scholarly journals Interdisciplinary management of an adult patient with significant restorative treatment needs and a complex malocclusion

2017 ◽  
Vol 62 (2) ◽  
pp. 233-240
Author(s):  
N Shah ◽  
DC-V Ong ◽  
E Freer
2021 ◽  
Vol 9 (8) ◽  
Author(s):  
Chui Yi Sarah Low ◽  
Desmond Cheer‐Vern Ong ◽  
Elissa Freer

2019 ◽  
Author(s):  
Fernanda Crestina Leitenski Delela ◽  
Aline Blaya Martins ◽  
Helenita Correa Ely ◽  
Claides Abegg

Abstract Purpose: To assess the level of agreement and association between clinical and self-perceived need for dental treatment in adolescents. Methods: A cross-sectional study was conducted with 1470 adolescents aged 15-19 years in 36 cities in southern Brazil. The data were collected in 2011 from a questionnaire and clinical oral examination. The clinical criteria used to determine the need for dental treatment were the positive result of clinical examination for one or more variables of presence of caries, gingival bleeding, trauma, need for restorative treatment and need for aesthetic treatment. The question: "Do you think you currently need dental treatment?" was used to assess the self-perceived need for treatment. Results: Of the adolescents, 55.9% were female and 47.1% had an average family income of 1-3 minimum wages. The majority (87.40%) presented normative needs. Regarding self-perception, 74.60% reported a need for dental treatment. There was significant positive agreement between positive self-perceived assessment of dental treatment needs and normative assessment. The sensitivity value was 76.90%, and specificity was 40.90%. The positive predictive value was 90%, whereas the negative predictive value was 20.30%. Adolescents presenting dental caries had a 24% higher prevalence of self-perceived need for dental treatment. The results of this study showed strong agreement between the need for self-perceived treatment and the need for clinical treatment. Conclusions: The positive self-perception of the need for dental treatment in young people can be used as an instrument to evaluate oral health conditions, since it can be used to meet their normative needs.


2019 ◽  
Vol 53 (6) ◽  
pp. 609-616 ◽  
Author(s):  
Christian H. Splieth ◽  
Ruth M. Santamaria ◽  
Roger Basner ◽  
Elisabeth Schüler ◽  
Julian Schmoeckel

This study assessed the 40-year longitudinal caries development in German adolescents in the light of the sixth National Oral Health Survey in Children (NOHSC, 2016) employing initial DMFT (IDMFT), Significant Caries Index (SiC) and Specific Affected Caries Index (SaC). On the basis of the current NOHSC (randomized cluster selection using school list or regional community school surveys, 55,956 12-year-old sixth-graders examined by 482 calibrated community/study dentists) DMFT, SiC, a novel IDMFT including initial lesions (IT) and the recently introduced SaC were calculated and also recalculated for national and international surveys from the last 4 decades. In 2016, 78.8% of children were caries-free (DMFT = 0), 65.5% including IT lesions. The mean DMFT was 0.44 (single components: DT = 0.14, MT = 0.02, FT = 0.29, IT = 0.52) showing a clear association with the school type as marker for the socio-economic status. The mean number of affected teeth in children with DMFT >0 was 2.07 (SaC) in comparison to almost 9 teeth in the 1970s. The current care index on the tooth level was 66.3%, leaving only 7.7% of children with restorative treatment needs. Longitudinally, a continuous caries decline of more than 80%, including the risk groups (SiC/SaC), to an internationally extremely low level was observed. In conclusion, the National Oral Health Surveys reveal a continuous caries decline to a very low caries level in 12-year-old 6th-graders in Germany even if IT lesions are included (IDMFT). In spite of proportional reductions in the risk groups (SiC/SaC), the polarized caries distribution according to socio-economic parameters reveals the need for targeted preventive programmes.


1989 ◽  
Vol 75 (2) ◽  
pp. 85-91
Author(s):  
D. C. C. Alexander ◽  
R. J. Pethybridge

AbstractThe restorative treatment needs of 9960 young men and women who entered the Naval Service at HMS Raleigh between January 1987 and April 1989 are summarised. A marked increase in the numbers of fillings required and a decrease in the proportion considered to be dentally fit occurred in May 1988 and has continued as a trend thereafter. Weighted non-orthogonal analysis of variances have been conducted to assess the significance of clinical and period variables upon the changes.


2016 ◽  
Vol 3 (1) ◽  
pp. 41-42
Author(s):  
M Vijaya Raju ◽  
Vinay Darshan ◽  
A. P. Nirmal Raj ◽  
Sanajay Kumar ◽  
S. Revathi

In certain patients for whom there is increased demand for the treatment needs such as rural areas, an attempt has been made to improve the status of the oral health by use of the procedures which arrest the destructive dental caries process and alter microorganisms to favorable condition. This is called as atraumatic restorative treatment. It consists of low-cost and simplified technique using only hand instruments for the removal of the carious lesion and to arrest the progression of the caries. Since its discovery it has becoming an important treatment modality for the oral health care workers in managing dental caries. The present article reviews the importance of the atraumatic restorative treatment.  


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