Clinical case of orthopaedic dental rehabilitation of a patient with Scheuthauer-Marie-Sainton syndrome

2021 ◽  
pp. 50-57
Author(s):  
V.G. Galonsky ◽  
N.V. Tarasova ◽  
E.S. Surdo ◽  
Gradoboev A.V.
Keyword(s):  
Clinical Case ◽  
Dental Treatment ◽  
Wide Spectrum ◽  
Diagnostic Algorithm ◽  
Cleidocranial Dysplasia ◽  
Dental Practitioners ◽  
Dental Rehabilitation ◽  
Short And Long Term ◽  
General Profile

The article presents results of content analysis of Russian and foreign reference materials, scientific and educational literature regarding a rare pathology: the Scheuthauer-Marie-Sainton syndrome (cleidocranial dysplasia). The results are provided in the form of an explicit diagnostic algorithm for dental practitioners revealing this disease in patients in orthopaedic dentistry and orthodontics practice being a guideline for involvement of allied general profile specialists in consulting of such a patient. The clinical case reflected in the paper describes orthopaedic dental treatment provided to a 19-years-old female patient with cleidocranial dysplasia as well as a complex and ambiguous clinical picture of the oral cavity. The case demonstrates possibilities in efficacy of dental rehabilitation procedures for this category of patients using minimally invasive methods as the most justified and predictable approach providing a wide spectrum of furtherclinical decisions in short- and long-term patient management after treatment

scholarly journals A CLINICAL CASE OF ORTHOPAEDIC DENTAL REHABILITATION OF A PATIENT WITH CLOUSTON SYNDROME AND CONGENITAL EDENTULISM

2020 ◽  
Vol 16 (3) ◽  
pp. 96-105
Author(s):  
Vladislav Galonsky ◽  
Natalia Tarasova ◽  
El'vira Surdo ◽  
Anatoly Gradoboev
Keyword(s):  
Minimally Invasive ◽  
Clinical Case ◽  
Dental Treatment ◽  
Wide Spectrum ◽  
Diagnostic Process ◽  
Invasive Treatment ◽  
Diagnostic Features ◽  
Congenital Diseases ◽  
Dental Practitioners ◽  
Dental Rehabilitation

Subject. Clouston syndrome is within the list of rare (orphan) congenital diseases. The issue of peculiarities in dental rehabilitation of patients with Clouston syndrome and congenital edentulism remains discussable. There are no approved clinical guidelines regarding this problem for dental practitioners. Aim ― improvement of diagnostic and treatment procedures efficacy for children with Clouston syndrome and congenital edentulism in the orthopedic dentistry and orthodontics clinic. Methodology. In order to demonstrate capabilities of efficacious orthopedic dental rehabilitation, a clinical case of a 14-years old patient with Clouston syndrome and congenital edentulism in an ambiguous oral cavity condition is presented, demonstrating the most justified and predictable approach to clinical management of patients. Results. The paper describes results of analysis of domestic and foreign literature devoted to the issue of determining distinctive diagnostic features of patients with Clouston syndrome used in the diagnostic process in the presented clinical case. Technological peculiarities and advantages of the chosen minimally invasive treatment approach – application of removable dentures – are described. The article demonstrates photographs depicting orthopaedic dental treatment results providing evidence of aesthetic, functional and social rehabilitation of the patient. Findings. The presented literature review of main distinctive clinical features of Clouston syndrome is an efficacious diagnostic algorithm in clinical orthopedic dentistry and orthodontics that forms a clear route for allied specialists in terms of diagnosis of this pathology in patients. The presented clinical case of minimally invasive orrthopedica dental treatment methods for rehabilitation of patients with Clouston syndrome and congenital edentulism is an option that provides for predictable satisfactory aesthetic and functional results of treatment, social adaptation of patients and a wide spectrum of further clinical decisions in short- and long-term follow-up management of patients.

Probabilistic Tephra Hazard Assessment of Campi Flegrei, Italy

2021 ◽  
Author(s):  
Beatriz Martínez Montesinos ◽  
Manuel Titos ◽  
Laura Sandri ◽  
Sara Barsotti ◽  
Giovanni Macedonio ◽  
...  
Keyword(s):  
Hazard Assessment ◽  
Wide Spectrum ◽  
Numerical Code ◽  
Campi Flegrei ◽  
Computational Domain ◽  
Event Tree ◽  
Hazard Maps ◽  
Event Tree Analysis ◽  
Short And Long Term

