Mostrando entradas con la etiqueta Oral Medicine. Mostrar todas las entradas
Mostrando entradas con la etiqueta Oral Medicine. Mostrar todas las entradas

martes, 4 de febrero de 2025

Occlusal Splints: Types, Benefits, and Who Needs Them

Enamel Erosion

Occlusal splints, also known as bite guards, night guards, or dental orthotics, are removable dental devices that cover the occlusal (biting) surfaces of teeth. They are used to manage conditions such as bruxism (teeth grinding), temporomandibular joint disorders (TMDs), and excessive dental wear.

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A. Purpose of Occlusal Splints
Occlusal splints serve several key functions:
° Protecting Teeth from Wear: They act as a protective barrier between the upper and lower teeth, preventing enamel erosion and fractures caused by grinding.
° Reducing Jaw and Muscle Pain: By repositioning the jaw and alleviating pressure on the TMJ, they help relieve pain and muscle tension.
° Preventing Further Dental Damage: Patients with bruxism or TMD can experience cracked or worn-down teeth; splints help mitigate this risk.

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B. Types of Occlusal Splints
There are different types of occlusal splints, depending on the patient’s needs:
° Stabilization Splints – Also called flat-plane splints, these are used to prevent bruxism and relieve muscle tension.
° Repositioning Splints – These are designed to reposition the lower jaw to relieve TMJ discomfort.
° Soft Splints – Made of a softer material, these are typically used for mild bruxism cases.
° Dual-Laminate Splints – A combination of hard and soft materials, offering comfort and durability.

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C. Materials Used in Occlusal Splints
Occlusal splints are typically made from the following materials:
° Hard Acrylic Resin (PMMA - Polymethyl Methacrylate): The most common material, it is highly durable and provides excellent stability.
° Thermoplastic Materials: Softer and flexible, these materials offer more comfort but are less durable.
° EVA (Ethylene Vinyl Acetate): Used in softer night guards, providing a balance between comfort and protection.
Dual-Layered Materials: Some splints combine a hard outer shell with a soft inner lining for both protection and comfort.

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D. Who Needs an Occlusal Splint?
Patients who may benefit from occlusal splints include:
° Bruxism Sufferers – Those who grind or clench their teeth, especially at night.
° Patients with TMD – Individuals experiencing jaw pain, clicking sounds, or limited movement of the jaw.
° People with Dental Restorations – Those with veneers, crowns, or implants that need extra protection from excessive force.

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Conclusion
Occlusal splints are essential devices for protecting teeth, managing jaw disorders, and preventing long-term dental complications. Their effectiveness depends on proper diagnosis and professional customization by a dentist.

References
1. Crout, D. K. (2017). Anatomy of an occlusal splint. General Dentistry, 65(2), 52-56. AGD
2. Okeson, J. P. (2014). Management of Temporomandibular Disorders and Occlusion (7th ed.). Elsevier.
3. Jagger, R. (2003). The effectiveness of occlusal splints for sleep bruxism. Evidence-Based Dentistry, 4(2), 39-40.
4. Wright, E. F. (2014). Occlusal Appliance Therapy. In Manual of Temporomandibular Disorders (pp. 149–222). Wiley-Blackwell.
5. Clark, G. T., & Minakuchi, H. (2006). Oral Appliances. In Laskin, D. M., Greene, C. S., & Hylander, W. L. (Eds.), Temporomandibular Disorders: An Evidence-based Approach to Diagnosis and Treatment (pp. 377–390). Quintessence Publishing.

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viernes, 2 de agosto de 2024

Oral cysts in newborns: Characteristics, diagnosis and treatment

Oral cysts

Oral mucosal cysts in newborns are classified according to their origin and location. In the case of neonates, oral alterations are difficult to detect by the clinician.

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Diagnosis and treatment is necessary to prevent alterations from intervening in normal functions such as complex sucking, swallowing and phonation.

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We share a list of cases of oral cysts in newborns, detailing the characteristics, diagnosis and treatment.

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👉 "Exuberant Upper Gum Lesions in a Neonate" 👈

Exuberant Upper Gum Lesions in a Neonate. J Pediatr 2013;163:1521.. Vol. 163, No. 5

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👉 "Dental lamina cyst in the newborn" 👈

Dental lamina cyst in the newborn. Deepak Sharma, Jaivinder Yadav, Eva Garg, Hanish Bajaj. Sri Lanka Journal of Child Health, 2015: 44(4): 236-237

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👉 "Unusual symptomatic inclusion cysts in a newborn: a case report" 👈

Marini et al.: Unusual symptomatic inclusion cysts in a newborn: a case report. Journal of Medical Case Reports 2014 8:314.

