Reestablishment of occlusion with prosthesis and composite resin restorations.
(18/24)
Here, we present a case report on prosthetic reconstruction of posterior teeth and composite resin restoration of anterior teeth yielding considerable esthetic improvement, reestablishment of disocclusion guides and function. (+info)
Management of temporomandibular disorder associated with bruxism.
(19/24)
The prevalence of dentin hypersensitivity in general dental practices in the northwest United States.
(23/24)
BACKGROUND: The prevalence of dentin hypersensitivity is uncertain, yet appropriate diagnosis and treatment of dentin hypersensitivity require accurate knowledge regarding its prevalence. The authors conducted a study to estimate the prevalence of dentin hypersensitivity in general dental practices and to investigate associated risk factors. METHODS: The authors conducted a cross-sectional survey of 787 adult patients from 37 general dental practices within Northwest Practice-based Research Collaborative in Evidence-based DENTistry (PRECEDENT). Dentin hypersensitivity was diagnosed by means of participants' responses to a question regarding pain in their teeth and gingivae, and practitioner-investigators conducted a clinical examination to rule out alternative causes of pain. Participants recorded their pain level on a visual analog scale and the Seattle Scales in response to a one-second air blast. The authors used generalized estimating equation log-linear models to estimate the prevalence and the prevalence ratios. RESULTS: The prevalence of dentin hypersensitivity was 12.3 percent; patients with hypersensitivity had, on average, 3.5 hypersensitive teeth. The prevalence of dentin hypersensitivity was higher among 18- to 44-year olds than among participants 65 years or older; it also was higher in women than in men, in participants with gingival recession than in those without gingival recession and in participants who underwent at-home tooth whitening than in those who did not. Hypersensitivity was not associated with obvious occlusal trauma, noncarious cervical lesions or aggressive toothbrushing habits. CONCLUSIONS: One in eight participants from general practices had dentin hypersensitivity, which was a chronic condition causing intermittent, low-level pain. Patients with hypersensitivity were more likely to be younger, to be female and to have a high prevalence of gingival recession and at-home tooth whitening. PRACTICAL IMPLICATIONS: Given dentin hypersensitivity's prevalence, clinicians should diagnose it only after investigating all other possible sources of pain. (+info)
A survey of craniomandibular disorders in 500 19-year-olds.
(24/24)
This study examines the development of signs and symptoms of craniomandibular disorders (CMD), and some effects of orthodontic treatment from the age of 12-19 years of age. The data is drawn from a special sample of adolescents recruited at 11 years of age by random stratified sampling to contain a high prevalence of malocclusions of particular orthodontic interest. The sample does not reflect malocclusion in a normal population. The prevalence of frequent headache and TMJ disorders shows a major increase from 12 to 15 years of age. From 15 to 19 years of age, there is some increase in the prevalence of TMJ disorders in girls, but altogether the prevalence of signs and symptoms of CMD is much more stable. When the data from subjects who received orthodontic treatment were compared with data from subjects who had not received orthodontic treatment, only small differences were found. (+info)