Dental Asia May/June 2018

More documents

Recommendations

Info

Clinical Feature On this premise, the best place to start is how to assess the upper airway. Medical and <strong>Dental</strong> history, as always, is the initial clue provider, and in this regard questions about snoring, mouth, breathing, and teeth grinding are crucial. Issues with choking on food, troubles with chewing and breathing at the same time are also useful clues. The relevance of all of these symptoms will be claried in the subsequent discussion. to dismiss such clinical presentations. With respect to bruxism, more and more studies are showing an association with sleep disordered breathing, and in children there is literature indicating an 80% resolution of bruxism, after their airway obstruction has been addressed. Clinical Examination The next stage in clinical assessment is the examination. The rst impression is to simply look at the patient before you. Do they have an open mouth posture for their breathing? Can you hear them breathing (the “Darth Vader” noise, that is clinically known as stertor)? As you then look inside the mouth, apart from the dental health, are there malocclusions, altered facial bone development, a high arched palate, evidence of grinding or suggestion of reux damage to the teeth. The next step is to look beyond the teeth: Is there a tongue tie? How big is the tongue relative to the space of the oral cavity? And then nally, what is the size and position of the tonsils? With respect to the tonsils, the important issue is the space between them, as this is the functional area of the transitional space from mouth to oropharynx. Sleep Apnoea and Bruxism Armed with a wealth of this information, dentists nd themselves in the privileged position of being able to alter the course of a patient’s life, for the better. Let’s start with children. To be absolutely clear on this matter, a starting point that is important to realise is children are not supposed to snore, mouth breathe, or grind their teeth. Habitual snoring, which is dened as snoring four nights of the week or more, is now classied as being part of the spectrum of paediatric sleep disordered breathing, with the extreme of this spectrum being sleep apnoea. With respect to mouth breathing, this is brought about as a response to obstructed nasal breathing in more than 90% of cases and should not be written o as a habit. The main cause of obstructed nasal breathing is enlarged adenoids, something that can be assessed through taking x-rays – Orthopantomogram (OPG/ Panoramic), Lateral Cephalometric (Lat. Ceph.) and cone beam computed tomography (CBCT)- with the next most common cause being enlarged turbinates related to allergy (again, this is evident on OPG and more so on cone beam CT). Children with nasal obstruction have breathing diculties, and this can impact their cardiorespiratory physiology to the point that they can develop a serious medical condition called pulmonary hypertension. Hence, it is important not Large adenoids Enlarged nasal turbinates Facial Growth and Developmental Factors There is a debate in literature regarding the interplay between nasal obstruction, resultant mouth breathing, and subsequent aberrations in facial growth and development. In order to help address this question, we need a greater understanding into what inuences facial growth and development. In its simplistic form, it is a combination of genetic and epigenetic programming on how things develop, susceptibility to abnormal 42 DENTAL ASIA MAY / JUNE <strong>2018</strong>
A small step for dentists, a great step for dentistry! PRESIDENT ® The Original The introduction of PRESIDENT in 1975 – the first A-Silicone in the market – is considered a milestone in the development of high-precision dental impression materials. After 40 years of innovation and know-how the well-known A-Silicone brand has now been renewed. PRESIDENT appears in a new look with fresh colours for a better contrast and readability as well as new viscosities in the portfolio to satisfy dentist’s needs. 002525 info.ch@coltene.com | president.coltene.com
Page 1: Dental Profile: Mr. Chuck Hall - Ah
Page 5 and 6: Rainer Wöran, AUS Amann Girrbach A
Page 8 and 9: Giving back to Society Dental Stude
Page 10: Giving back to Society Dental Units
Page 14 and 15: Dental Updates Convergent Dental Ex
Page 16: Dental Updates CS 8100SC 3D Wins 20
Page 20 and 21: Under the Spotlight Rockstar in Den
Page 22 and 23: Under the Spotlight Patients often
Page 24: Under the Spotlight ourselves too s
Page 27 and 28: Under the Spotlight Some may say th
Page 29 and 30: He sees DM being integrated into ot
Page 32 and 33: Dental Profile Video monitor shroud
Page 34 and 35: Dental Prole Personalising Dentistr
Page 36: Dental Prole According to Dr. Mario
Page 39 and 40: Performance. It runs in the family!
Page 41: Trefoil - the next full-arch revol
Page 46 and 47: Clinical Feature development in adv
Page 48 and 49: Clinical Feature Tongue-tie (ankylo
Page 50 and 51: Clinical Feature In severe instance
Page 52 and 53: 31.5.2018 15.5.2018 IDEAS
Page 54: Clinical Feature and intra-oral vac
Page 57 and 58: Behind the Scenes in the ve Vita sy
Page 59 and 60: The 3rd “MYANMAR’S LEADING MEDI
Page 61 and 62: Behind the Scenes increase the accu
Page 63 and 64: Behind the Scenes was performed to
Page 66 and 67: In depth with - Renfert AUTO spin b
Page 68 and 69: Product Highlight Mectron New Perio
Page 70 and 71: PRODUCT HIGHLIGHT Ivoclar Vivadent
Page 72 and 73: SHOW REVIEW IDEM 2018 Takes Clinica
Page 74 and 75: SHOW PREVIEW INAUGURAL DENTAL AESTH
Page 76 and 77: BOOKS for SALE AFG (Anatomic Functi
Page 80: N-Cement Collection Luting material

Dental Asia May/June 2018

Create successful ePaper yourself

Delete template?

Save as template?