Oral Rehabilitation as Part of a Multidisciplinary Treatment in a Case Study of Pigmentary Incontinence.

We present the clinical course of a 9-year-old female patient with Bloch-Sulzberger syndrome and severe neurological deficit that met the major (classic cutaneous signs) and minor (dental anomalies and retinal pathology) diagnostic criteria of Landy and Donnai. Longitudinal multidisciplinary follow-up was carried out from birth to adulthood. Neurological involvement was assessed with electroencephalographic (EEG) and neuroimaging tests at different times during the patient's life. Cranio-maxillofacial involvement was evaluated using lateral skeletal facial and cephalometric analyses. The right and left facial widths were measured through frontal face analysis and using the vertical zygomatic-midline distance. Oral rehabilitation was performed through orthodontic treatment and major dental reconstruction using composite resins. This treatment aimed to improve the occlusion and masticatory function, relieve the transversal compression of the maxilla, and reconstruct the fractured teeth. We believe that, due to significant neurological and cognitive impairment, orthognathic surgery was not the best option for restoring function and improving oral health-related quality of life.

Evaluación clínica de la adhesión de brackets metálicos comparando un cemento de vidrio ionómero modificado con resina con una resina acrílica / No disponible

La mayoría de los ortodoncistas utilizan para cementarbrackets una técnica convencional de grabado ácido sobre el esmalte con ácido ortofosfórico, sistemas autograbadores, etc. Sin embargo, los cementos de vidrio ionómero son una buena opción gracias a las ventajas que ofrecen, como la ausencia de descalcificaciones alrededor del bracket, el cementado es más rápido y fácil, no es necesario controlar estrictamente la humedad, no es necesario acondicionar previamente el sustrato y es más fácil remover los restos dejados tras el despegado del bracket. Sin embargo, las fuerzas de adhesión obtenidas son más bajas que aquellas obtenidas con resinas de composite (AU)

Most of orthodontists use the ordinary technique of etching the enamel with orthophosforic acid, autoetching systems etc. However, glass ionomer cements are a good option regarding the advantages they offer, like the absence of decalcification around brackets, easy and quick cementation, it’s not necessary to estrictly control humidity, it’s not necessary to prepare the substrate and it’s easier to remove the rest of cement once you retire brackets. However, adhesive forces are lower than with acrilic resins (AU)