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interdisciplinary dentofacial therapy

George A Mandelaris, Bradley S DeGroot, Robert Relle, Brian Shah, Iwei Huang, Brian S Vence
Comorbidities that negatively impact orthodontic (malocclusion), periodontal (periodontitis, deficient dentoalveolar bone volume, mucogingival), and prosthetic (structural integrity compromise from caries, attrition, and erosion) conditions can affect the general health of the patient. In addition, emerging data highlights the importance of undiagnosed airway volume deficiencies and sleep-disordered breathing conditions in the adult and pediatric population. Deficiencies in dentoalveolar bone and discrepancies in skeletal relationships can impact the volume of hard- and soft-tissue structures of the periodontium and decrease oral cavity volume...
March 2018: Compendium of Continuing Education in Dentistry
George A Mandelaris, E Todd Scheyer, Marianna Evans, David Kim, Bradley McAllister, Marc L Nevins, Hector F Rios, David Sarment
BACKGROUND: The American Academy of Periodontology (AAP) recently embarked on a Best Evidence Consensus (BEC) model of scientific inquiry to address questions of clinical importance in periodontology for which there is insufficient evidence to arrive at a definitive conclusion. This review addresses oral indications for use of cone-beam computed tomography (CBCT). METHODS: To develop the BEC, the AAP convened a panel of experts with knowledge of CBCT and substantial experience in applying CBCT to a broad range of clinical scenarios that involve critical structures in the oral cavity...
October 2017: Journal of Periodontology
George A Mandelaris, Rodrigo Neiva, Leandro Chambrone
BACKGROUND: The aim of this systematic review is to evaluate whether cone-beam computed tomography (CBCT) imaging can be used to assess dentoalveolar anatomy critical to the periodontist when determining risk assessment for patients undergoing orthodontic therapy using fixed or removable appliances. METHODS: Both observational and interventional trials reporting on the use of CBCT imaging assessing the impact of orthodontic/dentofacial orthopedic treatment on periodontal tissues (i...
October 2017: Journal of Periodontology
George A Mandelaris, Brian S Vence, Alan L Rosenfeld, David P Forbes
Pretreatment knowledge of crestal and radicular dentoalveolar zones and their associated thicknesses can improve risk assessment to meet esthetic and functional goals, particularly when discrepancies in anterior maxillary and mandibular arches exist and when an anterior protected articulation is to be achieved. This paper discusses a new classification of dentoalveolar bone phenotypes that differentiates the alveolar crestal zone from that of the radicular zone and classifies the thickness of facial bone at each compartment to aid in interdisciplinary dentofacial therapy risk assessment...
May 2013: International Journal of Periodontics & Restorative Dentistry
H Wehrbein, S Wriedt, B A Jung
Long-term prophylaxis achievements, demographic changes, scientific progress, patient requirements, and political regulations through social legislation will fundamentally change the future of orthodontics, i.e., a reduction in children and adolescent therapy as well as an increase in interdisciplinary complex treatments for adult patients mostly outside the social security system. Health care research at a high evidence level needs to be intensified due to social-political reasons. In addition to well-proven appliances, modern sometimes even invisible appliances (CAD-CAM) will be used in future orthodontic therapy...
September 2011: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Rolf S Tindlund, Anders Holmefjord, Jens-Christian Haug Eriksson, Gunnar E Johnson, Hallvard Vindenes
PURPOSE: To evaluate surgical results, speech, hearing, and craniofacial morphology after primary cleft repair performed from 1973 to 1979. METHODS: During the years 1972 to 1985, all primary cleft surgeries were performed by 1 plastic surgeon, using Tennison lip closure combined with a periosteoplasty on the clefted alveolus at age 3 months. By mobilizing mucoperiosteal flaps, bony bridges were induced in the alveolar process in approximately 60% of the cases. All patients had the soft palate closed at age 24 months by a pushback technique...
