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Background: Early Childhood Caries (ECC) is a severe form of decay that affects primary dentition in children. It has significant impact on children's well-being. Aim: The aim of this study was to assess the prevalence of ECC and its associated risk factors among preschool children in the region of Monastir, Tunisia. Material and Methods: It was a descriptive cross-sectional study involving children in preschool establishments in Monastir, Tunisia. An oral examination of 393 children was conducted and data collection through a questionnaire was completed by parents. ANOVA test and Pearson chi-square test were used to determine the prevalence of ECC and its associated risk factors. Results: The prevalence of ECC was 49.9% and the mean dmft index was 1.42+- 0.1. A statistically significant relationship was found between the prevalence of ECC, the frequency of sweat consumption (p≤0.05), the frequency of tooth brushing (p≤0.05),the mother’s level of education (p≤0.05) and black s
VisiterAbstract Management of compensated abrasion by increasing the vertical dimension of occlusion: a case report Many cases of generalized dental abrasion are accompanied by compensatory phenomena that take hold in a silent way. Indeed, the movement of continuous passive alveolar-dental egression leads to a conservation of the Vertical Dimension of Occlusion (VDO) but a reduced available prosthetic space. These cases are difficult to treat because of the lack of systematic space to accommodate the restorative material and the removable prosthesis in case of associated edentulism. In this work, we will detail the diagnostic approach of compensated generalized dental abrasion as well as a method of management by increasing the VDO based on a clinical case treated in the department of removable partial dentures of Monastir.
VisiterA Temporomandibular joint (TMJ) effusion is an accumulation of fluid components in the articular space. It represents an inflammatory process which can be associated with trauma, arthritis or internal derangement of TMJ such as disc displacement. In this study, we present the case of a 48-year-old patient presented with TMJ effusion, diagnosed as resulting from disc displacement without reduction and osteoarthrosis. The case report details the diag- nostic and therapeutic strategies employed. © 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington. This is an open access article under the CC BY-NC-ND license
VisiterProsthetic rehabilitation of distal extension edentulism using removable partial denture (RPD) is a source of therapeutic difficulties due to its particular topography that generates problems with regard to prosthetic balance. In case implant-supported fixed prosthesis is not possible, implant-supported RPD can be an alternative. The latter is an advantageous and cost-effective treatment option that improves partially edentulous patients' quality of life and meet their expectations. The aim of this case report was to discuss the benefits of using implants in strategic positions for the prosthetic management of distal extension edentulism and to present, according to a didactic approach, the different treatment sequences that must be respected in order to guarantee the integration of implant-supported RPD. KEYWORDS dental implant, distal extension removable partial denture, implant-supported removable partial denture—locator attachments, prosthetic balance
VisiterSoft and hard tissue defects resulting from resective surgeries for carcinomas located in the maxillary arches can cause functional, esthetic, and psychological damage. A removable obturator prosthesis offers several advantages, restoring oral functions and improving patients’ quality of life. Technological advancements, such as the use of intraoral scanning and computer-aided design (CAD) and manufacturing, reduce laboratory working time, eliminate the risk of impression material aspiration, and address challenges related to whole tissue undercut impression. Here, we report the case of a partially edentulous female patient with a velo-palatal defect for whom a rigid maxillary obturator prosthesis was fabricated. Digital impressions were taken and the standard tessellation language files of the scans were sent to the laboratory. Using dental CAD software, the maxillary metallic framework was designed and manufactured using selective laser melting technology. The obturators and
VisiterComplex crown-root fractures are characterized by the involvement of both crown and root with pulp exposure. They pose aesthetic, functional, and psychological problems for the patient. Furthermore, they can pose technical difficulties for the practitioner. The purpose of this case report is to describe the management of a complex crown-root fracture of the right upper central incisor with subgingival limit by reattaching the tooth fragment with fiber-reinforced post. We considered a coronal elongation (gingivectomy and osteoplasty) to recreate the biological space and to expose the limit of the fracture line to guarantee the quality of the bond.
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