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1.
Quintessence Int ; 54(10): 868, 2023 11 28.
Artigo em Inglês | MEDLINE | ID: mdl-38015498

RESUMO

The following amendments are made to the published article: Quintessence Int 2022;53:690-696; First published 17 August 2022; doi: 10.3290/j.qi.b3095013.

2.
Clin Oral Investig ; 26(12): 7265-7275, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35987924

RESUMO

OBJECTIVES: The objective of this study is to minimize gingival display by surgical repositioning of the upper lip and to suggest this technique as an alternative treatment modality to orthognatic surgery for treatment of excessive gingival display. MATERIALS AND METHODS: Forty-eight patients were selected with gingival display of more than 2 mm during maximal smiling. All patients underwent surgical repositioning of the upper lip, aimed at limiting elevator muscle activity to treat excessive gum exposure. Patients were regathered in 1 week for the follow-up postoperative symptoms according to VAS scale to evaluate pain and swelling. Reference values were given to patients. RESULTS: The study has indicated good results and stability especially to patients with skeletal class I classification along with medium and thick biotype of attached gingiva without hypermobile upper lip. CONCLUSION: Surgical repositioning of the upper lip is an effective way to improve a patient's gingival smile caused by degree I and II VME in combination with HUL as an alternative treatment modality to orthognathic surgery. This method is less invasive and cost-effective, causes minimal postoperative complications, and provides faster recovery. CLINICAL RELEVANCE: Excessive gingival display (EGD) with various etiologies requires several proper treatment modalities. The proposed modified method of lip repositioning to reduce the degree of gingival display is less aggressive, reliable, and causes fewer postoperative complications compared to orthognathic surgery.


Assuntos
Gengivectomia , Lábio , Humanos , Estética Dentária , Gengiva/cirurgia , Gengivectomia/métodos , Lábio/cirurgia , Complicações Pós-Operatórias
3.
Quintessence Int ; 53(8): 690-696, 2022 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-35674172

RESUMO

OBJECTIVE: The aim of the study was to assess the long-term prognosis of short implants (5 to 6 mm) placed in the posterior region of the atrophic mandible. METHOD AND MATERIALS: The study included 81 patients with severe vertical atrophy of the bone in the posterior region. The patients had 248 short implants (5 to 6 mm) implants placed in the mandibular posterior region and 256 implants with length greater than 10 mm in the mandibular anterior region. Analysis of implant and prosthesis failures, cumulative survival rate, and marginal bone loss was determined at 1 year and 5 years of follow-up (58 ± 7 months). RESULTS: Mean marginal bone loss after 1 year of prosthetic loading was 0.74 mm for short implants and 0.72 mm for implants with length greater than 10 mm; after 5 years of prosthetic loading this was 1.27 mm for short implants and 1.31 mm for implants with length greater than 10 mm. Of 248 short implants (5 to 6 mm), six failed: four due to peri-implantitis and two due to lack of osseointegration (early rejection). Of 256 implants with length greater than 10 mm, five failed: three due to peri-implantitis and two due to lack of osseointegration (early rejection). On average, over the observation period (58 ± 7 months), the 5-year cumulative implant survival rate was 97.8% in short implants, and 98.1% in longer implants; the prosthesis cumulative survival rate was 98.2%. CONCLUSIONS: Based on the results, it was concluded that the prognosis of the use of short implants for prosthetics in the posterior resorbed mandible can be considered favorable and reasonable.


Assuntos
Aumento do Rebordo Alveolar , Implantes Dentários , Peri-Implantite , Aumento do Rebordo Alveolar/métodos , Atrofia/patologia , Implantação Dentária Endóssea/métodos , Planejamento de Prótese Dentária , Prótese Dentária Fixada por Implante , Falha de Restauração Dentária , Seguimentos , Humanos , Mandíbula/cirurgia , Taxa de Sobrevida
4.
Artigo em Inglês | MEDLINE | ID: mdl-36612862

RESUMO

Despite the large number of studies on the effect of braces on teeth, there is no information on the dynamics of the state of the ultrastructure of the hard tissues of teeth during orthodontic treatment. The purpose of this study is to examine the state of the hard tissues of the teeth and carry out preventive measures to reduce the risk of complications in the process of orthodontic treatment using a non-removable device. Methods: For the in vitro study, 68 teeth were randomly divided into group A-no prophylactic treatment, and group B-treated with the fluorine varnish Tiefenfluorid. After 35 days, all the teeth were prepared for microscopic examination. The clinical study included 59 patients aged 12-17 years with orthodontic brackets. The split-mouth technique was used. The areas around the bracket of one-half of the oral cavity were treated with Tiefenfluorid every 6 months during the entire treatment period. The teeth of the second half of the oral cavity served as the control group. The data were processed in the SPSS19 package. Results: In vitro and clinical study results showed a statistically significant difference between the prophylactic and control groups of teeth in favor of the prophylactic group, where the statistical significance was p ≤ 0.01.


Assuntos
Braquetes Ortodônticos , Desmineralização do Dente , Humanos , Esmalte Dentário , Fluoretos Tópicos/uso terapêutico , Aparelhos Ortodônticos Fixos/efeitos adversos , Braquetes Ortodônticos/efeitos adversos , Desmineralização do Dente/prevenção & controle
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