Se entiende por enfermedad periodontal como una patología infecciosa que afecta principalmente las encías, y esta suele ser muy dolorosa e irritante. existen dos tipos y varias etapas de esta enfermedad, las cuales todas comienzan con una infección de la encía que puede moverse a los huesos y ligamentos que soportan el diente.
Estas dos etapas son: la gingivitis, y la periodontitis. La primera es un proceso inflamatorio de las encías y estas suele ser a menudo detectada por un dentista durante un examen regular y la segunda es un agravamiento de este proceso que puede dañar los tejidos blandos y los huesos que sostienen los dientes, hasta el punto de provocar su caída, ya que, durante esta etapa la placa llena de bacterias se esparce en los bolsillos, haciendo más difícil mantener limpias las superficies de los dientes y controlar el proceso de la enfermedad, por lo que sucesivamente en las etapas avanzadas de esta enfermedad, los bolsillos continúan haciéndose más profundos y hay más destrucción del hueso subyacente. Además, las bacterias que vive en esos bolsillos profundos son más virulentas y contribuyen aún más al avance de la enfermedad. Si no se trata, los dientes eventualmente se aflojarán y se caerán.
Quito – Ecuador
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PEDIATRIC CLEFT LIP AND PALATE 👶🏻
A cleft is a gap or split in the upper lip and/or roof of the mouth (palate). It is present . birth.
The gap is there because parts of the .'s face didn't join together properly during development in the womb.
A cleft lip may require one or two surgeries depending on the extent of the repair needed. The initial surgery is usually performed . the time a . is 3 months old.
Repair of a cleft palate often requires multiple surgeries over the course of 18 years. The first surgery to repair the palate usually occurs when the . is between 6 and 12 months old. The initial surgery creates a functional palate, reduces the chances that fluid will develop in the middle ears, and aids in the proper development of the teeth and facial bones.
Children with a cleft palate may also need a bone graft when they are about 8 years old to fill in the upper gum line so that it can support permanent teeth and stabilize the upper jaw. About 20% of children with a cleft palate require further surgeries to help improve their speech.
Once the permanent teeth grow in, braces are often needed to straighten the teeth.
Additional surgeries may be performed to improve the appearance of the lip and nose, close openings between the mouth and nose, help breathing, and stabilize and realign the jaw. Final repairs of the scars left . the initial surgery will probably not be performed until adolescence, when the facial structure is more fully developed.
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Obrigado a todos que estiveram presente aqui na clínica, compartilhando muito além que um conhecimento teórico e prático, meus maiores ídolos são feitos por histórias de superação. Espero que a experiência nesses 3 dias aqui na clínica acompanhe vocês durante toda profissão e toda vida... muito feliz com essa turma e com a evolução de cada um... continuem treinando, estudando e se superando a cada dia. "E de repente, num dia qualquer, acordamos e percebemos que já podemos lidar com aquilo que julgávamos maior que nós mesmos, Não foram abismos que diminuíram mas nos que crescemos” ... Contem comigo, oss #dentistry #dentistrylife #dentista
Why are My Teeth Sensitive to the Cold?
If eating ice cream and drinking cold drinks make your teeth hurt, you are probably suffering from cold-sensitive teeth. Cold-sensitive teeth are not uncommon, but it’s important to understand the difference between cold-sensitive teeth and tooth decay or gum disease. Cold-sensitive teeth occur when the nerves within the tooth are exposed due to receding gums or worn tooth enamel. What Causes Teeth to be Sensitive to the Cold?Have you ever wondered why you have teeth sensitive to cold? Causes of cold-sensitive teeth fall into several categories:
Tooth Decay or Gum Disease: If your cold-sensitive teeth also hurt when you aren’t eating or drinking something cold, you could be in the early stages of tooth decay or gum disease. Plaque buildup on the teeth and gums can contribute to cold-sensitive teeth by eventually leading to tooth decay and gum disease.
