Documente Academic
Documente Profesional
Documente Cultură
Preşedinte
Prof. Dr. Alexandru Petre
Vicepreşedinţi
Prof. Dr. Teodor Traistaru
Prof. Dr. Alexandru Bucur
Prof. Dr. Traian Augustin Mihai
Prof. Dr. Vasile Burlui
Secretari Congres
Prof. Dr. Horia Traian Dumitriu Dr. Alexandru Dumitru Brezoescu
Prof. Dr. Ion Pătraşcu Dr. Horia Georgescu
Comisia Ştiinţifică
Conf. Dr. Dana Cristina Bodnar
Şef lucr. Dr. Stana Păunică
Prof.Dr Rodica Luca
Conf. Dr. Anca Silvia Dumitriu
Comisia Tehnică
Mass-media
Şef lucr. Dr. Radu Anton Marinescu Şef lucr. Dr. Ştefan Milicescu
Dr. Ştefan Corneliu Toma Dr. Cristina Cătălina Coca
Comisia de Protocol
Secţiunea Poster
Asist. Dr. Silviu Florin Alecu Asist. Dr. Olivia Nicoleta Popoviciu
Dr. Ana Maria Răducu Şef lucr. Dr. Manuela Popescu
Departament Tineret
Departament Studenţi
3
Program
MIERCURI 06.10.2010
Sala Mare a Palatului
0900 – Deschiderea oficială a expoziţiei
Sala Coloanelor
4
Prof. Dr. Ion Pătraşcu, Asist. Dr. Roxana Cara Ilici, Asist. Dr.
Bogdan Iordache, Asist. Dr. Lucian Toma Ciocan
Prezidiu: Prof. Dr. Florian Popa
Prof. Dr. Alexandru Bucur
Acad. Prof. Dr. Constantin Popa
Secretar: Asist. Dr. Octavian Dincă
Salon Protocol
1200-1330 – Conferinţă de Presă
5
Program
6
JOI 07.10.2010
Sala Coloanelor
7
Program
Prezidiu: Prof. Dr. Augustin Mihai
Prof. Dr. Şerban Ţovaru
Dr. Alexandru Brezoescu
Secretar: Asist. Dr. Andrei Măcriş
Sala A
8
Sala B
9
Program
Conf. Dr. Mihai Burlibaşa, Conf. Dr. Dana Cristina Bodnar, Conf. Dr. Ileana
Ionescu, Asist. Univ. Dr. Gabriela Tănase, Sef Lucr. Dr. Ruxandra Sfeatcu, Prof.
Dr. Mariana Brânduşa Popa
11. Pagini din istoria dezvoltării odontoterapiei restauratoare a
Facultăţii de Medicină Dentară din Bucureşti
Conf. Dr. Dana Cristina Bodnar, Prof. Dr. Constantin Vârlan, Asist. Dr. Traian
Bodnar, Conf. Dr. Ligia Muntianu, Prep. Univ. Dr. Dana Catrinel Ispas, Prof. Dr.
Mariana Brânduşa Popa
12. Leonardo da Vinci şi stomatologia
Conf. Dr. Dana Cristina Bodnar, Conf. Dr. Mihai Burlibasa, Asist. Dr. Traian
Bodnar, Conf. Dr. Ileana Ionescu, Dr. Ion Alexandru Popovici, Dr. Kiro
Papakoca
VINERI 08.10.2010
Sala A
10
1030-1100 – Prezentare comercială – Libra-bank
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Program
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Sala B
Prezidiu: Conf. Dr. Cătălina Murariu Măgureanu
Conf. Dr. Anca Jivănescu
Asist. Dr. Marina Meleşcanu-Imre
Secretar: Asist. Dr. Tudor Spînu
13
Program
12. Argumente de ordin biologic pentru utilizarea materialelor
reziliente şi elastice în protezarea amovibilă
Dr. G. Costin, Dr. Cătălina Carmen Ciobanu, Dr. Gabriela Halitchi, Dr. A.T.
Cigu, Dr. Şt. Ioniţă
1400-1530 – Raport
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Asist. Dr. Marina Giurgiu, Şef lucr. Dr. Cinel Maliţa, Sef lucr. Dr. Stana Paunica,
Conf. Dr. Anca Silvia Dumitriu, Prof. Dr. Horia Traian Dumitriu
4. Analgezia prin electoacupunctură în chirurgia orală (prezentarea
unui caz clinic, polialergic căruia i s-a efectuat o extracţie dentară)
Şef lucr. Dr. Cinel Maliţa, Conf. Dr. Anca Silvia Dumitriu, Asist. Dr. Marina
Giurgiu
5. Migrările dentare patologice – o rezolvare estetică. Prezentare de
caz
Asist. Dr. Alexandru Georgescu, Asist. Dr. Marinela Bănică Ciocotişan
Salon protocol
1400-1600 – Workshop
Dr. Karl Hedwing
SÂMBĂTĂ 09.10.2010
Sala A
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Program
4. Erori frecvente în realizarea cavităţii de acces la molarii superiori
Şef lucr. Dr. Paula Perlea, Prep. Dr. Mădălina Maliţa, Stud. Ronen Boiangiu
5. Morfologia canalelor radiculare a molarilor 1 superiori la populaţia
României
Şef lucr. Dr. Paula Perlea, Prep. Dr. Mădălina Maliţa, Asist. Dr. Andreea
Ardelean
6. Previzibilitatea liniilor de fractură la nivelul dinţilor frontali -
studiu M.E.F
Şef lucr. Dr. Mihaela Chirilă
7. Aprecierea performanţelor clinice în instrumentarea canalelor
radiculare – studiu comparativ
Şef lucr. Dr. Mihaela Chirilă, Prep. Dr. Georgiana Moldoveanu, Şef lucr. Dr.