<p>Campi Flegrei is an active volcano located in one of the most densely inhabited areas in Europe and under high-traffic air routes. There, the Vesuvius Observatory’s surveillance system, which continuously monitors volcanic seismicity, soil deformations and gas emissions, highlights some variations in the state of the volcanic activity. It is well known that fragmented magma injected into the atmosphere during an explosive volcanic eruption poses a threat to human lives and air-traffic. For this reason, powerful tools and computational resources to generate extensive and high-resolution hazard maps taking into account a wide spectrum of events, including those of low probability but high impact, are important to provide decision makers with quality information to develop short- and long- term emergency plans. To this end, in the framework of the Center of Excellence for Exascale in Solid Earth (ChEESE), we show the potential of HPC in Probabilistic Volcanic Hazard Assessment. On the one hand, using the ChEESE's flagship Fall3D numerical code and taking advance of the PRACE-awarded resources at CEA/TGCC-HPC facility in France, we perform thousands of simulations of tephra deposition and airborne ash concentration at different flight levels exploring the natural variability and uncertainty on the eruptive conditions on a 3D-grid covering a 2 km-resolution 2000 km x 2000 km computational domain. On the other hand, we create short- and long-term workflows, by updating current Bayesian-Event-Tree-Analysis-based prototype tools, to make them capable of analyze the large amount of information generated by the Fall3D simulations that finally gives rise to the hazard maps for Campi Flegrei.</p>

Oral Manifestations of “Meth Mouth”: A Case Report

2010 ◽  
Vol 11 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Ilser Turkyilmaz
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Dental Treatment ◽  
Violent Behavior ◽  
Panoramic Radiograph ◽  
Treatment Modalities ◽  
Caucasian Woman ◽  
Oral Manifestations ◽  
Oral Rehabilitation ◽  
Dental Practitioners

Abstract Aim The aim of the documentation of this clinical case is to make clinicians aware of “meth mouth” and the medical risks associated with this serious condition. Background Methamphetamine is a very addictive, powerful stimulant that increases wakefulness and physical activity and can produce other effects such as cardiac dysrhythmias, hypertension, hallucinations, and violent behavior. Dental patients abusing methamphetamine can present with poor oral hygiene, xerostomia, rampant caries (“meth mouth”), and excessive tooth wear. Oral rehabilitation of patients using methamphetamine can be challenging. Case Description A 30-year-old Caucasian woman presented with dental pain, bad breath, and self-reported poor esthetics. A comprehensive examination including her medical history, panoramic radiograph, and intraoral examination revealed 19 carious lesions, which is not very common for a healthy adult. She reported her use of methamphetamine for five years and had not experienced any major carious episodes before she started using the drug. Summary The patient's medical and dental histories along with radiographic and clinical findings lead to a diagnosis of “meth mouth.” Although three different dental treatment modalities (either conventional or implantsupported) have been offered to the patient since August 2007, the patient has yet to initiate any treatment. Clinical Significance This clinical case showing oral manifestations of meth mouth was presented to help dental practitioners recognize and manage patients who may be abusing methamphetamines. Dental practitioners also may be skeptical about the reliability of appointment keeping by these patients, as they frequently miss their appointments without reasonable justification. Citation Turkyilmaz I. Oral Manifestations of “Meth Mouth”: A Case Report. J Contemp Dent Pract [Internet]. 2010 Jan; 11(1):073-080. Available from: http://www.thejcdp.com/journal/ view/volume11-issue1-turkyilmaz.

scholarly journals Dental Prosthetic Treatments in Cleidocranial Dysplasia: Case Report and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Yosra Mabrouk ◽  
Sinda Ammar ◽  
Amel Labidi ◽  
Lamia Mansour ◽  
Sonia Ghoul
Keyword(s):  
Dental Treatment ◽  
Cone Beam ◽  
Permanent Teeth ◽  
Deciduous Teeth ◽  
Cleidocranial Dysplasia ◽  
Aged Patients ◽  
Long Term Follow Up ◽  
Prosthetic Implant

Cleidocranial dysplasia (CCD) is a rare inherited skeletal syndrome. There is no consensus regarding the dental treatment strategy. Objectives. To report a rare case of cleidocranial dysplasia and to summarize the current clinical and dental features and prosthetic treatment of similar CCD patients reported in the literature. Results. A 17-year-old girl was diagnosed with CCD. She had a short stature with the ability to bring the shoulders under the chest. All remaining teeth were deciduous except the four first molars were permanent. The maxilla was hypoplastic with a relative prognathism of the mandible. The cone-beam computed tomography examination showed a distorted and incomplete root formation of the permanent teeth. She was treated with both, complete and partial, removable overdentures. PubMed was used for the literature research using the following keys words “Cleidocranial Dysplasia”[Mesh], “Prosthodontics”[Mesh], “Dental Care”[Mesh], “cleidocranial dysostosis,” and “dental treatment.” The retention of deciduous teeth was described in the majority of cases. All the patients had supernumerary teeth. The most used treatments were dental prosthetics and orthodontics. The fixed prosthetic implant was the most used type of prosthetic treatment. Among the 15 cases who specified the type of prosthetic treatment, seven patients received removable dentures. Prosthetics was indicated especially for aged patients. Conclusion. Removable prostheses are a good solution that rapidly restores esthetics and functions. The use of implants for these patients needs to be validated by a long-term follow-up.

