors Local: o plaque o calculus o overhangs 2 ww.links2success.biz [email protected] 914-303-6464 o orthodontic apparatus o open margins o open contacts o improper
    [Show full text]
  • Oral Diagnosis: the Clinician's Guide
    Wright An imprint of Elsevier Science Limited Robert Stevenson House, 1-3 Baxter's Place, Leith Walk, Edinburgh EH I 3AF First published :WOO Reprinted 2002. 238 7X69. fax: (+ 1) 215 238 2239, e-mail: [email protected]. You may also complete your request on-line via the Elsevier Science homepage (http://www.elsevier.com). by selecting'Customer Support' and then 'Obtaining Permissions·. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data A catalog record for this book is available from the Library of Congress ISBN 0 7236 1040 I _ your source for books. journals and multimedia in the health sciences www.elsevierhealth.com Composition by Scribe Design, Gillingham, Kent Printed and bound in China Contents Preface vii Acknowledgements ix 1 The challenge of diagnosis 1 2 The history 4 3 Examination 11 4 Diagnostic tests 33 5 Pain of dental origin 71 6 Pain of non-dental origin 99 7 Trauma 124 8 Infection 140 9 Cysts 160 10 Ulcers 185 11 White patches 210 12 Bumps, lumps and swellings 226 13 Oral changes in systemic disease 263 14 Oral consequences of medication 290 Index 299 Preface The foundation of any form of successful treatment is accurate diagnosis. Though scientifically based, dentistry is also an art. This is evident in the provision of operative dental care and also in the diagnosis of oral and dental diseases. While diagnostic skills will be developed and enhanced by experience, it is essential that every prospective dentist is taught how to develop a structured and comprehensive approach to oral diagnosis.
    [Show full text]
  • Non-Syndromic Occurrence of True Generalized Microdontia with Mandibular Mesiodens - a Rare Case Seema D Bargale* and Shital DP Kiran
    Bargale and Kiran Head & Face Medicine 2011, 7:19 http://www.head-face-med.com/content/7/1/19 HEAD & FACE MEDICINE CASEREPORT Open Access Non-syndromic occurrence of true generalized microdontia with mandibular mesiodens - a rare case Seema D Bargale* and Shital DP Kiran Abstract Abnormalities in size of teeth and number of teeth are occasionally recorded in clinical cases. True generalized microdontia is rare case in which all the teeth are smaller than normal. Mesiodens is commonly located in maxilary central incisor region and uncommon in the mandible. In the present case a 12 year-old boy was healthy; normal in appearance and the medical history was noncontributory. The patient was examined and found to have permanent teeth that were smaller than those of the average adult teeth. The true generalized microdontia was accompanied by mandibular mesiodens. This is a unique case report of non-syndromic association of mandibular hyperdontia with true generalized microdontia. Keywords: Generalised microdontia, Hyperdontia, Permanent dentition, Mandibular supernumerary tooth Introduction [Ullrich-Turner syndrome], Chromosome 13[trisomy 13], Microdontia is a rare phenomenon. The term microdontia Rothmund-Thomson syndrome, Hallermann-Streiff, Oro- (microdentism, microdontism) is defined as the condition faciodigital syndrome (type 3), Oculo-mandibulo-facial of having abnormally small teeth [1]. According to Boyle, syndrome, Tricho-Rhino-Phalangeal, type1 Branchio- “in general microdontia, the teeth are small, the crowns oculo-facial syndrome. short, and normal contact areas between the teeth are fre- Supernumerary teeth are defined as any supplementary quently missing” [2] Shafer, Hine, and Levy [3] divided tooth or tooth substance in addition to usual configuration microdontia into three types: (1) Microdontia involving of twenty deciduous and thirty two permanent teeth [7].