Nicoleta Măru
8. Importanţa utilizării iriganţilor în tratamentul modern endodontic
Asist. Univ. Dr. Andreea Ruja, Asist. Univ. Dr. Nicolae Balica, Prof. Univ. Dr.
Stan Cotulbea
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Rezumate
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Al XIV-lea Congres Naţional al UNAS
changes of hard dental tissues that take place due to aging (irrespective of the
malignant pathology involved), shall lead to altering some parameters (considered to
be certain and reliable) of enamel and dentin adhesion. Therefore, therapeutic approach
using adhesive materials and techniques should be adequately adapted.
The second topic is connected with radiotherapy used for treatment in
malignant OMF pathology. Irradiation produces alterations of tissues and organs in the
area, including hard dental structures. At present, there are numerous literature data
which draw attention on this specific topic. Thus, indications, reliability and longevity
of adhesive dental treatments should be reconsidered and reassessed.
Discussions and debates on this topic are really necessary, for the adequate
and proper use of adhesive materials and techniques in dental treatment for patients
with OMF neoplasm submitted to radiotherapy, as long as current use of adhesion in
common dental practice represents a certain way of increasing life quality for these
patients.
Keywords:adhesion, hard dental structures, elderly patients, OMF neoplasm,
radiotherapy, adhesive restorations, life quality
Oral bacteria adhere to mucosal epithelial cells, the enamel and dentine,
dental prostheses or form intergenetic coaggregates. Streptococcus salivarius and
Veillonella have their habitat in the crypts and taste buds on the back of the tongue and
the lactobacils are found predominantly in cavities and between the mucosal folds.
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Looking for some practical “pearls” about what works in adhesive and
esthetic dentistry?
This course will provide real-world, time proven information on a variety of
topics critical to consistent long-term success in conservative esthetic dentistry. The
course will begin with an evidence based overview of adhesive dentistry focusing on
what works and what doesn’t. Are self- etch adhesives still the answer? What is the
best way to eliminate sensitivity? How can flowables make dentistry easier?
The course will also explore such issues as: What about using new
chemotherapeutic agents for high risk patients? Abfractions? Conservative options for
the patient with missing anterior teeth? Fiber reinforced perio splints? This
presentation will provide practical solutions for addressing all these areas. I will
outline step-by-step procedures for achieving esthetic perio splints that will last, along
with innovative approaches for all porcelain bonded pontics.
Upon completion of this course, the participant will understand:
- How to select the correct dental adhesives
- The proper techniques for achieving dentin desensitization
- How to achieve successful pulp capping
- How to manage the introduction of chemotherapeutics with high risk
patients
- The advantages and drawbacks of using flowable composites
- How to make fiber reinforced perio splints esthetically pleasing
- How to diagnose and effectively treat abrfractions
Keywords:esthetic dentistry, adhesive dentistry
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Rezumate
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Calcium channel blocker are drugs used in treatment of high blood pressure,
its effects consists in systemic vasodilatation, coronary dilatation and lowering blood
pressure. One of these side effects is gingival overgrowth due to accumulations of
collagenous components within the gingival connective tissue.
Material, methods: there have described various types of calcium
antagonists, their effects on periodontium and also the mechanisms of gingival
overgrowth. We have chosen representative clinical cases of nifedipine and amlodipine
gingival overgrowth.
Results: The size of gingival hyperplasia depends on the type of calcium
channel blocker used, the daily dose administered, the period of administration and
individual reactivity who made complex periodontal treatment consisting in
debridement with scaling and rout planning, antibiotics and surgical treatment.
Conclusion: Healing of the gingival hyperplasia is done both through the
complex periodontal treatment, antimicrobials and surgery, and by working with the
cardiologist to modify antihypertensive medication.
Keywords:calcium channel blocker, antihypertensive medication, gingival
enlargement
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Objective. Our study has aimed to assess the clinical performance of root
canal instrumentation using three different techniques: step-back, manual and rotary
ProTaper. It was developed by a group of undergraduated dental students of the
Faculty of Dentistry.
Material and methods. They used 45 extracted single rooted teeth divided
in 3 groups: 15 for step-back technique, 15 for manual ProTaper and 15 for rotary
ProTaper . Root canal instrumentation was done according to the specific protocol for
each shaping technique. For rotary instruments we needed a X-Smart low torque
motor. After finishing mechanical treatment teeth were sectioned at 3 mm from the
apex with an engine used in dentistry. The resulted sections were analysed at
stereomicroscope and photographed.
