This book equips the reader with a sound understanding of the treatment of neglected and vulnerable patients in the dental office. It offers a comprehensive multidisciplinary approach to atraumatic carious treatment, minimal intervention dentistry, TMJ affections and nutritional consequences. Maintaining proper oral health includes managing of oral hygiene, healthy diet and seeking for a treatment when needed. Untreated dental disease can have a significant adverse impact on the health, wellbeing and quality of life. This book helps practitioners to understand and address the needs of dental neglected adults and children, and guide them through prevention procedures, diagnostics and treatment planning. Important techniques like physiologic impression for removable denture, single crown impression, digital planning and prosthodontic bridges are explained, and socio-demographic and economic changes in Oral Health are discussed. The comprehensive coverage of the topic and the evidence based references make this book a must have for dental practitioners.
Author(s): Alexander Mersel
Publisher: Springer
Year: 2022
Language: English
Pages: 114
City: Cham
Foreword
Foreword
Contents
About the Authors
Oral Health: Ethical and Clinical Concerns
1 Introduction
2 The Demographic Dimension
3 Socio-Economics Factors
3.1 Barriers to Treatment
3.1.1 The Time Factor
3.1.2 Mental or Psychological Evaluation
Dental Anxiety
Depression
Organic Diseases
3.1.3 Medical Conditions and Risks Factors
Basic “Normal” Aging Changes by Organs
3.1.4 Medical Advises
3.1.5 The Economic Background
3.1.6 The Distance and the Accessibility of the Clinics
3.1.7 The Lack of Adequate Equipment
3.1.8 Insufficient Working Force
3.1.9 Inadequate Training and Skill of the Dental Team
3.1.10 A Little Motivation from the Professional Organizations
3.1.11 An In-Depth Look at Oral Health and Healthy Aging
3.1.12 Continuing Education; Variable Collaboration with the Faculties and the Universities
4 Evaluation and Evolution in Continuing Education
5 Ethical Concerns for Oral Health
5.1 Code of Ethics for Dentists in the European Union. 2007. President
6 Approaches for Clinical Solutions
6.1 The Dogmas Obstacle
6.2 The New Trends
6.2.1 Complete Dentures
6.2.2 Jaw Relations Records: Occlusion for Edentulous Patients
6.2.3 Limits of the Conventional Systems
6.3 Neutral Zone and Phonetic Impressions
6.4 Establishment of the Plan of Occlusion
6.5 Face-Bow
6.6 Balanced Occlusion
6.6.1 The Lingualized Occlusion
7 Removable Partial Denture: RPD
8 Immediate or Transitional Interim Dentures
9 Relining and Rebasing
9.1 Conservative Dentistry
10 Main Obstacles for a Successful Treatment
11 Responsibility
11.1 New Socioeconomic Impacts
12 Fixed Prosthodontics: Crowns and Bridges
12.1 The Conventional Approach
12.2 CAD/CAM
13 Discussion
13.1 Neglected Patients vs. Ethics
13.2 Dental Associations vs. Gerodontology
14 The COVID-19 Crisis: The Consequences in Dentistry
15 Conclusion
References
Prevention for Vulnerable Patients: Atraumatic Carious Treatment and Mild-to-Moderate Periodontal Therapy
1 Introduction
2 Anatomopathology of the Carious Dentin: The Basis of ART Therapy
2.1 Minimal Intervention Dentistry (MID) and/or Atraumatic Restorative Treatment (ART)
2.2 ART Failures
2.3 Conclusions: What ART Provide to Vulnerable Patients?
3 Etiopathology and Treatment of Gingival and Periodontal Tissues: From Gingivitis to Periodontitis
3.1 Non-keratinocyte Cells Present in the Gingiva and in the Skin
3.2 Periodontal Diseases: Gingivitis and Periodontitis
3.3 How to Prevent Periodontal Diseases for Vulnerable Patients?
3.4 Periodontal Therapies
4 Conclusions
References
Dental Neglect
1 Concluding Remarks
2 The Main Problems Concerning Dental Neglect and How to Resolve Them
2.1 Case 1
2.2 Case 2
3 Conclusion
References
The Vulnerable Patients Group: The Global Oral Health Concept
1 Introduction
1.1 Conclusion
2 Overview of Dentistry in an African Country: Nigeria
2.1 Retirement
2.2 Social Isolation
2.3 Policy for Older Adult
2.4 Policy Making and Implementation for Older Population
2.5 Conclusion
References
The TMJ Troubles and Their Nutritional Consequences
1 Impact of Painful TMD on Eating and Nutritional Status
2 Role of Diet and Nutrition in the TMD Management
3 Dietary Guidance for Patients with TMD
3.1 Instructions and Advice for the Patient
References
Prevention Strategy: A Practical Protocol for Elderly Patients
1 Sub-Chapter A: The Challenge
1.1 Prevention Strategy for the Not to Be Neglected Elderly Patients, a Practical Approach
1.2 The First Foundation in Establishing a Good Protocol Should Be Starting in the Treatment Plane
1.3 The Second Foundation of the Treatment Is the Follow-Up Protocol
1.3.1 Follow-Up Protocol Should Contain
2 The Third Foundation Is Documentation
3 The Fourth and Last Is the Clinicians Point of View Judgment and State of Mind
3.1 Conclusion
4 Sub-Chapter B: The Challenge
4.1 Education
4.2 Aims and Means of Continuing Education
5 Discussion
5.1 Results
5.1.1 Satisfaction
5.2 Guidelines for the Speakers
5.2.1 In Educating the Educators [17]
5.3 Looking for the Future
5.4 Conclusion
References