September 2009: Journal of Craniofacial Surgery
Richard D Roblee, Scotty L Bolding, Jason M Landers
Restorative-driven interdisciplinary therapy frequently requires orthodontic therapy to optimally address the underlying dentofacial problems. Limitations in traditional orthodontic techniques and the length of requisite treatment times often create barriers to providers and patients' willingness to accept orthodontics as part of the overall treatment plan. Two main types of surgically facilitated orthodontic therapy (SFOT), each with its own indications and protocols, are becoming popular. They can expand significantly the limitations of orthodontics and greatly shorten treatment times...
June 2009: Compendium of Continuing Education in Dentistry
L V V Trawitzki, R O Dantas, F V Mello-Filho, W Marques
Individuals with dentofacial deformities have masticatory muscle changes. The objective of the present study was to determine the effect of interdisciplinary treatment in patients with dentofacial deformities regarding electromyographic activity (EMG) of masticatory muscles three years after surgical correction. Thirteen patients with class III dentofacial deformities were studied, considered as group P1 (before surgery) and group P3 (3 years to 3 years and 8 months after surgery). Fifteen individuals with no changes in facial morphology or dental occlusion were studied as controls...
September 2010: International Journal of Oral and Maxillofacial Surgery
Neslihan Arhun, Ayca Arman
There is an increasing demand to improve dentofacial esthetics in the adult population. This demand usually requires a close collaboration within the various disciplines of dentistry and the patient at every stage of the therapy. The materials and techniques used by these interdisciplinary clinicians must be conservative and minimally invasive. Fiber-reinforced composite technology offers such solutions for chairside applications. This case report presents two cases where fiber-reinforced ribbon and composite complex was used in a multidisciplinary approach to improve esthetics...
July 2008: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
Claudia Dellavia, Chiarella Sforza, Fabiana Orlando, Paolo Ottolina, Fabrizio Pregliasco, Virgilio F Ferrario
The aim of the present study was to evaluate palatal morphology in Down syndrome (Ds) subjects, focusing on the effect of dental formula on the hard palate to assist clinicians when planning dental rehabilitation. Palatal landmarks were digitized with a three-dimensional (3D) computerized digitizer on the dental casts of 47 Ds subjects (23 dentate males, 9 edentulous males, and 15 dentate females) aged 20-45 years, 37 dentate reference individuals (20 males and 17 females) aged 30-39 years, and 14 edentulous reference males aged 55-72 years...
August 2007: European Journal of Orthodontics
Géza Vitályos, Judit Török, Csaba Hegedus
The early loss of permanent teeth following trauma or congenital aplasia and agenesia need to be corrected by orthodontic or prosthetic means, sometimes combined with implant therapy. Preprosthetic orthodontic measures are often an integral part of comprehensive oral rehabilitation. The individual aspects of treatment are aimed at optimizing dentofacial esthetics and at improving masticatory function and hygiene potential of prosthetic restorations. The orthodontic solution results usually in different anatomic, functional, and esthetic problems...
December 2005: Fogorvosi Szemle
R D Roblee
Modern dentistry, with its various disciplines, has an exciting and unmatched potential to enhance the overall quality of life for our patients. In this environment one of the greatest challenges for clinicians is to properly utilize this vast potential. It can be very difficult to consistently establish health and physiological occlusal relationships in patients with significant dental, periodontal, dentoalveolar, temporomandibular, and/or skeletal problems. This task is further complicated by ever-increasing patient and provider demands for results with optimal dentofacial aesthetics and long-term stability...
October 1998: Annals of the Royal Australasian College of Dental Surgeons
D B Farber, W R Dzyak, M Guerra, N Staffolani
The rationale for orthodontic/surgical management of dentofacial deformities was reviewed for single and double jaw problems. Coordinated interdisciplinary work-ups and treatment modalities can produce predictable results. In well-selected cases, esthetics and functional stability are greatly enhanced by the combined technique.
October 1990: Minerva Stomatologica
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