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lunes, 18 de marzo de 2024

Malformations and anomalies of the branchial arches - Diagnosis and management

Oral medicine

The branchial or pharyngeal arches are slits that are located on both sides of the embryo, and from them originate the muscles, bones, cartilage and nerves of the face, head and neck.

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During the process of growth and development of tissues, alterations may occur that lead to sinuses, fistulas or cysts. The location of the alteration determines which branchial arch it belongs to.

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Learn what the alterations and malformations of the branchial arches are, detailing the clinical management and treatment.

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Senggen E, Laswed T, Meuwly JY, Maestre LA, Jaques B, Meuli R, Gudinchet F. First and second branchial arch syndromes: multimodality approach. Pediatr Radiol. 2011 May;41(5):549-61. doi: 10.1007/s00247-010-1831-3. Epub 2010 Oct 6. PMID: 20924574.

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👉 "Management of congenital third branchial arch anomalies: A systematic review" 👈

Nicoucar K, Giger R, Jaecklin T, Pope HG Jr, Dulguerov P. Management of congenital third branchial arch anomalies: a systematic review. Otolaryngol Head Neck Surg. 2010 Jan;142(1):21-28.e2. doi: 10.1016/j.otohns.2009.09.001. Epub 2009 Nov 25. PMID: 20096218.

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Nicoucar K, Giger R, Pope HG Jr, Jaecklin T, Dulguerov P. Management of congenital fourth branchial arch anomalies: a review and analysis of published cases. J Pediatr Surg. 2009 Jul;44(7):1432-9. doi: 10.1016/j.jpedsurg.2008.12.001. PMID: 19573674.

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jueves, 7 de marzo de 2024

What is odontogenic infection? - Symptoms, diagnosis and treatment

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Odontogenic infections are those that begin in the oral cavity, generally from dental caries, but also from periodontal pathology.

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Odontogenic infections can spread through the bone and affect structures far from the oral cavity such as the neck region. These infections can occur in both children and adults, and the dentist must be familiar with the management and treatment to avoid serious consequences.

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👉 "Odontogenic Infection. Review of the Pathogenesis, Diagnosis, Complications and Treatment" 👈

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lunes, 19 de febrero de 2024

Mucocele in Pediatric Dentistry: Clinical and pathological characteristics

Mucocele

Mucocele is a benign lesion that occurs in the oral mucosa and is the product of an alteration in the minor salivary glands. It is recognized as a swelling with mucous content, well circumscribed, and bluish in color.

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The presence of a mucocele may be due to trauma or ductal obstruction. The treatment is surgical and anesthesia is local, but depending on the behavior of the pediatric patient it can be performed with general anesthesia.

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Let's know the clinical and pathological characteristics of salivary mucocele in children and adolescents.

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👉 "Salivary Mucoceles in Children and Adolescents: A Clinicopathological Study" 👈

Poulopoulos A, Andreadis D, Parcharidis E, Grivea I, Syrogiannopoulos G, et al. (2017) Salivary Mucoceles in Children and Adolescents: A Clinicopathological Study. Glob J Medical Clin Case Rep 4(1): 011-014. DOI: 10.17352/2455-5282.000035

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👉 "MUCOCELES OF MINOR SALIVARY GLANDS IN CHILDREN. OWN CLINICAL OBSERVATIONS" 👈

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lunes, 8 de enero de 2024

What is Ludwig's Angina? What are the symptoms and treatment?

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Dental caries is a disease that affects children and adults, and its presence affects the dental structure. When this progress is not stopped, it can put the general health and life of the patient at risk.

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Ludwig's angina is a serious infectious process and its treatment is based on clinical, pharmacological and surgical management.

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lunes, 11 de diciembre de 2023

Oral lesions in neonates, children and adolescents. Characteristics, diagnosis and treatment

Oral pathology

Oral lesions in newborns can affect hard and soft tissues, and can be part of a systemic condition, which is why it is of great interest to the neonatologist, pediatrician, and pediatric dentist.

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Clinical knowledge of injuries helps us make a timely diagnosis and effective treatment, in addition to correct advice to parents.

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Learn about the clinical characteristics, diagnosis and management of oral lesions that occur most frequently in neonates, children and adolescents. Information in PDF and video

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