Results. On the obtained sections we assessed the concordance between
root canals morphology and post shaping design and there were analyzed the reports
between the surfaces of shaped and non-shaped root canals. Distribution depending on
apical master file was: 20% F1, 20%F2, 60%F3 for rotary ProTaper technique,
6,66%F1, 13,33%F2, 80%F3 for manual ProTaper technique and 26,66% ISO 40, 20%
ISO 35, 20%ISO 20, 13,33%ISO 25, 6,66% ISO 50, 6,66% ISO 30, 6,66% ISO 45 for
step-back technique.
Conclusion. Our results highlight questionable performance for analysed
shaping techniques, especially for wide root canals of upper central incisors and upper
canines and for oval root canals.
Keywords:extracted teeth, ProTaper, sections, stereomicroscope, master file
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Dental anxiety is one of the main barriers to dental care, along with
socioeconomic factors and information sources used by the patient. The present study
assesses the link between the anxiety reported by 300 patients hospitalized in the Oro-
maxillo-facial Surgery Department of the ”Professor Dr. Dan Theodorescu Dentistry
Hospital” and three private offices in Bucharest and variables such as trait anxiety,
perceived pain and the moment the data were collected, before or after the therapeutic
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It is well known that the periodontal diseases have a microbial etiology due
to “periodontal pathogens”. No less important are the host reaction towards microbial
aggression and the medical condition of the patient. The interaction of three factors,
microbial, host reaction and the presence of systemic diseases, is considered very often
a basic, practical rule for the treatment of the periodontal diseases.
The objective of the present study is to establish a concise guide of the
principles, rules and judicious use of current best attitude towards clinical practices for
the treatment of periodontal patients with systemic diseases.
Keywords:periodontal diseases, general diseases
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Background. Bisphosphonates are the drugs who inhibit bone resorbtion and
has been approved for treatment of osteoporosis, metastatic bone disease and
hypercalcemia of malignancy. The diagnosis is made clinically in the presence of
exposed bone in the maxillofacial region for more than 8 weeks in the absence of
radiotherapy to the jaw.
In 2003 were first time reported cases of necrosis of the jaw (ONJ) in
patients receiving bisphosphonates.
Aim. Due to limited and misleading information regarding complications
use of bisphosphonates, many patients have discontinued treatment. It is necessary to
make the studies regarding diagnosis, prevention, and treatment of ONJ. The
pathogenesis leading to ONJ is not well understood and may also occur spontaneously
without exposure to bisphosphonates. The incidence of the condition also required
clarification.
Materials and methods. The systematic review included a search of the
medical literature for studies on bisphosphonates use and dental complications in
either the cancer or osteoporosis population.
Results. ONJ is a rare clinical entity that remains poorly understood. A
number of risk factors have been identified that appear to contribute to the
development of ONJ, and recently bisphosphonates have been implicated in the
development of this rare condition. ONJ has been temporally associated with high-
dose IV bisphosphonates in the oncology patient population. The background
incidence of ONJ in the general population is currently not known.
Conclusions. Identification of the individual at risk is recommended, with
implementation of appropriate measures enabling early identification and management
of the condition. In all patients receiving bisphosphonates therapy, physicians should
stress the importance of maintaining good oral hygiene. Lifestyle changes, such as
stopping smoking and limiting alcohol intake, should be encouraged in patients at high
risk for ONJ. All patients should be evaluated and managed by a team including the
dental specialist, the oral and maxillofacial surgeon, and the medical physician as well
as the oncologist or osteologist, as necessary.
Keywords:bisphosphonates, necrosis of the jaw
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Rezumate
à pas la façon de l’utiliser et de comprendre les avantages ainsi que les contraintes
imposées par cette technique.
The prothetician must not forget that his concept must meet several general
criteria, taken from early medieval medicine, primum non noccere, secundum vivere,
which we must add a guarantee of restoration of functional use to secure the payment
of the initial restoration act , to avoid incidents, unexpected appearances or therapeutic
failure, which may negatively feedback on prothetician himself.
A prosthetic restoration more or less complex depending on many factors
such as general: age (elderly patients have lost or soon or quickly lose some quality in
the field of neuro-motor biological, psychological aspects), neuro-psychological
condition of the patient (a patient with Parkinson's disease will have difficulty handling
a combined prosthesis complex with another psycho-somatic disorders will incorporate
very difficult times of restoration etc.), general immune compatibility (many patients
are allergic reactions to many materials used in restorative therapy), neuro-motor
skills, hypersensitivity mouth (not a few patients suffer from nausea to reach the
palatal mucosa) and nonprothetical local factors such as microstomia etc. Some
combination of these factors further complicates the conceptual act. Based on clinical
cases and experience of over forty years we'll provide tips for everyday activity.