Long-Term Follow-Up of Dental Rehabilitation of a Patient with Clouston Syndrome and Congenital Edentulism (Issues of Theory and Clinical Practice)

2020 ◽  
Vol 3 (4) ◽  
pp. 128-146
Author(s):  
V.G. Galonsky ◽  
N.V. Tarasova ◽  
V.N. Chernov ◽  
M.Yu. Makarchuk ◽  
A.V. Gradoboev
Keyword(s):  
Clinical Practice ◽  
Dental Treatment ◽  
Long Term Results ◽  
Treatment Results ◽  
Diagnostic Features ◽  
Study Results ◽  
Long Term Follow Up ◽  
Dental Rehabilitation

AbstractThe article presents results of a concise analysis of domestic and foreign literature addressing the problem of determining of distinctive diagnostic features in patients with Clouston syndrome as an orphan disease rarely encountered in clinical practice of dentistry. A clinical case of effective orthopaedic rehabilitation of a 10-years-old patient with Clouston syndrome and congenital edentulism using minimally invasive orthopaedic dentistry measures: removable dentures application using shape memory materials is presented. Technological peculiarities and advantages of the chosen approach to treatment are described. Photographic documents of orthopaedic dental treatment results including long-term results within the follow-up period of 10 years are presented providing strong evidence of effective aesthetic, functional and social rehabilitation of the patient. Detailed analytical conclusion is drawn according to the study results.

scholarly journals DIAGNOSTIC CRITERIA OFCLEIDOCRANIAL DYSPLASIA IN CLINICAL DENTAL PRACTICE

2020 ◽  
Vol 15 (4) ◽  
pp. 121-130
Author(s):  
Vladislav Galonsky ◽  
Natalia Tarasova ◽  
Vladimir Chernov ◽  
Anatoly Gradoboev ◽  
Maksim Makarchuk ◽  
...  
Keyword(s):  
Oral Cavity ◽  
World Literature ◽  
Clinical Signs ◽  
Diagnostic Algorithm ◽  
Current Data ◽  
Diagnostic Process ◽  
Cleidocranial Dysplasia ◽  
Dental Practice ◽  
Dental Practitioners ◽  
Clinical Cases

Subject. Cleidocranial dysplasia is a rare hereditary pathology found in general and dental clinical practice. According to current data in the world literature, to date about 500 cases of this disease have been described. Purpose — increased effectiveness of diagnostic maneuverin patients with cleidocranialdysplasia in clinical dental practice. Methodology. In order to ensure the regularization and systematization of scattered clinical and diagnostic information on the pathology studied, a meta-analysis of native and foreign reference, scientific and educational and methodological literary sources related to this problem has been carried out. Patients with cleidocranial dysplasia were examined, the formed diagnostic algorithm was tested, clinical manifestation of pathology was evaluated. Results. As a result of the analysis, a convenient and practically acceptable model of the main clinical signs of cleidocranialdysplasia has been developed for the formation of a diagnostic algorithm for dental practitioners. Two clinical cases are presented showing the results of the diagnostic process in patients with cleidocranialdysplasia, complex and questionableclinical situations in the oral cavity. Conclusion. The model of the main clinical signs of cleidocranial dysplasia is an effective diagnostic algorithm in dental practice, which forms in practical dentists professional skills and competence in routing and attracting to advise specialists of related specialties of dental and general medical profiles, in cases of detection of patients with this rarely occurring pathology on clinical reception. The presented clinical cases demonstrate the effectiveness of its application in the practice of the dentist, illustrating a detailed, competent and acceptable scheme of writing the history of the disease of patients with this pathology, complex and questionable clinical situations of a universal nature and in the oral cavity in the outpatient dentalappointment.

scholarly journals Molar Incisor Hypomineralization from Inception to Intervention–Evidence Based Review

2021 ◽  
pp. 113-125
Author(s):  
Rana A. Alamoudi
Keyword(s):  
Oral Health ◽  
Wide Spectrum ◽  
Treatment Plan ◽  
Treatment Strategies ◽  
Treatment Modalities ◽  
Evidence Based ◽  
Tailored Treatment ◽  
Dental Practitioners ◽  
Molar Incisor Hypomineralization