    [Show full text]
  • Susan Mcmahon, DMD AAACD Modern Adhesive Dentistry: Real World Esthetics for Presentation and More Info from Catapult Education
    Susan McMahon, DMD AAACD Modern Adhesive Dentistry: Real World Esthetics For presentation and more info from Catapult Education Text SusanM to 33444 Susan McMahon DMD • Accredited by the American Academy of Cosmetic Dentistry: One of only 350 dentists worldwide to achieve this credential • Seven times named among America’s Top Cosmetic Dentists, Consumers Research Council of America • Seven time medal winner Annual Smile Gallery American Academy of Cosmetic Dentistry • Fellow International Academy Dental-Facial Esthetics • International Lecturer and Author Cosmetic Dental Procedures and Whitening Procedures • Catapult Education Elite, Key Opinion Leaders Pittsburgh, Pennsylvania Cosmetic dentistry is comprehensive oral health care that combines art and science to optimally improve dental health, esthetics, and function.” Why Cosmetic Dentistry? Fun Success dependent upon many disciplines Patients desire Variety cases/materials services Insurance free Professionally rewarding Financially rewarding Life changing for Artistic! patients “Adolescents tend to be strongly concerned about their faces and bodies because they wish to present a good physical appearance. Moreover, self-esteem is considered to play an important role in psychological adjustment and educational success” Di Biase AT, Sandler PJ. Malocclusion, Orthodontics and Bullying, Dent Update 2001;28:464-6 “It has been suggested that appearance dissatisfaction can lead to feelings of depression, loneliness and low self-esteem among other psychological outcomes.” Nazrat MM, Dawnavan
    [Show full text]
  • Review: Differential Diagnosis of Drug-Induced Gingival Hyperplasia and Other Oral Lesions
    ISSN: 2469-5734 Moshe. Int J Oral Dent Health 2020, 6:108 DOI: 10.23937/2469-5734/1510108 Volume 6 | Issue 2 International Journal of Open Access Oral and Dental Health REVIEW ARTICLE Review: Differential Diagnosis of Drug-Induced Gingival Hyper- plasia and Other Oral Lesions Einhorn Omer Moshe* Private Dental Office, Israel Check for *Corresponding author: Einhorn Omer Moshe, Private Dental Office, Dr. Einhorn, 89 Medinat Hayehudim updates street, Herzliya, Israel tooth discoloration, alteration of taste sensation and Abstract even appearance of lesions on the tissues of the oral Chronic medication usage is a major component of the cavity. Early recognition and diagnosis of these effects medical diagnosis of patients. Nowadays, some of the most common diseases such as cancer, hypertension, diabetes can largely assist in the prevention of further destruc- and etc., are treated with drugs which cause a variety of oral tive consequences in patients’ health status. As life ex- side-effects including gingival over growth and appearance pectancy increases, the number of elderly patients in of lesions on the tissues of the oral cavity. As such, drug-in- the dental practice also rises. Individuals of this popula- duced oral reactions are an ordinary sight in the dental prac- tice. This review will point out the main therapeutic agents tion are usually subjected to chronic medication intake causing gingival hyperplasia and other pathologic lesions which requires the clinician to be aware of the various in the oral cavity. Some frequently used medications, in side-effects accompanying these medications. This re- particular antihypertensives, nonsteroidal anti-inflammatory view will point out the main therapeutic agents causing drugs and even antibiotics, can lead to overgrowth of the gingival hyperplasia and other pathologic lesions in the gingiva and to the multiple unwanted conditions, namely: Lupus erythematosus, erythema multiforme, mucositis, oral oral cavity.
    [Show full text]
  • Journal of the Irish Dental Association Iris Cumainn Déadach Na Héireann
    Volume 55 Number 4 August/September 2009 Journal of the Irish Dental Association Iris Cumainn Déadach na hÉireann AN EFFECTIVE BLEACHING TECHNIQUE FOR NON-VITAL DISCOLOURED TEETH IN CHILDREN AND ADOLESCENTS Journal of the Irish Dental Association The Journal of the Irish Dental Association CONTENTS Unit 2 Leopardstown Office Park Sandyford, Dublin 18 Tel +353 1 295 0072 Fax: +353 1 295 0092 www.dentist.ie 161 EDITORIAL IDA PRESIDENT Dr Donal Blackwell IDA CHIEF EXECUTIVE Fintan Hourihan JOURNAL CO-ORDINATOR Fionnuala O’Brien 162 PRESIDENT’S NEWS EDITOR Professor Leo F.A. Stassen Fighting back FRCS(Ed), FDSRCS, MA, FTCD, FFSEM(UK) FFDRCSI DEPUTY EDITOR Dr Dermot Canavan BDentSc, MGDS(Edin), MS(UCalif) 163 IDA NEWS An Bord Snip Nua Report, upcoming IDA EDITORIAL BOARD Dr Tom Feeney meetings, and more BDS Dip Cl Dent(TCD) FICD Dr Michael Fenlon James, Ger and Niamh treating PhD BDentSc MA FDS MGDS kids in the clinic. 174 167 QUIZ Dr Aislinn Machesney BDentSc, DipClinDent Dr Christine McCreary MA MD FDS(RCPS)OM FFD(RCSI) 168 BUSINESS NEWS 6% Dr Ioannis Polyzois Industry news for dentists 12% DMD, MDentCh, MMedSc Dr Ciara Scott BDS MFD MDentCh MOrth FFD (RCSI) 171 EU NEWS Carmen Sheridan 31% MA ODE (Open), Dip Ad Ed, CDA, RDN CED independence likely by end of 2009 The Journal of the Irish Dental Association is the 23% official publication of the Irish Dental Association. 174 OVERSEAS The opinions expressed in the Journal are, however, those of the authors and cannot be construed as 174 Busman’s holiday Survey of dentists.
