The dental management of CCD has somewhat undergone a metamorphosis from a ” wait and observe” approach to a more sophisticated and costly methods combining orthodontics and surgery ( Smylski et al, 1974; Hall and Hyland 1978; Becker et al 1997; Daskalogiannakis et al,2006; Farronatoa et al, 2009).
The planning of dental management and treatment goals in CCD vary from individual to individual and primarily depends on the need of the patient, the age at diagnosis and social and economic circumstances. The main management objectives of affected individuals, remain the restoration of function and aesthetics. D’ Alessndro et al, 2010 categorized the clinical features pertinent to this paper into two major categories namely craniofacial and dental. Although a plethora of management options exists, there is a general consensus that the best results are obtained if the condition is diagnosed and treatment is started, at an early age.
Management options:
The most popular orthodontic-surgical approaches include:
1. The Toronto-Melbourne approach
2. The Belfast-Hamburgh approach
3. The Jerusalem approach
The Toronto-Melbourne approach is based on timed, serial extraction of deciduous teeth and depends on the extent to which the roots of the permanent teeth have developed. During each procedure, which is performed under general anaesthetic, supernumerary teeth are removed together with the bone covering the underlying permanent teeth. The rationale is to facilitate the spontaneous eruption of the unerupted permanent teeth. Orthodontic procedures are utilized to fulfil the treatment objectives (Smylski et al, 1974; Hall and Hyland 1978).
In contrast to the Toronto-Melbourne, the Belfast-Hamburg approach, ad...
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...D, presented to the University of Western Cape, Faculty of Dentistry for management. Apart from the orodental features of CCD, he also presented with poor oral hygiene, multiple carious teeth and was believed to be affected by mild intellectual disability. However, on further clinical investigation, it elicited that he was a regular user of methamphetamine or “tik” as is it is called in South Africa. His poor oral health status and poor mental capacity was therefore a result of drug abuse and possibly poor socioeconomic status. After extensive management planning the young man absconded from treatment. Therefore management of complicated orofacial disorders may be extremely complicated in a country like South Africa. Apart from the poverty, lack of education, drug abuse and HIV, the cost of treatment is beyond what the average person can afford.
References:
The Craniosacral Therapy Association of South Africa (2014), The Craniosacral Therapy Association of South Africa, Available at: http://www.cranial.org.za/ Accessed: 01 May 2014
On his initial examination dated 23/06/13 the patient was seen for a routine full mouth scale and polish with reinforced oral hygiene instruction including flossing technique. He presented with excellent oral hygiene at this appointment which was a reflection of his commitment to good oral hygiene; tooth-brushing twice daily and dental flossing once daily. This was further supported by the patients plaque scores at 5% and bleeding scores at 4% with only minimal supra gingival calculus on lower anterior teeth. There was no erythema or oedema present on the gingival tissues.
The Faculty of General Dental Practice is responsible for continued professional development of dental clinicians. It is committed to improving standards of patient care within dentistry by providing up to date publications and guidelines for clinicians. The standards and guidelines by the FGDP are evidence based and are recognised as authoritative statements of good practice within the profession (REF). The FGDP have produced standards and evidence-based guidelines detailing the Selection Criteria for Dental Radiography (REF).
The perspective of a deontologist with this dilemma may seem be a bit contradictory. This is
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I will apply to Henry M. Goldman School of Dental Medicine, and to be accepted into the Four-Year Doctor of Dental Medicine (DMD) program. This program will offer opportunities, such as clinic and faculty practices, to learn through the guidance of experienced Dentists of Boston. Once I completed the four-year program, I hope to continue in becoming an Orthodontist—totaling in 10 years of schooling—through Boston University’s Advanced Orthodontic Training Program that will fully certify me. This postdoctoral program will be difficult to be accepted into, but it will give me the training I would need to become a reliable orthodontist. Meanwhile, I hope to receive a job related to the dental field near the Boston area that stabilizes my
Ever since I was a little kid, I was always intrigued by teeth, which is unusual for most people, but enticing to me. I am always been thinking about how to keep my teeth healthy and what to do to prevent cavities, gum disease, and tooth decay. My first recollection of oral surgery was when I was ten years old after I visited my uncle’s doctors office with my mother. My mother was at his office due to an infection in her gums, where she paid a large amount of money for a simple task. After that, I was so confused as to how he healed my mother's pain in less than an hour. Soon after, it clicked that oral surgery wasn’t just a regular job for anyone, it was more of an art with precise cuts and exact injections into the gums of patients. Oral surgery is known as a
As I started my new journey of becoming a dental hygienist, I came into the program with no background of dental. I came into this program with an open mind and willing to embrace new concepts as well as develop new skills. During my time at the Canadian Academy of Dental Hygiene (CADH), I learned that as a dental hygienist that I am committed to promoting and helping each individual achieve their optimal oral health goals. In support of my client’s goals, I may assume any or all of the roles included in the dental hygiene scope of practice. My goal throughout this program was to help my clients achieve their optimal oral health goals through education, health promotion and providing preventive and clinical therapy.
One can rarely point out very few who have problem free teeth. While some reasons are due to hereditary, that is, genetically transmitted, due to family reasons, other reasons include sucking of the thumb in small age, some unusual accidents, and it might also be due to losing tooth prematurely . Most of the people do not care about our teeth until it reaches some critical situation. It is also very common nowadays to have a teeth that has not developed in a correct position, that is, there is some impropriety in the position of the teeth. When such symptoms are seen, it is very essential and necessary to make a visit to the orthodontist. It is important to give a very high preference on how the correct orthodontist is chosen. This is a very important step to be followed as wrong choices can make things worser than ever. First and foremost thing which would always work is to get the reference from our dentist. One can trust the words of dentist in identifying the best orthodontist suiting our needs. The next best thing would be the valuable suggestions which that are got from the friends and relatives. Definitely, there would be people from the surrounding places who might have undergone treatment for their dental problems. Once the decision is taken and the right person have been chosen as our orthodontist, it is necessary and important to check his membership with AAO, American Association of Orthodontist. The
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My ambition to study dental hygiene has been further reinforced over the course of my gap year experience, working and studying as a dental nurse. I have become more aware of the growing importance of helping educate the general public about oral health paying closer attention to causes of some of the most disastrous oral conditions. Whilst working at the Ivory Dental Studio in London, I observed numerous procedures such as tooth onlays, root canal treatment...
Dentistry is a health science that includes the study and application of measures designed to prevent damage of the oral structures and the use of clinical procedures that that restore the normal masticatory function of teeth and esthetics, correction of speech resulting from loss of natural teeth, satisfaction and comfort of the patient, preservation of alveolar bone and tempromandibular joints. Other goals are to relief pain, treatment of a disease and maintaining the restoration for a long time in the denture without distortion or fracture.
U.S. Department of Health and Human Services. (2000) Oral Health in America: A Report of the Surgeon General .Rockville, MD: U.S. Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health, 2000.
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