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31 May 2024, Volume 27 Issue 3 Previous Issue    Next Issue

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Clinical Characteristics and Diagnostic Points of Maxillofacial Pain in Elderly Population Hongkun Wu, Bin Fan, Wei Fan, Xingqun Cheng 2024, 27(3):  193-199.  DOI: 10.12337/zgkqjxjyzz.2024.03.001 Abstract ( 65 )   PDF (1615KB) ( 32 )   Maxillofacial pain in the elderly population is closely related to oral and systemic diseases, and the special situation of multi-disease co-existence and multi-drug use greatly increases the difficulty of pain diagnosis. This article briefly summarizes the etiology of maxillofacial pain in the elderly population, and how to diagnose it through history inquiry and clinical examination. Quickly and accurately diagnosing the underlying causes of maxillofacial pain in the elderly population is of great significance for their physical and mental health. Reducing the risk factors that threaten their overall health can lay a foundation for effective treatment measures in the future. References | Related Articles | Metrics

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Clinical Application of Rituximab in the Treatment of Oral Pemphigus Zhe Cheng, Qian Wang, Jia Liu, Ping Tong, Jianqiu Jin 2024, 27(3):  200-205.  DOI: 10.12337/zgkqjxjyzz.2024.03.002 Abstract ( 58 )   PDF (1614KB) ( 17 )   Pemphigus is a serious chronic autoimmune bullous disease, with a prolonged and repeated course, making it difficult to treat and it may lead to death. For a long time, glucocorticoids have been the mainstream treatment for pemphigus vulgaris, greatly reducing mortality rates and achieving good therapeutic effects in over 80% of patients. Although rituximab was introduced relatively late, it has gradually gained more application in clinical practice due to its outstanding efficacy and minimal adverse reactions. It is suitable for patients with pemphigus vulgaris who are contraindicated to hormones or have poor efficacy and significant adverse reactions. This article summarizes the indications, treatment plans, efficacy, and adverse reactions of rituximab in the treatment of pemphigus vulgaris. References | Related Articles | Metrics

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Progress of Oral Frailty and Its Effect on Oral Health Shuai Chen, Ruoyan Guo, Xiaojing Huang 2024, 27(3):  206-213.  DOI: 10.12337/zgkqjxjyzz.2024.03.003 Abstract ( 81 )   PDF (2334KB) ( 24 )   With society gradually entering the aging stage, attention to the oral health of the elderly has become a crucial task for maintaining their overall health and improving their quality of life. Recently, the concept of oral frailty has been proposed, which refers to a series of aging-related phenomena or processes that leads to changes in oral conditions, such as decreased number of teeth, oral hygiene issues, and declining oral functions. Oral frailty is accompanied by weakened awareness of oral health maintenance and decline in physical and mental reserves in the elderly, leading to eating disorders and ultimately affecting their general health. This article reviewed the clinical manifestations, diagnosis, and intervention of oral frailty, with the aim of providing useful references for improving the oral health level of the elderly. References | Related Articles | Metrics

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Interproximal Contact Loss Between Implant-supported Fixed Prostheses and Adjacent Natural Teeth: A Review Ge Zhao, Lingfei Wei, Huijuan Xiao 2024, 27(3):  214-218.  DOI: 10.12337/zgkqjxjyzz.2024.03.004 Abstract ( 46 )   PDF (1612KB) ( 30 )   After the completion of implant-supported fixed prostheses, there would be interproximal contact loss (ICL) between implant-supported fixed prostheses and adjacent natural teeth with the passage of time. ICL is the absence of interproximal contact between the implant-supported prostheses and natural teeth or prostheses. The prevalence of ICL is high and its primary cause is mesial migration of natural teeth. ICL can result in food impaction and exert a detrimental influence on the long-term success not only of periodontal tissues and dental implants but also of associated restorations and adjacent teeth. Furthermore, it can adversely affect the health of peri-implant tissues and even lead to implant failure. Consequently, there is growing recognition among clinicians of the importance of managing this condition effectively. This article reviewed the clinical prevalence, causes, prevention and treatment of interproximal contact loss between implant-supported fixed prostheses and adjacent natural teeth, aiming to provide some clinical suggestions. References | Related Articles | Metrics