    [Show full text]
  • Oral Health for USMLE Step One Section 3: Congenital, Salivary, Dental and Other Oral Pathology
    Oral Health for USMLE Step One Section 3: Congenital, Salivary, Dental and Other Oral Pathology Olivia Nuelle, Medical School Class of 2022 University of Massachusetts Medical School Faculty Adviser: Hugh Silk, MD Image: Simone van den Berg/Photos.comE-mail: SmilesHoward@12DaysinMarch for Life Module 7 Slide # 1 smilesforlifeoralhealth.org www.12DaysinMarch.com Oral Health for USMLE Step One Pathology of the Oral Cavity Lesions Congenital Salivary Dental Other Pathology Pathology 1. Sialadenitis 1. Erosion 1. TMJ 1. Infection 1. GERD 2. Medications 2. Obstruction 2. Bulimia w/ Oral 2. Tumors 3. Bacteria Effects 1. Benign 2. Caries 3. SBE 2. Malignant 3. Abscess Prophylaxis Dental Pathology: Erosions Dental Pathology: Erosions • GERD • Bulimia • Bacteria Gastric acid • Cold and heat sensitivity • Pain Dental Pathology: Erosions Bulimia • Bottom teeth eroded • Parotitis • Russell’s sign. Gastric acid Russell’s sign Dental Pathology: Erosions → Caries Bacteria • Eat sugarà bacteria metabolizeà acid Dental Pathology: Caries Caries • S. mutans Dental Pathology: Abscess Abscess • Purulent infection • Pulp is infected • Potential for spread Oral Health for USMLE Step One Pathology of the Oral Cavity Lesions Congenital Salivary Dental Other Pathology Pathology 1. TMJ 2. Medications w/ Oral Effects 3. SBE Prophylaxis Oral Pathology: TMJ (temporomandibular joint syndrome) TMJ • Pain • Stiffness • Clicking Etiologies • Malalignment • Trauma • Bruxism Oral Manifestations of Medications Manifestations • Tooth discoloration • Gingival hyperplasia Oral
    [Show full text]
  • Dental-Craniofacial Manifestation and Treatment of Rare Diseases
    International Journal of Oral Science www.nature.com/ijos REVIEW ARTICLE OPEN Dental-craniofacial manifestation and treatment of rare diseases En Luo1, Hanghang Liu1, Qiucheng Zhao1, Bing Shi1 and Qianming Chen1 Rare diseases are usually genetic, chronic and incurable disorders with a relatively low incidence. Developments in the diagnosis and management of rare diseases have been relatively slow due to a lack of sufficient profit motivation and market to attract research by companies. However, due to the attention of government and society as well as economic development, rare diseases have been gradually become an increasing concern. As several dental-craniofacial manifestations are associated with rare diseases, we summarize them in this study to help dentists and oral maxillofacial surgeons provide an early diagnosis and subsequent management for patients with these rare diseases. International Journal of Oral Science (2019) 11:9 ; https://doi.org/10.1038/s41368-018-0041-y INTRODUCTION In this review, we aim to summarize the related manifestations Recently, the National Health and Health Committee of China first and treatment of dental-craniofacial disorders related to rare defined 121 rare diseases in the Chinese population. The list of diseases, thus helping to improve understanding and certainly these rare diseases was established according to prevalence, diagnostic capacity for dentists and oral maxillofacial surgeons. disease burden and social support, medical technology status, and the definition of rare diseases in relevant international institutions. Twenty million people in China were reported to suffer from these DENTAL-CRANIOFACIAL DISORDER-RELATED RARE DISEASES rare diseases. Tooth dysplasia A rare disease is any disease or condition that affects a small Congenital ectodermal dysplasia.
