Search

Aesthetic considerations have gradually influenced over time in various forms dental management so that they have reached the point where suboptimal aesthetic aspects are no longer accepted in the therapeutic outcome. The aim of the study is to analyze the opportunity of rehabilitation of metalo-ceramics and limits the possibilities to quantify the rehabilitated disturbances of balance the parameters of the facial aesthetic dental somatosensory setting in the treatment necessary in the studied group. A sample of 75 patients, 45 women and 30 men have been evaluated, ages between 24 and 69, who came at the clinical basis for Education of the Faculty of Dentistry Iasi, respectively in private practice. The contour of the dental units is the first morphological detail that is noticed by the human eye, before any other information related to the color, structure or shape itself is recorded. The possible aesthetic imbalances registered at the level of a tooth from the region of the anterior mandibular arch and especially the maxilla become immediately observable and generate very strong visual tensions. Restoring the aesthetic balance by individual prosthesis is a complex and difficult therapeutic method due to the large number of factors that condition the therapeutic success (exposure to lighting and direct vision, type of smile, proximity to natural dental structures).

Temporomandibular joint (TMJ) involvement with bone resorption of the mandible is a rare complication in systemic sclerosis (SSc), leading to restrictive mandibular movements, malocclusion, difficult swallowing and mastication, and subsequently altered nutrition. We report a case of SSc-related TMJ pathology in a 23-year woman, emphasizing the relevance of advanced imaging. Extensive bone resorption of mandibular condyle reveled on dental panoramic image explains the malocclusion and impaired interincisal opening, while CBCT demonstrates reshaping of the mandibular condyle with cortical lysis, osteophytes, decreased height and flattening. Furthermore, electromyography confirms masticatory muscles involvement.