DENTAL ESTHETICS - INSTRUMENT FOR RECREATING A NEW FACIAL ESTHETIC TO THE ELDERLY PATIENT

Authors

  • Mihaela Monica SCUTARIU University of Medicine and Pharmacy “Grigore T. Popa” - Iaşi
  • Norina FORNA University of Medicine and Pharmacy “Grigore T. Popa” - Iaşi

Keywords:

PHYSIOGNOMIC ASPECT, GNAT PROSTHETIC DEVICES, ORAL REHABILITATION, DENTAL ESTHETICS

Abstract

Aims: The major objective of this paper consists in underlining the wide range of possibilities in assessing the elderly patient; it relies on clinical examination in order to exclusively improve the patient’s physiognomic aspect.
Materials and methods: In this context it has been organized a study which included 64 elderly patients aged between 60 and 90 years of age (median age 75), which presented themselves at the Clinical Service of Dental Semiology and Gerontostomatology between 2011-2012; they requested the restoration of the functions affected by odontal coronary lesions, periodontal disorders or edentations more or less expanded, malocclusions, malrelations of the mandible to the skull and unsuccessful or deteriorated dental or prosthetic treatments. Results: The restoration of dental arches has been performed relying on common sense and power of discernment, respecting both facial features and expression by redimensioning the lower part of the face, repositioning the mandible and using gnatoprosthetic devices.
Conclusions: Solving the problems elderly patients confront themselves with and the success of the treatment has been possible only after a correct assessment of the involutive phenomena that influence the oral cavity, after understanding the local and general factors that predispose to oral disorders as well as the differences between various techniques and materials.

Author Biographies

  • Mihaela Monica SCUTARIU, University of Medicine and Pharmacy “Grigore T. Popa” - Iaşi

    Faculty of Dental Medicine
    Discipline of Oro-dental Diagnosis and Gerontostomatology

  • Norina FORNA, University of Medicine and Pharmacy “Grigore T. Popa” - Iaşi

    Faculty of Dental Medicine
    Department of Implants and Prosthetics

References

1. Podariu DC, Jumanca D, Galuscan A, Vacaru R, Muntean R. Oro-dental prevention treaty, Waldpress Publishing House, Timisoara, 2003.
2. Goţia SR. The oro-facial system. Physiology notions. Mirton Publishing House Timisoara, 2001.
3. Jainkittivong A, Aneksuk V, Langlais RP. Oral mucosal lesions in denture wearers. Gerodontol. 2010; 27(1): 26-32.
4. Lăzărescu Fl. Incursion into dental esthetic, Romanian Society of Esthetic Dentistry, Bucharest, 2013.
5. Mitmarashi B, Torbati A, Aalam A, CheeW. Orthodontically Assisted Vertical Augmentation in the Esthetic Zone. J Prosth. 2010; 19(3): 235-239.
6. Dudea D. Examination notions in dento-facial esthetics. Grinta Publishing House, 2010, Cluj.
7. Al-Jabrah O, Al-Shammout R, El-Naji W, et al. Gender differences in the amount of gingival display during smiling using two intraoral dental biometric measurements. J Prosthodont. 2010; 19(4): 286-93.
8. Mckenna G, Burke FM. Age-related Oral Changes. Dent Update. 2010; 37(8): 519-523.
9. Aenett GW. Facial and Dental Planning for Orthodontists and Oral Surgeons. Mosby, St. Louis, 2011, pp. 6-89.
10. Chen X, Chen H, Douglas C, et al. Dental treatment intensity in frail older adults in the last year of life. J Am Dent Assoc. 2013; 144(11): 1234-42.
11. Marinescu E. Medical-social Gerontology and Gerontological Pathology, Samia Publishing House, Iasi, 2006.
12. Janson G, Branco NC, Freire Fernandez TM, et al. Influence of orthodontic treatment, midine position, buccal corridor and smile arc on smile attractiveness. Angle Orthod 2011; 81: 153-161.
13. Scheid RC, Weiss G. Dental Anatomy, 8th Ed., Lippincott Williams & Wilkins, Philadelphia, 2012.
14. Dumitru M. Romanian Original Contributions to Gerontology and Geriatrics. In: Schneider FA, Podea MD, Nanu PD (ed.): Gerontology Today. Romanian Medical Life Publishing House, Bucharest, 2007, 10-15.
15. Hurjui J., Selective geriatrics, vol. I-II, Tipo Moldova Publishing House, Iasi, 2002.
16. Katsoulis J, Huber S, Mericske-Stern R. Gerodontology consultation in geriatric facilities: general health status (I). Schweiz Monatsschr Zahnmed. 2009; 119(1): 12-18.

Additional Files

Published

2018-05-16