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Rezumate
Current dental restoration work has been experiencing a pressing need for
active links between the dental biomaterials used and the biological structures of the
Stomatognathic System, through the stimulation of the adhesion phenomena.
Modern restorative therapy concepts have been urging researchers to create
materials with adhesive characteristics and to develop clinical-technical surface
conditioning methods, between which efficient physical and chemical adhesion forces
should act.
The experimental studies performed have lead to encouraging results, due to
the use of physical surface treatments.
Organ and bone marrow transplant become a common reality of our days
and represents, most of the time, the best therapeutic option for the patients with end-
stage diseases like liver, renal, cardiac and/or pulmonary failure or severe immune
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Rezumate
Dental Medicine was founded and developed in parallel with other medical
specialties from our country; a number of prominent physicians, in their studies,
elucidated some problems in dentistry. In this respect, it is an important place for
scientist Victor Babeş; his scientific and multilateral research approached the problems
and pathology of the oro-maxillo-facial region as: actinomycosis, the microbiology of
gingival-mucosal diseases and of the septic processes in this region, oro-maxillo-facial
malformations, tumor diseases, etc. In this paper we propose to bring back to memory
some of the valuable contributions of the great scientist Victor Babes in the
development of dentistry in our country.
Keywords:Victor Babeş, oro-maxilo-facial pathology
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Rezumate
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Rezumate
Cavitatea de acces reprezintă cea mai importantă etapă din punct de vedere
tehnic în cadrul tratamentului endodontic. Autorii identifică cele mai frecvente erori în
realizarea cavităţii de acces la molarii superiori, erori ce pot determina compromiterea
tratamentului endodontic ulterior. În lucrarea de faţă sunt abordate elementele care duc
la o incorectă accesare a camerei pulpare reliefând metodele de prevenire a eşecurilor
în efectuarea cavităţii de acces. Neglijarea aspectelor morfologice ale camerei pulpare,
plasarea inadecvată a deschiderii, distrugerea crestei transversale de smalţ, subminarea
crestei marginale de smalţ meziale, sacrificiul inutil de substanţă dură dentară,
perforaţia podelei camerei pulpare, insuficienta deschidere, neîndepărtarea în totalitate
a tavanului camerei pulpare, reprezintă cauzele dificultăţilor ce pot apărea în
identificarea orificiilor de intrare în canalele radiculare şi instrumentării lor în axul
lung.
Cuvinte cheie: cavitate de acces, molari superiori, erori
The acces cavity represents the most important technical phase in the
endodontic treatment. The authors identify the most frequent errors in preparing the
acces cavity at the upper molars, errors which can induce compromising of the
endodontic treatment. In this study the elements which determine an improper
preparing of the acces cavity are approached, revealing the preventing methods for
failure in outlining the acces cavity. The omission of the morphological aspects of the
pulpal chamber, the inadequate opening, the insufficient removal of the roof’s pulpal
chamber, all these represent causes of difficulties that can appear in identifying the
entrances in root canal and in axial, correct mechanical treatment.
Keywords:acces cavity, upper molars, errors
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Rezumate
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Rezumate
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Al XIV-lea Congres Naţional al UNAS
studii în literatură despre acest subiect, relaţia dintre apariţia hipertrofiei gingivale şi
acumularea de placă bacteriană fiind mai degrabă o evidenţă clinică. Însă observaţiile
noastre clinice au arătat că mărirea de volum gingival apare şi la pacienţi cu o bună
igienă dentară, fără semne clinice de inflamaţie gingivală.
Studiul nostru porneşte de la ipoteza că mărirea de volum gingival din
timpul tratamentului ortodontic fix apare la început fără semne inflamatorii, fiind o
urmare a stresului mecanic şi a remodelării parodontale din timpul deplasărilor dentare
ortodontice, MMP8 fiind un indicator al acestei situaţii. Inflamaţia este, în opinia
noastră, un proces supraadăugat din cauza acumulării de placă bacteriană la adăpostul
gingiei mărite de volum, expresia MMP9 în GCF şi în gingia hipertrofică fiind legată
de aceasta. Încercam astfel să arătăm că stresul mecanic este cel care duce la
acumularea MMP8 în lichidul din şanţul gingival şi în mucoasa gingivală mărită de
volum ca o expresie a remodelării colagenului.
Cuvinte cheie: metaloproteinaze, tratament ortodontic, remodelare
parodontală
Aknowlegements: funding for the research for this review are provided form
the research project ID 573/2008 of CNCSIS
MMP8 and MMP9 are part of the zinc-dependent endopeptidases with role
in the collagen cleavage being produced mainly by the polimorphonuclear leucocytes
and also by the epithelial and fibroblast cells.
The levels of MMP8 and MMP9 in gingival crevicular fluid were studied in
cases of treatments with fixed orthodontic devices, the authors finding a link between
its levels and stages of the treatment.
This interpretation is related to the involvement of the MMP8 in the
induction of periodontal ligament remodeling (PDL). Other authors sustain that matrix
metalloproteinase’s are involved in the regulation of bone remodeling. During this
process, the extracellular matrix components, also the collagen, are degraded and
removed and new components are synthesized and deposited.