Overzealous Product Use: External factors that could cause cold-sensitive teeth include brushing your teeth too hard, overusing tooth whitening treatments, or acids from everyday food and drinks, like wine, coffee, and tomatoes, that can cause irreversible loss of your tooth enamel.
Grinding Teeth and Stress: Cold-sensitive teeth also can develop if excessive tooth grinding (bruxism) wears away the tooth enamel and exposes nerves. If you think that you are grinding your teeth, see your dental professional and ask about options for how to protect your teeth.
Exposed Nerve Roots: The biological reason behind teeth sensitivity to cold starts in the pulp of the tooth. The nerves in the pulp make teeth sensitive to cold when tooth roots become exposed due to receding gums or gum disease. Pathways called dentinal tubules are filled with fluid, and when a stimulus like cold air or cold liquid is applied to the exposed dentinal tubules, the fluid in the tubules moves and triggers a pain sensation in the nerve.
Cracks in Teeth: Over time, tiny cracks can develop as your teeth expand and contract with exposure to hot and cold temperatures. The cracks provide another pathway to the nerves, making the teeth sensitive to cold. Check for lines that could indicate microscopic cracks.
A dental impression is a negative imprint of hard (teeth) and soft tissues in the mouth from which a positive reproduction (cast or model) can be formed. It is made by placing an appropriate material in a stock or custom dental impression tray which is designed to roughly fit over the dental arches. Impression material is of liquid or semi-solid nature when first mixed and placed in the mouth. It then sets to become an elastic solid (usually takes a few minutes depending upon the material), leaving an imprint of person's dentition and surrounding structures of oral cavity.
SOLUÇÕES ORTODÔNTICAS - ALÇAS PARA FECHAMENTO DE ESPAÇO EM CASO DE AGENESIA DE PRÉ-MOLARES SUPERIORES
A agenesia de pré-molares nos coloca frente à decisão sobre a conduta ortodôntica adequada. O fechamento mecânico do espaço ou sua manutenção para posterior reabilitação com implante/prótese, são frequentemente as opções mais comuns. Uma terceira alternativa, a manutenção do dente decíduo enquanto ele for viável, pode ser uma boa escolha quando não há anquilose ou infra-oclusão. No caso do vídeo, uma paciente de 24 anos, que apresentava agenesia dos segundos prés superiores e molares decíduos em estágio avançado de rizólise, a paciente solicitou o fechamento de espaço. A alça em delta com loop foi utilizada tanto na fase de retração anterior com pera de ancoragem, quanto na mesialização dos molares. No lado direito, em detalhe no vídeo, em um dado momento, optou-se pela mesialização do primeiro molar sem incorporar o segundo. Pela ação das fibras transeptais, o segundo molar acompanhou o primeiro em direção anterior. 🇺🇸🇬🇧
SPACE CLOSURE IN A CASE OF UPPER PREMOLAR AGENESIS
Agenesis of premolars puts us before the decision on the proper orthodontic conduct. Mechanical space closure or its maintenance for later rehabilitation with implants/crowns are often the most common options. A third alternative, maintenance of the deciduous tooth while it is feasible, may be a good choice when there is no ankylosis or infraocclusion. In the presented case, a 24-year-old patient, who had agenesis of both upper 2nd premolars and deciduous molars in advanced stage of rhizolysis, requested the space to be closed. The delta loop was used to close the space. On the right side, in detail in the video, at a given moment, we chose to mesialize the first molar without incorporating the second. By the action of the transeptal fibers, the second molar accompanied the first in the anterior direction.