Background: Molar Incisor Hypomineralization (MIH) is considered a highly prevalent clinical problem worldwide. The etiology of MIH involves a complex interaction between systemic and environmental insults with possible genetic contribution. Early diagnosis is facilitated by collaboration between clinicians responsible for oral health management of the patient and is the key for enhancing the long-term prognosis and quality of life of affected children. MIH management is a formidable oral health challenge due to the wide spectrum of clinical presentation with the need for tailored treatment for the child affected by MIH condition. Objective: To provide dental practitioners with an updated and evidence-based overview of MIH etiology, diagnosis, and treatments modalities available for its management. Conclusion: In this review, recent clinical evidence on MIH etiology, diagnosis and treatment is presented. Given recent availability of sophisticated technologies there is an increasing number of treatment modalities now at the fingertips of all oral health clinicians alike, ranging from preventive measures, management of hypersensitivity to advanced restorative techniques. The tailored treatment plan should encompass a short and long-term approach requiring more frequent dental check-ups in order to achieve better outcomes and prognosis. Future translational clinical research to best practice that will enhance our understanding of the exact causes of MIH and allow development of standardized diagnostic criteria as well as optimal treatment strategies are warranted.

scholarly journals The Risk Related to the Influence of Sleep Deprivation on the Reliability of Human on the Example of Pilot

2021 ◽  
Vol 51 (3) ◽  
pp. 75-86
Author(s):  
Marcin Berlik ◽  
Tomasz Ewertowski
Keyword(s):  
Sleep Deprivation ◽  
Shift Work ◽  
Wide Spectrum ◽  
Holistic Approach ◽  
Fatigue Monitoring ◽  
Different Types ◽  
Short And Long Term ◽  
Sleep Deficiency ◽  
The Impact

Abstract The purpose of this publication is to discuss the issues related to the operator sleep deficiency, its effects and the resulting risk. The issue is discussed on the example of a pilot, as a position in which the probability of occurrence of the phenomenon is high, with consequences of its occurrence that can be very severe. Despite the fact, the authors try to present the issues in a universal way enabling reference to a wide spectrum of different types of operators. In the article, concepts such as risk and fatigue are characterized. Furthermore, short and long-term fatigue are discussed, as well as the impact of shift work on human health and reliability. The second part presents methods of fatigue monitoring useful in aviation. The summary emphasizes the need for a holistic approach to the issue of crew fatigue in the management and the need for actions before commencing with work.

Short- and Long-Term Results of Total vs Subtotal Thyroid- ectomies in the Surgical Treatment of Graves' Disease

Swiss Surgery ◽  
2001 ◽  
Vol 7 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Robert ◽  
Mariéthoz ◽  
Pache ◽  
Bertin ◽  
Caulfield ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Long Term Results ◽  
Graves Disease ◽  
Laryngeal Nerve Palsy ◽  
Short And Long Term

Objective: Approximately one out of five patients with Graves' disease (GD) undergoes a thyroidectomy after a mean period of 18 months of medical treatment. This retrospective and non-randomized study from a teaching hospital compares short- and long-term results of total (TT) and subtotal thyroidectomies (ST) for this disease. Methods: From 1987 to 1997, 94 patients were operated for GD. Thirty-three patients underwent a TT (mostly since 1993) and 61 a ST (keeping 4 to 8 grams of thyroid tissue - mean 6 g). All patients had received propylthiouracil and/or neo-mercazole and were in a euthyroid state at the time of surgery; they also took potassium iodide (lugol) for ten days before surgery. Results: There were no deaths. Transient hypocalcemia (< 3 months) occurred in 32 patients (15 TT and 17 ST) and persistent hypocalcemia in 8 having had TT. Two patients developed transient recurrent laryngeal nerve palsy after ST (< 3 months). After a median follow-up period of seven years (1-15) with five patients lost to follow-up, 41 patients having had a ST are in a hypothyroid state (73%), thirteen are euthyroid (23%), and two suffered recurrent hyperthyroidism, requiring completion of thyroidectomy. All 33 patients having had TT - with follow-ups averaging two years (0.5-8) - are receiving thyroxin substitution. Conclusions: There were no instances of persistent recurrent laryngeal nerve palsy in either group, but persistent hypoparathyroidism occurred more frequently after TT. Long after ST, hypothyroidism developed in nearly three of four cases, whereas euthyroidy was maintained in only one-fourth; recurrent hyperthyroidy was rare.

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