Following experiments on rats regarding the production of MMP in the
periodontal ligament during orthodontic dental movement, it was observed that MMP8
are produced by the cells of the cemental surface and the alveolar bone osteocites but
not in the other PDL cells.
Volume increase during the orthodontic treatment was considered
traditionally as an inflammatory reaction consecutive to the bacterial plaque
accumulation because of the hygiene difficulties in those patients. There are a few
studies in the literature about this subject, the relationship between the gingival
hypertrophy and the accumulation of bacterial plaque being more of clinical evidence.
Our observations showed that the gingival increase in volume appears also in patients
with good dental hygiene, without any clinical signs of gingival inflammation.
Our study starts from the hypothesis that the gingival volume increase
during the fixed orthodontic treatment starts without inflammatory signs, being
initially a consequence of the mechanical stress and periodontal remodeling during the
orthodontic dental movements, MMP8 being and indicator of this situation. The
inflammation is, in our opinion, an added process, because of the accumulation of the
bacterial plaque covered by the hypertrophiated gingiva, the expression of MMP9 in
GCF and in the hypertrophiated gingiva being related to that.
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Rezumate
In this way, we try to show that the mechanical stress is the one leading to
the accumulation of the MMP8 in the gingival fluid and in the gingival
hypertrophiated gingiva as an expression of the collagen remodeling.
Keywords:matrix metalloproteinases, orthodontic treatment, periodontal
remodeling
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Al XIV-lea Congres Naţional al UNAS
Correct occlusion front reverse a higher total edentulous upper retro gnat is
mostly via mobile prostheses rated functional or aesthetic results questionable.
Inverse functional settlement that occlusions can be achieved by increasing
the front perimeter of the upper alveolar arch with dental implants inserted with their
axis inclined 150-200 to the plane of orbital frontal Simon.
This was achieved by insertion of eight implants, upper shaft prodentie
position inclined 150-200 towards the front orbital plane; the implant was cemented
total physiognomy ceramic bridge in three weeks after surgery.
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Rezumate
mandibular către posterior având drept consecinţă deplasarea masei musculare linguale
spre faringe.
Manifestările clinice complexe din timpul somnului cuprind încleştarea
maxilarelor, dischinezii mandibulare, lovirea repetată a arcadelor, bruxismul. Se
deschide astfel un nou domeniu de interes pentru medicina stomatologică chemată să
completeze echipa medicală, formată din pneumolog, neurolog, psihiatru, ORL-ist şi
nu în ultimul rând medical stomatolog.
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Rezumate
The oral and maxillofacial surgeons are frequently asked to manage patients
who are receiving oral anticoagulants. The goal of treatment is to minimize the risk of
hemorrhage while continuing to protect the patient against thromboembolism
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Rezumate
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The purpose of this study is to describe the clinical protocol for therapeutic
methods of restoration with composite materials of simple coronary lesions.
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Rezumate
Material and method. Different composite resins were used for restoration
of coronary destructions located in the front and rear segment of the dental arches.
In order to reduce polymerization shrinkage as well as for achieving
aesthetic restorations, therapeutic techniques were used such as: placement in
horizontal layers, factor C reduction (the relationship between areas which have
bonded and those which did not pinch), before surgery use of alginate impressions.
Results and discussions. Restoration with composite materials requires an
appropriate therapeutic protocol and the clear determination of the principles of
rehabilitation.
Composite resin contraction during the polymerization process occurs due
to the generation of pressure at the level of tooth composite interface. Tissue pressures
lead to the loss of adhesion and to the formation of Areas with marginal infiltrations
that may eventually result in secondary caries.
Conclusions. Proposed techniques improve the polymerization contraction
resulting in viable restoration but also the aesthetics by achieving the natural look.
Keywords:Composite Resin, C-factor, Polymerization Shrinkage
În categoria bolilor rare sunt incluse bolile care afectează mai puţin de 5
persoane din 10.000. Sunt înregistrate peste 7.000 de boli rare: 50 interesează câteva
mii de persoane, 500 câteva sute, restul afectând doar câteva zeci de persoane. 80% au
origine genetică. 75% pot fi prezente la naştere sau devin evidente înaintea vîrstei de 2
ani. De cele mai multe ori sunt afecţiuni grave, cronice şi evolutive, invalidante care au
efect negativ asupra calităţii vieţii. Sunt puţin cunoscute, interesând toate specialităţile
medicale şi nu au întotdeauna un tratament eficient. În Romania aproximativ 1,3
milioane de persoane prezintă boli rare. UE le consideră o problemă majoră şi o
prioritate în programele de sănătate şi de cercetare. În ţări precum Franţa, Suedia,
Danemarca există centre de referinţă în care se cercetează,se diagnostichează şi se
tratează multidisciplinar aceste boli. Displazia ectodermală (DE) şi osteogeneza
imperfectă (OI) sunt boli rare care se asociază cu anomalii dentare care necesită
tratament de specialitate ce trebuie instituit precoce. Lucrarea prezintă două cazuri de
DE şi 2 de OI asociată cu dentinogeneză imperfectă, tratate şi urmărite pe perioade
variabile de timp în Clinica de Pedodonţie a UMF „Carol Davila”, care subliniază
particularităţile tratamentului în perioada de creştere.