    [Show full text]
  • Adverse Effects of Medications on Oral Health
    Adverse Effects of Medications on Oral Health Dr. James Krebs, BS Pharm, MS, PharmD Director of Experiential Education College of Pharmacy, University of New England Presented by: Rachel Foster PharmD Candidate, Class of 2014 University of New England October 2013 Objectives • Describe the pathophysiology of various medication-related oral reactions • Recognize the signs and symptoms associated with medication-related oral reactions • Identify the populations associated with various offending agents • Compare the treatment options for medication-related oral reactions Medication-related Oral Reactions • Stomatitis • Oral Candidiasis • Burning mouth • Gingival hyperplasia syndrome • Alterations in • Glossitis salivation • Erythema • Alterations in taste Multiforme • Halitosis • Oral pigmentation • Angioedema • Tooth discoloration • Black hairy tongue Medication-related Stomatitis • Clinical presentation – Aphthous-like ulcers, mucositis, fixed-drug eruption, lichen planus1,2 – Open sores in the mouth • Tongue, gum line, buccal membrane – Patient complaint of soreness or burning http://www.virtualmedicalcentre.com/diseases/oral-mucositis-om/92 0 http://www.virtualmedicalcentre.com/diseases/oral-mucositis-om/920 Medication-related Stomatitis • Offending agents1,2 Medication Indication Patient Population Aspirin •Heart health • >18 years old •Pain reliever • Cardiac patients NSAIDs (i.e. Ibuprofen, •Headache General population naproxen) •Pain reliever •Fever reducer Chemotherapy (i.e. •Breast cancer •Oncology patients methotrexate, 5FU, •Colon
    [Show full text]
  • Special Issue on Color and Apperance in Dentistry
    VOLUME 28 | ISSUE S1 | 2016 JERD | Journal of Esthetic and Restorative Dentistry Cover picture courtesy of Dr. Johan Figueira Special Issue on Color and Apperance in Dentistry Offi cial Publication of the: Academy of Cosmetic and Adhesive Dentistry American Academy of Esthetic Dentistry VOLUME 28 VOLUME 28 ISSUE S1 2016 British Academy of Aesthetic Dentistry International Federation of Esthetic Dentistry Society for Color and Appearance in Dentistry www.wileyonlinelibrary.com/journal/jerd JERD_C1-C4.indd 1 07/04/16 2:17 PM ADMINISTRATIVE BOARD EDITORIAL ADVISORY BOARD Editor-in-Chief Luiz Narciso Baratieri (Brazil) Stefanos Kourtis (Greece) Harald O. Heymann, DDS, MEd Joel Berg (USA) Masahiro Kuwata (Japan) Avinash S. Bidra (USA) Paul Lambrechts (Belgium) Associate Editor Markus Blatz (USA) Sonia Leziy (Canada) Edward J. Swift Jr, DMD, MS Jeff Brucia (USA) Pascal Magne (USA) Editorial Assistant F. J. Trevor Burke (United Kingdom) Ronald I. Maitland (USA) Betty T. Cates Paul Child (USA) Brahm Miller (Canada) Gordon J. Christensen (USA) Ricardo Mitrani (Mexico) Stephen Chu (USA) Marc Moskowitz (USA) SECTION EDITORS Lyndon Cooper (USA) Dan Nathanson (USA) Don Cornell (USA) Rade D. Paravina (USA) Dental Materials Th eodore P. Croll (USA) Keith Phillips (USA) John M. Powers, PhD Simone Deliperi (Italy) Ariel J. Raigrodski (USA) Claus-Peter Ernst (Germany) Mamaly Reshad (UK) Digital Dentistry Newton Fahl (Brazil) Andre Ritter, (USA) Dennis Fasbinder, DDS, ABGD Jack L. Ferracane (USA) Richard Roblee (USA) Endodontics/Pulp Biology Douglas Ford (USA) Frederick A. Rueggeberg (USA) Eric M. Rivera, DDS, MS Mauro Fradeani (Italy) Frank Spear (USA) Roland Frankenberger (Germany) Howard E. Strassler (USA) Implants Mark J.
    [Show full text]