Thank you for your image: @orthorepost
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About Direct Aesthetic Restorations
Material used to make aesthetic fillings or direct aesthetic restorations is called composite or popularly – "aesthetic filling". Missing dentine and enamel are recreated with it. By its strength the composite equals to amalgam fillings, it is resistant to wear, releases fluoride preventing from further formation of caries lesions. When making direct aesthetic restoration natural tooth tissues are preserved to the maximum, deep cut preparation is not needed, teeth remain alive, gingiva is not damaged, natural teeth layers are recreated, their translucency and form. Natural tooth is an optimal substance guaranteeing stability, resistance and compatibility with surrounding gingiva and bone structure.
Direct aesthetic restorations are done with the precision of fine jeweler, biomimeticly – layer by layer – exactly the same way as teeth tissues developed during evolution, the small details and depth of color are imitated. Usually clients are very satisfied, because that it the most preserving tooth structure restoration method.
It may have seemed like a cool party trick back in your college days but using your chompers to open a beer bottle makes us cringe for your precious tooth enamel. The hard metallic bottle cap can lead to chipped teeth and erosion of the enamel. Save your teeth and use a bottle opener! In general, you shouldn’t be using your teeth as tools to open packages.
Approximately half of all restorations placed in general dental practice are done to replace a defective or failed restoration. The reasons that restorations are replaced may be divided into three major categories; clinician factors, material properties, and patient factors. Irrespective of how the reason is categorized, it is often difficult to identify which factor plays the most important role in the failure. Sometimes a combination of factors may be the cause of the failure, although clinicians rarely record more than one reason for replacement of restorations. Most failures occur gradually, but abrupt failures can also occur, e.g., bulk fracture. The recognition of defects does not necessarily coincide with the failure of restorations to an extent that it requires immediate replacement of the restoration. Because defects can develop gradually, this may provide an opportunity to do minimally invasive treatment, rather than replacing the entire restoration. This minimally invasive treatment may include repair or refurbishing a defect, especially if the defect is localized and accessible. A better understanding of dentist and patient characteristics that are associated with the decision to repair or replace defective restorations may assist with the development of guidelines to improve treatment of existing restorations. Therefore, the purpose of this study is to: (1) determine whether dentists in DPBRN (The Dental Practice-Based Research Network) practices are more likely to repair versus replace a restoration that they diagnose as defective; (2) quantify the specific reasons for repairing or replacing; and (3) test the hypothesis that certain dentist, patient, and restoration-related variables are associated with the decision to repair versus replace.
Para os amantes da endodontia ⤵️❤️
✳️ A dica da vez é sobre acesso endodôntico.
➖ Colocar um cursor na broca e medir a radiografia inicial o quanto precisamos aprofundar para acessar o teto da câmara pulpar.
✔️ Após acessado a câmara pulpar, trocar a broca para uma sem ponta ativa como por exemplo : 3082/ Endo Z.
✔️ Desse modo evitaremos desgastes desnecessários e perfurações na região da furca
✳️ The tip of the turn is about endodontic access.
➖ Place a cursor on the drill and measure the initial x-ray how much we need to deepen and reach the ceiling of the pulp chamber.
✔️ This will avoid unnecessary wear and puncture in the furcation region.
Repost 🔁 @endolife_
Our beautiful and extremely talented super star 🌟⭐️🌟patient @mylifeaseva
stopped by our office before her super fun vacation✈️🏝 🍹to get rid of her wisdom teeth. We made a fun clip using mainly sign language 🗣🤟 and grhhhh 🧟♂️🧟♂️🧟♂️ from the both of us as a sign of relief after a very successful wisdom teeth extraction. Make sure to follow her! 👨🏻⚕️🙏🏻
In school, I find that every case brings forth different challenges and learning lessons. If I’m not learning from every case, I’m doing something wrong.
Class II preparation of maxillary first molar on recurrent decay. First lesson: tooth had an ideal composite matching from previous dentist, so it was a little challenging when removing old composite. However, with the use of a “black light”, I can distinguish the difference between natural tooth and composite🤩. Lesson two: placing two matrices speeds things up, but one side of the tooth had light contact 😕. Lesson 3: I need to improve my photography skills 😏