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Clinical Application of Intentional Pulpotomy for Treatment of Excessive Growth Teeth: Case Series Qianqian Wang, Xingzhe Yin, Yan Wei, Chongyang Zhou 2024, 27(3):  219-224.  DOI: 10.12337/zgkqjxjyzz.2024.03.005 Abstract ( 48 )   PDF (2598KB) ( 7 )   Objective: Excessive growth teeth may affect the restoration of missing teeth especially in elderly patients. This article showed the clinical application of intentional pulpotomy on excessive growth teeth. Diagnosis and treatment: Pulpotomy was performed on 6 excessive growth teeth with mineral trioxide aggregate (MTA) or iRoot® BP PLUS as capping materials. 1 week later, the coronal cavities were filled permanently with composite resin. Results: At 6 months and 36 months of follow-up, all teeth were symptom-free and clinically functional, without any evidence of pulpitis or apical periodontitis in either clinical or radiographic examinations. Conclusions: Intentional pulpotomy would be an effective treatment option for excessive growth teeth especially in elderly patients. References | Related Articles | Metrics

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Biofunctional Prosthetic System Denture Restoration on an Edentulous Patient with Flabby Ridge: a Case Report Yunyang Bai, Min Gao, Yan Wei, Chongyang Zhou, Xuliang Deng. 2024, 27(3):  225-232.  DOI: 10.12337/zgkqjxjyzz.2024.03.006 Abstract ( 76 )   PDF (5476KB) ( 33 )   Objective: This case presents a treatment of complete denture restoration in a patient with edentulous maxilla and mandible accompanied by flabby ridge, aiming to provide a reference for the restorative treatment of patients with similar conditions. Diagnosis and treatment: A 59-year-old female patient with a complete denture for twelve years reported inadequate retention for two years. Surgical intervention involved flabby ridge in the anterior maxilla combined with vestibuloplasty to reshape the soft alveolar ridge. Three months postoperatively, a BPS (Biofunctional Prosthetic System) denture was fabricated. Necessary adjustments were done and the dentures were delivered to the patient. Results: A follow-up examination conducted one year after the BPS denture restoration and the BPS denture was stable and revealed a satisfactory restoration effect. Conclusions: For edentulous patients with flabby ridge, surgical intervention followed by the application of BPS dentures for restoring missing teeth can achieve a favorable treatment result. References | Related Articles | Metrics

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Full-mouth Rehabilitation of a Patient with Severely Worn Dentition Using Digital Techniques: a Case Report Tianhong Tang, Weimin Weng 2024, 27(3):  233-245.  DOI: 10.12337/zgkqjxjyzz.2024.03.007 Abstract ( 121 )   PDF (17462KB) ( 19 )   Objective: A case of severely worn dentition resulting loss of vertical dimension and difficulty in mastication was reported in this article. Digital techniques were used in this occlusal rehabilitation process. Diagnosis and treatment: Examinations were performed at first, and full dentition occlusal rehabilitation project was confirmed after communication with the patient. A removable occlusal pad was used to determine the vertical dimension, then digital jaw motion analysis system, intraoral scanner, aesthetic analysis and virtual articulator in Exocad software were used to design and produce the transitional prosthesis. Fine adjustments were conducted on transitional prosthesis and the final prosthesis were then finished. Results: With the help of digital techniques, the final prosthesis can effectively restore the normal vertical distance, improve the appearance and masticatory efficiency. Conclusion:Digital techniques have good effect in full-mouth rehabilitation with high precision and good repeatability, which is more suitable for dentists with limited clinical experience. References | Related Articles | Metrics

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A Case of Screw-retained Full-mouth Implant Fixed Complete Denture Prostheses Jing Ma, Chi Lei, Yan Liu, Yulu Wu, Zaixi Deng, Chunbao Zhang 2024, 27(3):  246-256.  DOI: 10.12337/zgkqjxjyzz.2024.03.008 Abstract ( 62 )   PDF (8958KB) ( 10 )   Objective: To restore the function and aesthetics of the patient's oral and maxillofacial system by screw-retained implant fixed complete denture. Diagnosis and treatment: The full-mouth occlusal reconstruction of the patient with dentition defect was completed by immediate implantation and immediate repair of maxillary and mandibular dentition in different periods. The implant bridge was designed and fabricated by computer aided design/computer aided manufacturing (CAD/CAM) technology, and then the decorative porcelain was sintered on the maxillary zirconia bridge, and the polymeric porcelain restoration was made on the mandibular titanium bridge. Results: The final implant-retained denture was successfully worn into the patient's mouth, the prosthesis was in place smoothly, and the occlusion relationship was fit. The patient was satisfied with the aesthetics and function of the denture. Conclusions: With the appropriate cooperation of dentists, medical technicians and patient, the screw-retained full-mouth implant fixed denture restoration can efficiently and accurately restore the function and aesthetics of the patient's oral and maxillofacial system. References | Related Articles | Metrics