[System of therapy and prophylaxis of hard tooth tissues pathology in the group of pilots]

Survey of 77 males aged 22 to 55 including 43 pilots (main group), 24 non-flying employees (comparison group) and 10 essentially healthy men with sanitized oral cavity (control group) revealed caries in 100% members of groups 1 and 2. Prevalence of other than caries pathologies was higher in the group of pilots. Analysis of mixed unstimulated saliva showed calcium and phosphates reduction by half in 50% and 30% of pilots, respectively. Investigation of hair elemental composition displayed also deficiency of Ca and P in pilots. The authors recommend methods for dental rehabilitation as an indispensable part of medical care for flying personnel.

Full-mouth rehabilitation using a multidisciplinary approach: material and periodontal considerations

The complete aesthetic rehabilitation of dentition can be a complicated task. A multidisciplinary approach is often necessary to achieve ideal results. Clinical crown lengthening surgery can develop an aesthetic soft tissue profile and sufficient tooth structure for preparation and restoration. In addition, the development of novel all-ceramic zirconia materials has resulted in the delivery of improved aesthetics, function, and longevity. This article discusses the use of zirconia crowns in multidisciplinary full-mouth rehabilitation and provides recommendations to enhance the performance of these restorations.

[Construction of the new dental arch in the prosthetic rehabilitation of cleft lip and palate. Case report]

The authors describe the prosthodontic rehabilitation of an adult patient with unilateral cleft lip and palate. After the surgical and orthodontic treatment of cleft lip and palate patients the prosthodontic treatment was started to correct the palatal defect, the malocclusion and the missing teeth. The authors emphasize on preliminary steps by using diagnostic casts and try-in dentures and they also suggest other directives in the dental management of cleft lip and palate patients.

[Prosthetic rehabilitation of cleft palate patients with fixed partial dentures]

Treatment of cleft palate patients demands a well coordinated work of medical and dental specialists. In spite of the surgical and orthodontic therapy a prosthetic rehabilitation is often necessary because of missing teeth, maxillary hypoplasia, malocclusion and palatal defects. The prosthetic phase begins immediately after the orthodontic treatment. In this way the fixed partial denture replaces the retention appliance and stabilizes the achieved status. The aim of the prosthetic treatment is to improve the function of the masticatory apparatus, speech and aesthetic appearance of the patient. An important task of the prostheses is to support and lift up the upper lip and the base of the nose. There are several factors, which make the treatment difficult, like underdeveloped and collapsed maxillary arch, retrognath position of the maxilla, missing alveolar ridge, defects of the bone and mucosa, scars and stiffness of the upper lip. The maintenance of the oral hygiene with the fixed restorations is often difficult because of the stiffness of the upper lip, therefore the design of the pontic is very important especially in the cases, when the missing processus alveolaris has to be replaced in order to improve the harmony of the face.

[Oral health of community-dwelling elderly. 2. The subjective aspect of oral health]

In this study oral health of elderly persons as perceived by the subjects was evaluated. Phenomena often mentioned were problems with chewing and biting, dry mouth, retention of food particles between teeth or below the prosthesis, (in edentates) sensitivity of teeth for warm or cold foods and (in edentates) lack of retention of the lower prosthesis. In a lot of persons these problems affect quality of life.

Removable partial overdentures for special patients

Removable partial overdentures are an option that should be considered by every dentist who is involved with cosmetic dentistry or dentistry for the older adult. The rationale, indications, and technique have been described for providing an aesthetic, functional prosthesis that is also conservative in nature. The reversibility of the procedure allows the patient the opportunity to pursue other forms of treatment should the result not meet his or her expectations. For appropriately selected special patients, the results can be extremely gratifying for both the patient and dentist.