Cuvinte cheie: boli rare, displazia ectodermală, osteogeneza imperfectă
Rare diseases affect less than 5:10000 persons. 7000 rare diseases are
currently recorded. 50 of these affect a few thousands persons, 500 affect a few
hundreds while the rest only affect a few dozens. 80% are genetic. 75% are either
present at birth or become obvious before 2 years of age. They are commonly severe,
chronic, evolving and invalidating disorders that negatively affect quality of life. They
are little known, involving all medical specialties, and efficient treatment is not always
available. In Romania approximately 1.3 million people are affected by rare diseases.
EU regards rare diseases as a major public health issue and a priority in health and
research programs. Countries like France, Sweden and Denmark already have
reference centers for rare diseases, where research is done and diagnose and treatment
are provided. Ectodermal dysplasia (ED) and osteogenesis imperfecta (OI) are rare
diseases associated with dental anomalies requiring special care and early treatment.
The paper presents two cases of ED and two of OI associated with dentinogenesis
imperfecta, treated and followed for various periods of time in the Pedodontics
Department of Carol Davila University, pointing out the particularities of treatment for
growth period.
Keywords:rare diseases, ectodermal dysplasia, osteogenesis imperfecta
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At present, there are over 30 million persons infected with HIV in the entire
world. As of 1994, the Centers for the Control and Prevention of the disease revised
the classification of the system of HIV infection in children smaller than 13, in order to
include oral lesions as distinctive marks of the HIV infection. Oral lesions associated
with the HIV virus cause pain and discomfort, compromise functions, affect oral
hygiene and may negatively influence the patient’s general condition. Among the
potential causes of the lesions, one should mention Candida, herpes simplex,
Coxsackie virus, aphthoid ulcer and ARV drugs.
Keywords:AIDS, oral manifestations, HIV infection
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There are quite a large number of studies in the dental literature regarding
bite measurements with different facilities. The Department of dental materials from
the University „Charité” has tested the Fuji Prescale foil for bite measurements and
found reproducible results. The aim of our study was to calculate bite forces in patients
with fixed implant restorations and compare them with forces between natural teeth or
conventional crown or bridge restorations.
Material and method. We measured the bite forces in 20 patients with fixed
implant restorations and compared the data with values from occlusal contacts between
natural teeth or conventional fixed restorations in the contralateral hemiarch. We used
Fuji Prescale foils, a scanner and the program Winzahni, developed at the University
„Charité” in Berlin.
Results. Our results show comparable values of bite forces in patients with
fixed implant restorations compared with occlusal contacts between natural teeth or
conventional fixed restorations.
Conclusion. The reproductible results and a less complicated method can
determine practitioners to use it as a routine investigation before, in and after
restorative treatment.
Keywords:occlusal contacts, force, foil, implant
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Hypertension has been called the silent killer because the target organs,
including kidneys, heart, brain and eyes can be affected before the patient to perceive
any symptoms.
Untreated hypertension can reduce life expectancy by 10-20 years and
increases the risk of complications such as myocardial infarction and heart attacks.
Dentist has an important role in maintaining health and can detect high
blood pressure in the dental office. Periodic inspections by blood pressure
measurement by the dentist is important because many patients do not know their
status; While the general practitioner can diagnose and determine treatment of
hypertension, the dentist has a chance to detect increased blood pressure or symptoms
of hypertension.
Routine measurement of blood pressure or cardiovascular adverse effects
may reduce acute complications during dental treatment, especially when local or
general anesthesia is necessary. Dental treatment of patients with undiagnosed illnesses
place these patients at increased risk for difficult medical emergencies in the dental
office. Measuring blood pressure in clinical practice conditions trigger a blood
pressure increase in some patients. Such a reaction is usually known as white coat
syndrome. (White coat syndrome). New classification of hypertension should educate
health professionals and the public to recognize and identify indicators of hypertension
risk factors of its development. With this information, dentists can promote a healthy
lifestyle early in life to lower blood pressure and prevent hypertension (and consequent
morbidity and mortality) in the population.
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Odontology, the dental health education major branch was founded in 1948,
once the establishment of Faculty of Stomatology, in Plevnei Road No. 19, Bucharest.
Discipline known as Oro-dental therapy, then as Odontology and Periodontology,
today is divided into three distinct disciplines: Restoration Odontology, Endodontics
and Periodontics. These were developed under the direction and guidance of teachers
and scientific high-pitched, in love with their profession, with great pedagogical sense
that, by reputation and their work contributed to the prestige of the Romanian school
of dentistry. They were makers of material needed to carry out practical work, they
defined the fields of study for each subject and they have made theoretical and
scientific databases useful for training of many generations of students. Their work is a
didactic example for all teachers, for all those committed to this healthcare field,
considered a true art, for generations of students who complete training under their
direct guidance and must remain a benchmark of professionalism for the new
generations. This is the motivation of our paper, which we want to bring back these
issues as a sign of homage and gratitude for the moral and scientific profile of our
ancestors and for all they means for the past and also for the future of dentistry.
Keywords:odontology, dental faculty, A. Nass, M. Gafar, C. Andreescu
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The purpose of this study was to examine the clinical response and
evolution of the conservative endodontic treatment in chronic apical periodontitis.
Material and method: Ninety five teeth with necrotic pulps and symptomless
chronic apical periodontitis , verified radiographically, were treated, in pregnant
women.
Pregnancy is a special condition, and the aspects needed to be taken into
consideration are: minimize the incidence of inter-appointment flare-ups, the use of
endodontic products with long term effect and the role of the radiological evaluation.
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After the biomechanical preparation of the root canals, and 2,5% NaOCl
irrigation solution, a calcium hydroxide root canal paste was applied as dressing.
The clinical aspects were meticulously recorded on each visit, during the
whole treatment period. Data recorded at every visit were: symptoms, clinical signs,
the aspect of the temporary or final restoration and the radiographic information.
Treatment outcome was judge on the basis of clinical findings recorded at
the follow-up visits and comparison of the radiographs obtained at postobturation and
the follow-up visits.
Results: The selection of antimicrobial endodontic dressings is very
important because any flare-up requires a systemic antibiotic with possible side effects
on fetus. We recommend: Ledermix, Grinazole, Septodont. The results indicates that
calcium hydroxide is a good intracanal medication because of its bactericidal
properties and it also reduces the incidence of interappointment flare-ups. On long
term, calcium hydroxide is very useful as a temporary dressing to treat a variety of
endodontic problems related to teeth with non-vital pulps, especially in cases where
the induction of calcification response is necessary.
Conclusions: The conservative endodontic treatment in chronic apical
periodontitis during pregnancy is always special, with great care in avoiding inter-
appointment flare-ups by using gentle endodontic products in association with calcium
hydroxide. The radiological evaluation should be taken with caution.
Keywords:chronic apical periodontitis, pregnancy, endodontic medication
treatment, antiseptics, clinical response, flare up, risk factors, mutagenic effects
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Metoda : Întocmirea unei fişe tip de cercetare care a cuprins datele necesare
prelucrării statistice: datele de identificare, diagnosticul atât al afecţiunilor asociate, cât
şi al afecţiunilor stomatologice existente, necesarul şi posibilităţile de tratament
stomatologic. Prelucrarea datelor s-a făcut cu ajutorul programului Excel 2007.
Rezultate: Din cei 1198 pacienţi consultaţi (603 de sex masculin) 131 (11%)
au prezentat una sau mai multe afecţiuni generale cunoscute şi declarate. Frecvenţa cea
mai mare s-a întâlnit la grupa de vârstă 2-6 ani (30%), urmată de grupele de vârstă 6-9
ani (24%), 9-12 ani (17,5%), 15-18 ani (11,5%), 12-15 ani (10%). La grupa de vârstă
2-6 ani frecvenţa a fost mai mare la băieţi (64%). Distribuţia frecvenţei pe tipuri de
boli: boli neuropsihice (35,9%), alergii (16, 8%), boli infecţioase (10,68%) şi altele
(aproximativ 36%). 13,7% dintre pacienţii cu afecţiuni generale au necesitat tratament
stomatologic sub anestezie generală. Dintre aceştia 44% aveau vârsta sub 6 ani şi 22%
vârste cuprinse între 6-9 ani. Majoritatea pacienţilor care nu au acceptat tratamentul
stomatologic în cabinet au prezentat afecţiuni neuropsihice (autism, ADHD, retard ,
oligofrenie).
Concluzii: 1/10 dintre pacienţi au prezentat afecţiuni generale variate,
predominant neuropsihice, care au necesitat de cele mai multe ori tratament sub
anestezie generală.
Cuvinte cheie: prevalenţă, afecţiuni generale, copil şi adolescent
Children, adolescents and young adults with general diseases usually shows
the same dental disease as the patients without general disease, but require an
individualized approach dictated especially by the general features.
The aim of the study: to determine the prevalence of patients with general
diseases that have requested and required dental treatment in the Clinic of Pedodontics
Faculty of Dentistry, UMF “CAROL DAVILA”, Bucharest.
Material: Observation sheets of dental patients aged 2-29 years consulted
and treated by one dentist (TM) during 2007 to 2010 along with other medical records
which confirmed the general condition.
Method: Creating a file type of research that included statistical data
necessary for processing: identification, diagnosis of diseases (both dental and
general), dental treatment needs and possibilities. Data were analyzed using Excel
2007.
Results: Of the 1198 patients consult (603 males) 131 (11%) had one or
more general diseases known and declared. Highest frequency was seen in 2-6 years
age group(30%) followed by age groups 6-9 years (24%) 9-12 years (17.5%), 15-18
(11.5%), 12 to 15 years (10%). In 2-6 years age group was higher frequency in boys
(64%). Frequency distribution by type of disease: neuropsychiatric diseases (35.9%),
allergies (16, 8%), infectious diseases (10.68%) and others (36%). 13.7% of patients
with general diseases required dental treatment under general anesthesia. Of these 44%
were aged less than 6 years and 22% were between 6-9 years olds. Most patients who
did not accept dental treatment in the office had neurological disorders (autism,
ADHD, mental retardation, oligophrenic).
Conclusions: 1/10 of the patients had various general diseases,
predominantly neuropsychiatric requiring treatment mostly under general anesthesia.
Keywords:prevalence, general diseases, child and adolescent
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Objective: This paper aims to establish criteria for choosing the method of
local anesthesia which may be administered in the adhesive restorative treatment of
tooth decay and the implications of local anesthesia on the patient's general condition
and also on the health of dental pulp, for a medium and long period of time.
Material and method: In order to get a scientific literature review, it was
realised a selection of articles on the subject of study, published in English, in Pubmed
(Medline).
Results: Published data show that the implications of using local anesthesia
in the adhesive restoration treatment of tooth decay are related to side effects of
anesthetic, on one hand, and to vasoconstrictors, on the other hand, side effects on the
dental pulp and the general health condition of the patient.
Conclusions: Nowadays, the practice of dentistry is using more frequently
local anesthesia in the adhesive restorative treatment of tooth decay. Reasons for
increased frequency are related to the patient, who wishes to avoid any pain and to the
dental practitioner, who seeks treatment without pain and operative efficiency. It
recommends applying a questionnaire on attitudes and knowledge related to the quality
of restoration treatment in these conditions, among a pilot group of dentists in our
country.
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fixed or removable, is able to restore the continuity of the injured arch and to prevent
partial edentulousness complications.
If this moment is missed and the boundary molar syndrome has already
settled in, the treatment includes the recovery of the morpho-functional integrity of the
stomatognathic system through the tackling of the whole muscular-articular complex,
the mandibular-cranial repositioning, with or without the straightening of the boundary
molar through orthodontic means, in young patients, follows by long-term gnatho-
prosthetic therapy.
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balance that affect posture, the cranio-mandibular dynamics and the dynamics of the
hyoid muscle.
The hyoid muscle class involved in pronunciation and deglutition is at the
center of this correlation between the muscle balance of the cephalic extremity and the
muscles of the neck, scapular belt, limbs, etc.
By investigating, via sonography, the suprahyoid muscle group, the authors
have obtained relevant images concerning the physiology of deglutition and have
managed to identify characteristic deviations of abnormal deglutition.
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Purpose. The purpose of this study was to compare diabetic and nondiabetic
subjects wearing complete dentures with regard to salivary flow, oral mucosal lesions
and satisfaction with the complete denture.
Material and method. 24 edentulous patients, 12 with and 12 without a
diagnosis of diabetes were included in our study. After completing the treatment with
complete denture, salivary flow, glycemia, blood pressure, use of medications,
presence of mucosal lesions were evaluated. Each subject was asked for a self –report
of the satisfaction of the complete denture (good, acceptable, fair).
Group differences were statistically analyzed using the chi-quare test for
qualitative variables.
Results. Mean salivary flow was 1,3ml/min in the nondiabetic subjects and
0.9 ml/min in the diabetic subjects. The prevalence of mucosal lesions was 80% in the
control group and 92% in the diabetic group. Evaluation of self reported denture
satisfaction revealed small differences between the two groups.
Conclusions. Within the limitation of this study small differences were
observed in salivary flow, oral mucosal lesions and self-reported satisfaction when
comparing diabetic and nondiabetic subjects.
Keywords:diabetic patient, complete denture , salivary flow, patients’
satisfaction
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The purpose of this article is to present the therapeutic methods and the
treatment techniques used within this process, on carious lesions located on the
occlusal and proximal dental surfaces.
Material and method. The article presents three cases of incipient carious
lesions located on the occlusal and proximal surfaces of molars treated through
minimally invasive interventions such as preventive restoration (PRR), Restorative
Treatment ART; tunnel preparation. On each case, hygiene process was improved
(bacterial plaque index was determined with the help of revealing pills - Dentotal
protect) and all cavity lesions ware restored with glass ionomer cements. The pH is
measured with the help of colored straps. No patient presented alterations of saliva
indexes.
Results. Minimum invasive restoration implies removing cavity lesions
identified as being translucidities in the interior half of the enamel, at the level of
enamel-dentine junction and in the dentine, without cavity or with a superficial cavity.
Delaying the surgical treatment for these lesions is justified by the slow advancing
carious process within the enamel even in the case of active cavities. The minimum
invasive techniques used reduced the loss of rough dental substance.
Conclusions. Following the minimum invasive restoration, maximum
aesthetic results were obtained with a minimum loss of rough dental substance. By
monitoring the patients, carious advance is controlled so that the risk of complications
is significantly reduced.
Keywords:preventive resin restorations, Atraumatic Restorative Treatment,
tunnel preparation, glass-ionomer
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